Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Role within company

  • Location
  • Principal Contractor

  • Contractors on site at time of this inspection?

  • Works being conducted on site:

Site Specific Risk Assessment

Contractor assessment

  • 1. Have all employees and contractors completed the site specific WHS training (site induction, general and work specific tasks)?

  • 2. Have all employees and contractors been instructed on safe working practices (e.g. manual handling)?

  • 3. Have all employees and contractors read their SWMS and the site EHS? Are they accessible onsite?

  • 4. Do you have the correct type of First Aid Kit, and is it stocked and accessible for use onsite?

  • 5. Have all employees and contractors been trained in the safe use of power tools?

  • 6. Specify the PPE required onsite:

  • Safety Footwear

  • Eye Protection

  • Hi-visibility vest

  • Hearing protection

  • Hat

  • Sunscreen

  • Sun safe protective clothing

  • 7. Is the hazardous substance register onsite and are all relevant persons trained in using and handling the substances safely?

  • 8. Do you have the appropriate fire fighting equipment onsite for flammable substances or hot works?

  • 9. Have all employees and contractors viewed the site safety signage?

Equipment assessment

  • 10. Has all the electrical equipment onsite been tested and tagged, and is the electrical tagging register onsite?

  • 11. Are all electrical outlets (generator/meter box etc) protected by an RCD?

  • 12. Have all tools and equipment been serviced and are they in good working order?

  • 13. Have all plant and tools been inspected and are they fit for purpose?

  • 14. Have all ladders used onsite been inspected and are they fit for purpose?

  • 15. Is there guarding on all machinery, covering all moving parts?

  • 16. Is the security fencing intact, with no gaps or missing fence panels, and are gates chained and padlocked?

  • 17. Is the works area clear of rubbish and debris, and is an area provided for debris?

  • 18. Are materials delivered and stored in a safe and responsible manner in the work areas?

  • 19. Are the public and workers adequately protected during and after work activities?

  • 20. Are amenities on site clean and accessible for use?

  • 21. Are all fall zones protected?

  • 22. Have all safety systems (edge protection, scaffolding and guard railing) been inspected and are they safe to use?

  • 23. Has the stairwell and open penetrations protection system been installed?

  • 24. Is there a safe path of travel to all work areas and have all trip hazards been identified?

  • 25. Have all trenches and excavations been backfilled, covered or barricaded?

  • HAVE YOU ELIMINATED ALL POTENTIAL RISKS FROM ANY OTHER HAZARDS IDENTIFED ONSITE THAT MAY AFFECT THE WORK TASKS?

  • If you answer no to any of the items above - you must complete the risk assessment questions below and consult with all employees and subcontractors before commencing any work. If you cannot remove or control the hazard please consult with your manager for advice before starting any work.

Hazard identification

  • Identify below any hazard (plant or substance or process) that could be a risk to WHS, and list the controls taken. Please take a photo of the hazard. Risk matrix found in EHS plan.

  • #1- Hazard identified

  • #1 - Risk score (1-6)

  • #1 - Controls Implemented

  • #1 - Risk score after control implemented (4-6)

  • #1 - By whom was control implemented

  • #2 - Hazard identified

  • #2 - Risk score (1-6)

  • #2 - Controls Implemented

  • #2 - Risk score after control implemented (4-6)

  • #2 - By whom was control implemented

  • #3 - Hazard identified

  • #3 - Risk score (1-6)

  • #3 - Controls Implemented

  • #3 - Risk score after control implemented (4-6)

  • #3 - By whom was control implemented

Follow up on previous inspections

Item 1

  • Date

  • Result

  • Further action

Item 2

  • Date

  • Result

  • Further action

Item 3

  • Date

  • Result

  • Further action

Sign off

  • Inspection sign off

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.