Title Page

  • Conducted on

  • Prepared by

  • Location
  • There is a copy of the Safety Management Plan (SMP) on site?

  • The SMP details names, positions and roles of project personnel?

  • The SMP details arrangements for consultation and communication relating to health and safety?

  • The SMP details how incidents will be managed?

  • The SMP details how risk management is undertaken?

  • SWMS are signed by relevant work crew?

  • SWMS review checklist has been completed?

  • SWMS implementation checklist has been completed?

  • SWMS are applicable to the scope of work?

  • SWMS are aligned to the Project Risk Assessment?

  • SWMS register is in place and SWMS are retained on site?

  • The Project Risk Assessment is available on site for the work crew?

  • Excavation Permits are in place and signed for excavation scope of work?

  • DBYD are available on site with the excavation permit and they are in date?

  • All excavations are protected and appropriate signage in place?

  • All excavations are bench, battered or shored?

  • All excavations are inspected daily prior to any personnel entering?

  • Hot Work Permits are in place for any spark producing activities?

  • Fall Prevention Permit is in place and signed for any working at height activities?

  • Confined Space Permit is in place for any C/S activities?

  • Confined Space Risk assessment, rescue plan has been completed?

  • Personnel have correct training and certification for scope of work being undertaken?

  • All personnel are inducted for the project site?

  • All plant has been inducted for the project site?

  • Operators of plant have been VOC'd for the type of plant being operated?

  • Daily operator checks have been completed for plant and recorded on relevant form?

  • Plant risk assessment is available on site for all mobile plant?

  • Daily pre-start meetings are being undertaken?

  • Toolbox meetings are being undertaken on site and latest toolbox form pinned on the notice board?

  • Emergency contacts, services and locations are available on site and posted in the office/lunchroom?

  • Emergency muster point has been established for site and personnel are aware of it's location?

  • First Aid kits are available on site, well stocked and all items within use by dates?

  • First Aid personnel names are posted in the office/lunchroom?

  • Fire extinguishers are available on site and test and tagged every 6 months?

  • Workers on site are wearing required PPE?

  • Electrical leads are run appropriately?

  • All electrical items are test and tagged every 3 months?

  • All scopes of work are controlled appropriately with relevant barricading and signage in place?

  • Simultaneous operations are controlled with appropriate consultation and coordination in place?

  • Work areas are clean and tidy?

  • Workplace facilities are in place including toilets, eating areas, wash-up facilities?

  • Scaffolding has been erected by competent personnel, scaff-tag is in place and handover certificate available?

  • Potential dropped objects are being controlled with barricading and signage, and/or tool lanyards?

  • There is no obvious damage to ladders?

  • Car parking has been established and reverse parking signage in place?

  • Plant and personnel interaction has been identified and controlled?

  • Project signage is in place including construction site, office, first aid, muster point, fire extinguisher, SDS and any other applicable signage?

  • Chemicals are being stored appropriately?

  • SDS sheets are available for all chemicals on site?

  • Traffic Management Plan is in place when working on or near roads?

  • All energy sources are isolated appropriately with permits, locks, tags etc. in place?

  • Site possession has been granted and relevant documents have been obtained prior to starting on site?

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.