Title Page
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Conducted on
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Prepared by
1. General Safety Measures
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Is access to the facility clear and accessible?
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Are prominent safety signs and emergency procedures displayed?
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Are walkways, entrances, and exits clear of obstacles or debris?
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Is good housekeeping maintained throughout the facility?
2. Machinery & Equipment
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Are machinery and equipment regularly inspected and maintained?
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Are operators trained and certified for each type of machinery?
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Are safe operating procedures established and followed?
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Are moving parts of machinery properly guarded?
3. Traffic & Vehicle Safety
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Are pedestrian walkways clearly designated and separated from vehicular traffic?
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Are speed limits and traffic control measures implemented?
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Are operators of front-end loaders, bobcats, and excavators trained in safe practices?
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Are designated parking areas provided and separated from operational zones?
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PPE requirements are followed by all personnel?
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SWMS in place for all tasks involving use of mobile plant?
4. Hazardous Materials & Waste Management
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Are hazardous materials stored in designated areas with proper containment and labelling?
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Are spill response procedures in place and spill containment kits available?
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Are employees trained in safe handling, storage, and disposal of hazardous materials?
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Is there adequate air circulation and ventilation in the facility?
5. Emergency Preparedness
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Is there an emergency response plan in place covering various scenarios?
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Are regular emergency drills conducted and employees familiar with their roles?
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Are fire detection systems, firefighting equipment, and emergency exit signs installed and maintained?
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Is emergency contact information readily available?
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Are evacuation diagrams clearly posted in prominent locations?
6. Training & Communication
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Have all present employees been inducted?
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Are safety signs and labels displayed in prominent locations?
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Are regular communication channels established for safety updates?
7. Stockpiling & Waste Control
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Are all stockpiles adequately stabilised and maintained with bays?
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Is there any soil or debris washout from the site in public spaces, roads or gutters?
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Are stockpiles controlled before tipping and destabilisation?
8. Additional Discovery Items
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Were there any items discovered while conducting the assessment?
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What were the concerns or issues?
Inspector Sign Off
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Name
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Date
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Signature