PGSR WEEKLY SAFETY CHECKLIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Work Area Controls

• Is the Generator enclosure in a clean condition?

  Yes

  No

  N/A

• Add media

  Media

• Is the Workspace Area Ina clean condition?

  Yes

  No

  N/A

• Add media

  Media

• Have the Barricading and Drop Zones been Checked?

  Yes

  No

  N/A

• Add media

  Media

• Are the Access Roads clear of obstructions and suitable for traffic?

  Yes

  No

  N/A

• Add media

  Media

• Scaffold Tags are current

  Yes

  No

  N/A

• Add media

  Media

• Is there Unrestricted Access / Egress to scaffolds stairways etc?

  Yes

  No

  N/A

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  Media

• Is all lifting equipment is correctly tagged?

  Yes

  No

  N/A

• Add media

  Media

• Are Work area ground conditions safe for mobile plant and equipment to operate?

  Yes

  No

  N/A

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  Media

• Are pedestrian walk ways safe for use and adequately barricaded?

  Yes

  No

  N/A

• Add media

  Media

• Are dust levels controlled?

  Yes

  No

  N/A

• Add media

  Media

• Is the Work area clear of construction waste?

  Yes

  No

  N/A

• Add media

  Media

• Are Electrical leads correctly hung and suspended?

  Yes

  No

  N/A

• Add media

  Media

• Is the Confined space signage in place?

  Yes

  No

  N/A

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  Media

• Is the General Work Area clear of all rubbish and wind blown objects?

  Yes

  No

  N/A

• Add media

  Media

• Have Drug and Alcohol screenings been conducted? (list names and date in remarks column)

  Yes

  No

  N/A

• Add media

  Media

• Safety Presentation

  Yes

  No

  N/A

• Add media

  Media

• Operations Presentation

  Yes

  No

  N/A

• Add media

  Media

• Have Inductions been successfully completed? (list names, type and date in remarks column)

  Yes

  No

  N/A

• Add media

  Media

• Has work scope changed for PGSR employees?

  Yes

  No

  N/A

• Add media

  Media