Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Documentation and Set-Up

  • MAJOR - Is there a SSSP with all required signatures on site?

  • MINOR - Has site signage been established, and clearly visible upon entry to site?

  • MINOR - Is there a sign in / out process for site?

  • MAJOR - Have all workers been inducted onto site, and record of induction?

  • Has the site-specific induction current and include site specific risks?

  • MAJOR - Has WorkSafe NZ been notified of any "particular hazardous work", where required?

  • Is there an emergency contact page displayed?

  • Are Health and Safety and Injury Management policies displayed?

  • MAJOR - Has a daily pre-start meeting with all workers been conducted, recorded and submitted into HazardCo or paper copy?

  • MAJOR - Are all relevant SWMS available on-site?

  • Is a project vehicle movement plan developed and communicated to workers on-site (including clear pedestrian pathways)?

  • MINOR - Is a First Aid kit, available to all workers, with all provisions maintained?

  • MINOR - Have adequate fire extinguishers been provided, in place, accessible and within test date?

Implementation

  • Are take 5's being completed prior to starting tasks?

  • MAJOR - Are all battery and/or powered tools have appropriate guarding in place?

  • MAJOR - Are all electrical power tools, leads and other devices within their test date and visually inspected?

  • MAJOR - Are tools that require calibration within their currency?

  • MINOR - Are Safety Data Sheets available for all chemicals on site?

  • MAJOR - Are chemicals stored in accordance with the SDS and labelled correctly?

  • MINOR - Are all workers wearing mandatory site PPE?

  • MINOR - Are workers wearing task specific PPE?

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.