PSDP Site Visit - (Site Tagged)

• Project Name

  Select
• Location
  Address

• Weather

• Date

  Date

• PSCS

• Site Contact

• Prepared by

1. Public Safety

• (a) Hoarding/Fencing securely erected/maintained?

  Excellent

  Good

  Fair

  Poor

  N/A

• (b) Roads & footpaths clean & free of trip hazards?

  Excellent

  Good

  Fair

  Poor

  N/A

• (c) Dust/rubbish controlled?

  Excellent

  Good

  Fair

  Poor

  N/A

• (d) Local diversions around machinery?

  Excellent

  Good

  Fair

  Poor

  N/A

• (e) Perimeter warning signs?

  Excellent

  Good

  Fair

  Poor

  N/A

• (f) Site entrance/general danger signs?

  Excellent

  Good

  Fair

  Poor

  N/A

• (g) Directional signs to site office?

  Excellent

  Good

  Fair

  Poor

  N/A

• (h) Public access controlled?

  Excellent

  Good

  Fair

  Poor

  N/A

• (i) Plant in safe condition & properly guarded?

  Excellent

  Good

  Fair

  Poor

  N/A

• (j) Work on public thoroughfares?

  Excellent

  Good

  Fair

  Poor

  N/A

2. Workplace Access

• (a) Clear Access?

  Excellent

  Good

  Fair

  Poor

  N/A

• (b) Safe level footing?

  Excellent

  Good

  Fair

  Poor

  N/A

• (c) Adequate width?

  Excellent

  Good

  Fair

  Poor

  N/A

• (d) Route signage?

  Excellent

  Good

  Fair

  Poor

  N/A

• (e) Floor edges/openings/voids protected?

  Excellent

  Good

  Fair

  Poor

  N/A

• (f) Manholes / access opes proteced?

  Excellent

  Good

  Fair

  Poor

  N/A

• (g) Work areas neat / regular clean ups?

  Excellent

  Good

  Fair

  Poor

  N/A

• (h) Material storage areas neat?

  Excellent

  Good

  Fair

  Poor

  N/A

3. Procedures on Site

• (a) Fire Safety

  Excellent

  Good

  Fair

  Poor

  N/A

• (b) Demolition

  Excellent

  Good

  Fair

  Poor

  N/A

• (c) Excavations

  Excellent

  Good

  Fair

  Poor

  N/A

• (d) Machine & plant safety

  Excellent

  Good

  Fair

  Poor

  N/A

• (e) Scaffolding safety

  Excellent

  Good

  Fair

  Poor

  N/A

• (f) Ladder safety

  Excellent

  Good

  Fair

  Poor

  N/A

• (g) PPE being worn

  Excellent

  Good

  Fair

  Poor

  N/A

• (h) Hot works

  Excellent

  Good

  Fair

  Poor

  N/A

4. Storage of Materials

• (a) Materials stored/stacked safely?

  Excellent

  Good

  Fair

  Poor

  N/A

• (b) Safety Data Sheets received?

  Excellent

  Good

  Fair

  Poor

  N/A

• (c) Flammable liquids stored safely?

  Excellent

  Good

  Fair

  Poor

  N/A

• (d) Bottled gas stored safely?

  Excellent

  Good

  Fair

  Poor

  N/A

• (e) Materials clearly identifiable?

  Excellent

  Good

  Fair

  Poor

  N/A

• (f) Safety instructions given to users?

  Excellent

  Good

  Fair

  Poor

  N/A

• (g) Lockable store provided?

  Excellent

  Good

  Fair

  Poor

  N/A

5. Inspections

• (a) Scaffolding checks recorded?

  Excellent

  Good

  Fair

  Poor

  N/A

• (b) Excavation checks recorded?

  Excellent

  Good

  Fair

  Poor

  N/A

• (c) Lifting appliance checks recorded?

  Excellent

  Good

  Fair

  Poor

  N/A

• (d) Work at height equipment (e.g. harnesses) checks recorded?

  Excellent

  Good

  Fair

  Poor

  N/A

• (e) Valid lifting applicance certificates available?

  Excellent

  Good

  Fair

  Poor

  N/A

6. Documentation

• (a) Preliminary Safety & Health Plan on site?

  Excellent

  Good

  Fair

  Poor

  N/A

• (b) AF2 notification posted on site?

  Excellent

  Good

  Fair

  Poor

  N/A

• (c) Construction Safety & Health Plan on site and updated?

  Excellent

  Good

  Fair

  Poor

  N/A

• (d) Company Safety Statement available on site?

  Excellent

  Good

  Fair

  Poor

  N/A

• (e) Sub-contractor's Safety Statements received?

  Excellent

  Good

  Fair

  Poor

  N/A

• (f) Temporary Works Designs in place, where required?

  Excellent

  Good

  Fair

  Poor

  N/A

• (g) Accident book inspected?

  Excellent

  Good

  Fair

  Poor

  N/A

• (h) Lost time accidents reported?

  Yes

  No

  N/A

• (i) Accident reporting procedure posted/displayed?

  Excellent

  Good

  Fair

  Poor

  N/A

• (j) Emergency plan prepared?

  Excellent

  Good

  Fair

  Poor

  N/A

• (k) Emergency procedures posted/displayed?

  Excellent

  Good

  Fair

  Poor

  N/A

7. Welfare & Sanitation

• (a) Adequate canteen facilities?

  Excellent

  Good

  Fair

  Poor

  N/A

• (b) Adequate toilet and washing facilities?

  Excellent

  Good

  Fair

  Poor

  N/A

• (c) Adequate drying room facilities?

  Excellent

  Good

  Fair

  Poor

  N/A

• (d) Adequate general hygiene?

  Excellent

  Good

  Fair

  Poor

  N/A

• (e) Adequate First Aid Kit?

  Excellent

  Good

  Fair

  Poor

  N/A

• (f) Trained first aider on site?

  Yes

  No

  N/A

8. Training & Communication

• (a) All personnel with SafePass?

  Excellent

  Good

  Fair

  Poor

  N/A

• (b) All personnel inducted for site?

  Excellent

  Good

  Fair

  Poor

  N/A

• (c) Induction training records available?

  Excellent

  Good

  Fair

  Poor

  N/A

• (d) Regular toolbox talks delivered?

  Excellent

  Good

  Fair

  Poor

  N/A

• (e) Safety Representative elected?

  Yes

  No

  N/A

• (f) Training given to Safety Rep.?

  Yes

  No

  N/A