Information

  • Contractor

  • Client / Site

  • Conducted on

  • Completed by

  • Location
  • Job/Quote number/Purchase number

  • Operation

  • Staff on Site and responsibilities

  • General description of task or works being completed please reference any quote or PO numbers if known

  • If you answer no to any questions add comments and actions taken below. If there is a signifiacant risk to health & safety imidiate action should be taken to instruct work to stop and inform all responcible persons as required

1. RAMS

  • 1.0 Risk Assessment correctly used and in place?<br>

  • 1.1 Method Statement in place for works taking place?<br>

  • 1.2 Local A&E location known with emergency services contactable if required?<br>

2. Site Organisation

  • 2.0 Fuelling Station safely set up?

  • 2.1 PPE – available, used correctly etc?

  • 2.3 Site set up / layout – suitable & controlled?

  • 2.5 Chipper location/conversion?

  • 2.6 General Organisation – ropes, tidiness acceptible?

  • 2.4 Correct cordoning, signing, lighting and guarding (ped.& traffic management)?

  • 2.7 Manual handling good practice evident with safe lifting techniques displayed?

  • 2.8 Climbing Techniques acceptible?

  • 2.9 Aerial Rescue Provision in place?

  • 2.10 Emergency Procedure & First Aid Provision adiquate and sutible?

  • 2.11 Effective Communication evident with hand signals adopted if required?

  • 2.12 Other site issues covered, e.g. staff welfare, water, sharps etc.?

3. Tools and Equipment

  • 3.0 Chainsaws comply with AFAG 301 ?

  • 3.3 Climbing kit checked and serviceable?

  • 3.2 Grinders AFAG 606 and handbook available ?

  • 3.1 Chippers AFAG 604 and handbook available?

  • 3.4 Rigging kit checked and serviceable?

  • 3.6 Vehicles loaded and secured correctly?

  • 3.5 Vehicles checked and serviceable?

4. Certification

  • 4.0 Employees adequately qualified for tasks being undertaken?

  • 4.1 Driver correctly licensed for vehicle combination?

5. Any other comments

  • 5.0 Photo's showing general works tasks or areas of concern

  • 5.1 Site drawing

  • 5.2 General Comments

6. Signing off of the Safety Inspection Record

  • 6.0 Signature of person inspecting contractor

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.