• Document No.

  • Contractor Name

  • Date and Time

  • Team ID

  • Location
  • Project / Site Name (i.e HUL117)

  • Works to be completed


Cable and splice works

  • Do the operatives have access to a job pack with emergency info and site rules?

  • Do the operatives understand the method statements and risk assessments?

  • Are permits (where relevent) displayed and correct?

  • Have all known services been located and marked up?

  • Is the work site fully NRSWA (Red book) compliant?

  • Do the operatives have a fully working and calibrated GDU?

  • Do the operatives have the correct qualifications for the tasks ahead?

  • Is all required plant, equipment, tools and PPE avaiable, in good working condition and in use?

  • Has all plant and vehicles been checked and are fit for use?

  • Have all operatives recieved relevent tool box talks?

  • Do the operatives know where local welfare facilities are and how to access them?

  • Is your site secure and offer protection to the public while working?

  • Are there any hazards assioated with this job?

  • Please identify and list the hazards.

  • Are there any environmental issues identified on site?

  • Please identify and list the hazards.

General Comments

  • Any further comments or recommendations arising from this inspection?

  • Add relevant site photos (please include as many as possible)

Sign Off

  • It is agreed by all that this work can be completed safely and that the information above is correct, true and accurate.

  • Name & Signature of Site Supervisor / Foreman

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.