Information

  • Document No.

  • Location
  • Area

  • Conducted on

JOB START

  • JHA appropriate and complete

  • JHA on the job and unerstood

  • Take 5 Completed

  • Permits appropriate and completed

  • Isolations appropriate and completed

  • Work Area Demarked and sign posted

HOUSEKEEPING

  • Access/egress to work sites

  • Rubbish Bins provide and use

  • materials stacked neatly

  • Work platforms clear

  • Correct signage in place and readable

  • Waste stored/removed correctly

HOT WORK

  • Permit in place

  • Flashback arrestors on cylinders and hand pieces

  • All equipment in good condition

  • Fire extinguishers available for all HW

PPE

  • PPE available at worksite

  • All appropriate PPE being wor

ELECTRICAL

  • Conditions of leads/plugs,ect acceptable

  • RCD used for portable tools

  • All equipment tagged correctly

  • Leads off ground & not near water

  • Isolation appropriate & completed

MECHANICAL

  • Clips fitted to all hoses

  • Correct discs used in grinders

  • Guards fitted to machinery/tools

  • All power tools fitted with deadman

  • Hose couplings Secured

SCAFFOLDING

  • Erected by competent person

  • Scafftag fitted

  • Scaffolding meets standard

  • No overloading of platforms

  • Accesses on landings unobstructed

WORKING AT HEIGHTS

  • Fall arrest equipment used

  • Permit to work at height in place

  • EWP operators competent

  • Area below cordoned off

CONFINED SPACE

  • Confined Space Permit in place

  • Harness being work

  • Gas testing been completed

  • Spotter in place

VEHICLES AND MOBILE EQUIPMENT

  • Equipment daily prestart checks

  • Spotter used as required

  • Clean/No loose debris

  • Seatbelts being worn

HYDROCARBON STORAGE

  • All hydrocarbon materials inside bunds

  • Oil spill equipment available, status

  • No evidence of stains/spillage

  • Bunds fully effective

  • Fuel containing equipment and plant in trays or provided with other bunding

INSPECTED BY

  • Add signature

  • Additional Comments?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.