PM0011 - SITE INSPECTION SHEET

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

DETAILS

• Inspection type

  Residential

  Site

  Other business

• Name of employees/sub-contractors being observed:

• Are the employees/sub-contractors trained or the tasks which they are doing?

  Yes

  No

• Cease task

METHOD STATEMENT

• Method statement applicable:

  Yes

  No

• Cease task

• Method statement being adhered to:

  Yes

  No

• Take remedial action

PPE – PERSONAL PROTECTIVE EQUIPMENT

• Appropriate Personal Protective Equipment being used/worn by all the employees/sub-contractors?

  Yes

  No

• Cease task

• Have the employees/sub-contractors using PPE been trained in the equipment’s use and fitting?

  Yes

  No

• Cease task

• Are the employees/sub-contractors wearing the appropriate work wear?

  Yes

  No

• Cease task

EQUIPMENT

• Does the equipment being used carry the appropriate certification of testing (PAT etc)?

  Yes

  No

  N/A

• Cease Task

• Have the employees/sub-contractors using the equipment, been trained in the correct use of operation?

  Yes

  No

• Cease task

• Have the employees/sub-contractors using the equipment, carried out a visual inspection of the equipment prior to use? (Check records)

  Yes

  No

• Cease task and carry out a pre-use inspection

• Is the equipment fit for purpose and being used for its designated purpose?

  Yes

  No

• Cease task

• Additional comments or observations:

LADDERS & STEPLADDERS

• Note: Prior to using a ladder to “Work From” consider whether it is the right equipment for the job!

• Are the ladders/stepladders being used have a current inspection tag?

  Yes

  No

• Do not use

• Have the ladders/stepladders been pre-use inspected?

  Yes

  No

• Inspection required

• Are the ladders/stepladders in good working order?

  Yes

  No

• Complete defect notice

• Are the ladders/stepladders positioned in a safe area? (Consider risk collision)

  Yes

  No

• Take action

• Are the ladder/s standing on firm, level ground at 75°? (1 out, 4 up)

  Yes

  No

• Take action

• Are the extended ladder/s extended 1m above the “Landing Place”?

  Yes

  No

• Take action

• Are the ladder/s standing on firm, level ground?

  Yes

  No

• Take action

• Ensure the ladder is Tied (whenever possible) or Footed (Not acceptable for ladders over 5m)

  Select Tied Footed (at ALL times during use) N/A

  • Tied
  • Footed (at ALL times during use)
  • N/A

• Are the ladders/stepladders securely stored when not in use?

  Yes

  No

• Take action

• Additional comments or observations:

CHERRY PICKERS (MEWP’s)

• Are the MEWP/s being used have a current inspection tag?

  Yes

  No

• Take action

• Has the MEWP/s been pre-use inspected? (Check the pre-use inspection sheet)

  Yes

  No

• Take action

• Do the MEWP Operators hold a valid licence?

  Yes

  No

• Take action

• Are the MEWP Operators using suitable restraint harnesses?

  Yes

  No

• Do the restraint harnesses being used have a current inspection tag??

  Yes

  No

• Take action

• Has a risk assessment been carried out in relation to the MEWP’s current use?

  Yes

  No

• Take action

• Is the MEWP being use as it is intended?

  Yes

  No

• Take action

• Is the MEWP being used on sound, level ground?

  Yes

  No

• Take action

• Is the MEWP being used away from high level hazards - Power cables & trees etc?

  Yes

  No

• Take action

• Are the weather conditions conducive to the use of the MEWP?

  Yes

  No

• Take action

• Has access around the MEWP been restricted and adequate signage prominent? YES

  Yes

  No

• Take action

• Are the controls for un-authorised use in place and sufficient?

  Yes

  No

• Take action

• Is the MEWP stowed in a safe and secure place when not in use?

  Yes

  No

• Take action

• Additional comments or observations:

SCAFFOLDING

• Scaffolding requires re-inspection every 7 days or after alterations, extensions, collision with machinery or adverse weather conditions etc!

• Confirm that the current scaffolding has a current “Scaff-Tag”?

  Yes

  No

• Do not use

• Has the scaffolding been visually inspected? (Check the pre-use inspection sheet)

  Yes

  No

• Do not use

• Has the scaffolding been “unofficially” altered in any way?

  Yes

  No

• Take Action

• Is the scaffolding being used as per its designed purpose? (Loading etc)

  Yes

  No

• Take Action

• Is access/egress to the scaffolding secured when unattended?

  Yes

  No

• Take Action

• Has access to the area below the scaffolding been restricted and adequate signage prominent

  Yes

  No

• Take action

• Additional comments, observations or actions:

PORTABLE SCAFFOLD TOWERS (MEWP’s)

• Scaffold Towers requires re-inspection every 7 days or after alterations, extensions, collision with machinery or adverse weather conditions etc!

• Confirm that the scaffold tower has a current inspection tag?

  Yes

  No

• Do not use

• Has the scaffold tower been erected in accordance with manufacturer’s<br>instructions?

  Yes

  No

• Do not use

• Has the scaffolding tower been visually inspected? (Check the pre-use inspection sheet)

  Yes

  No

• Do not use

• Is the scaffold tower on firm level ground with locked castors or base plates properly supported?

  Yes

  No

• Do not use

• Has a risk assessment been carried out in relation to the scaffold towers current use?

  Yes

  No

• Do not use

• Is the scaffold tower only being used for that which it is intended?

  Yes

  No

• Take action

• Is the scaffold tower being used away from high level hazards - Power cables &<br>trees etc?

  Yes

  No

• Do not use

• Are the weather conditions conducive to the use of the scaffold tower?

  Yes

  No

• Do not use

• Is access/egress to the scaffolding tower secured when unattended?

  Yes

  No

• Take action

• Has access around the scaffolding tower been restricted and adequate signage<br>prominent?

  Yes

  No

• Take action

• Is the scaffolding tower stowed in a safe and secure place when not in use?

  Yes

  No

• Take action

• Additional comments, observations or actions:

TRESTLES

• Has the trestle been erected in accordance with the manufacturer’s instructions?

  Yes

  No

• Do not use

• Are the pre-use inspection records up to date and complete?

  Yes

  No

• Cease task

• Is the trestle on firm, level ground?

  Yes

  No

• Do not use

• Has a risk assessment been carried out in relation to the trestles current use?

  Yes

  No

• Do not use

• Is the trestle only being used for that which it is intended?

  Yes

  No

• Take action

• Is the trestle being used away from high level hazards - Power cables & trees etc?

  Yes

  No

• Do not use

• Are the weather conditions conducive to the use of the trestle?

  Yes

  No

• Do not use

• Has access around the trestle been restricted and adequate signage prominent?

  Yes

  No

• Take action

• Is the scaffolding tower stowed in a safe and secure place when not in use?

  Yes

  No

• Take action

• Additional comments, observations or actions:

OTHER – MEANS OF ACCESS TO WORK AREA

• Specify in detail the method and appropriate checks taken, including ALL safety precautions

ASBESTOS

• Work involving the insulation or the removal of asbestos MUST only be carried out by a licensed contractor. Employees/subcontractors must cease work if they are suspicious of any materials containing asbestos and report their suspicions t the
  nominated responsible person (Manager or supervisor etc)

• Is a copy of the asbestos survey available?

  Yes

  No

• Take action

• Are the results known about the asbestos survey to the appropriate employees/subcontractors?

  Yes

  No

• Take action

• Are the employees/sub-contractors aware of what actions to take in the event of<br>finding “unrecorded” asbestos?

  Yes

  No

• Take action

• Are there applicable risk assessments and method statements in place and being<br>adhered to?

  Yes

  No

• Take action

• Additional comments, observations or actions:

MATERIALS AND SUBSTANCES

• Are MSDS readily available for the appropriate materials and substances being used?

  Yes

  No

• Take action

• Are the materials and substances being used for their intended purpose?

  Yes

  No

• Take action

• Are the materials and substances being stored in a secure manner as<br>recommended when not in use?

  Yes

  No

• Take action

• Are the materials and substances labelled correctly?

  Yes

  No

• Take action

• Do the materials and substances cause obstructions to access routes or safety<br>appliances?

  Yes

  No

• Take action

• Additional comments, observations or actions:

SIDE PEDESTRIAN AND VEHICLE ACCESS

• Is the pedestrian access segregated from the vehicular access?

  Yes

  No

• Take action

• Are the work areas segregates from unauthorised access?

  Yes

  No

• Take action

• Is all signage appropriately and prominently affixed?

  Yes

  No

• Take action

• Additional comments, observations or actions:

HOUSE KEEPING

• Are work areas tidy, clean, uncluttered and dry/wet areas controlled?

  Yes

  No

• Take action

• Is all the welfare equipment kept clean and in a condition appropriate for its use?

  Yes

  No

• Take action

• Additional comments, observations or actions:

EMPLOYEES/SUB-CONTRACTORS REST AREA FACILITIES

• Rest area/s are appropriate for their use?

  Yes

  No

• Take action

• Is all the welfare equipment kept clean and in a condition appropriate for its use?

  Yes

  No

• Take action

• Additional comments, observations or actions:

EMERGENCY CONTACTS & FACILITIES

• Are the employees / contractors aware of whom the nominated first aider is?

  Yes

  No

• Inform

• Is the first aider aware of the location of the first aid kit?

  Yes

  No

• Inform

• Is the first aid kit fully equipped (Refer to “Check List”)

  Yes

  No

• Inform

• Are the employees / contractors aware of emergency services contact telephone numbers?

  Yes

  No

• Inform

• Are the employees / contractors aware of the nearest telephone point?

  Yes

  No

• Inform

• Are the employees / contractors aware of the emergency procedures?

  Yes

  No

• Inform

• Are the employees / contractors aware of the emergency assembly point locations?

  Yes

  No

• Inform

• Additional comments, observations or actions:

MISCELLANEOUS OBSERVATIONS

• Notes:

Sign off

• Signature of nominated responsible person:

  Sign

• Position:

• Date:

  Date