Information

  • Monitor Reference

  • Route

  • Conducted on

  • Completed by

  • Location
  • Team Members

  • Line Manager

  • Any Sub-contractors on Site

Site Details

  • ELR

  • Structure No.

  • Mileage

  • Brief Description of Works

1. General Documentation

  • Is the White Board displayed, correctly filled in & briefed out?

  • Are TB and WPP completed, briefed out & signed?

  • Are the Life Saving Rules displayed?

  • Is the Construction Phase Plan available on site?

  • Are Work Permits in place and being adhered to?

  • Is the QTS Transient Site File available and up to date?

  • Is the SSOWP/SWP on site, correctly completed & briefed out?

  • Has the Signing In (Fatigue Management) Register been completed?

  • Are relevant COSHH forms on site?

  • Are relevant Risk Assessments available on site?

  • Are relevant Noise & HAV forms on site?

  • Have the Weekly TBT & Safety Bulletins been briefed out this week?

  • Any comments

  • Overall - General Documentation

2. Site Safety

  • Are fire extinguishers on site and in date?

  • Are safe access and egress routes known and clear?

  • Are First Aiders appointed and easily identified?

  • Is a First Aid box available at the worksite?

  • Do all Ops have their PTS and Competency Cards on them?

  • Are materials stored safely?

  • Is fuel labelled and stored correctly?

  • Is there adequate storage on site?

  • Is the general site tidiness to a good standard?

  • Is any task lighting in good order and adequate for task?

  • Are barriers in place and in good order?

  • Are Services clearly marked?

  • Have unprotected surface cables been identified and clearly marked with spray?

  • Are excavations carried out safely with correct warning/barriers in place?

  • Any Comments

  • Overall - Site Safety

3. PPE

  • Is PPE in good order and present?

  • Are all Ops wearing appropriate Eye Protection?

  • Is appropriate Hand Protection being worn?

  • Is appropriate Ear Protection available?

  • Are dust masks available?

  • Is wet weather PPE available?

  • Is appropriate IRATA/Climbing equipment available?

  • Are harnesses and fall restraint equipment available?

  • Is the worksite well organised and free from Slip, Trip & Fall hazards

  • Any comments

  • Overall - PPE

4. Plant/Equipment Safety

  • Do all plant/equipment operatives have the appropriate certification with them?

  • Are all plant certificates available on site?

  • Have all Pre-start checks been completed and recorded?

  • Are exclusion zones clear?

  • Is an appropriate ALO Plan in place?

  • Are all tools and equipment in good condition, serviced and PAT tested?

  • Is an appropriate Lift Plan in place?

  • Any comments

  • Overall - Plant/Equipment Safety

5. Protecting the Public

  • Is appropriate Site Fencing in place?

  • Are Footpath Closures in place?

  • Is Traffic Management in place?

  • Are the Public segregated from the works?

  • Any comments?

  • Overall - Protecting the Public

6. Working at Height

  • Are the Ops working safely at height?

  • Has Scaffolding been installed by a qualified person and a tag in place?

  • Is there protection from falling materials?

  • Is all WAH equipment in date and certificates available?

  • Are 3 points of contact always maintained if using ladders?

  • Any comments

  • Overall - Working at Height

7. Railway SSOW

  • Is the SSOW appropriate for the work and implemented correctly?

  • Was a SSOW Briefing given?

  • Is a Sectional Appendix, Signal Diagram and Hazard Directory available on site?

  • Is the Line Speed & Direction of Travel known by all Ops?

  • Any comments

  • Overall - Railway SSOW

8. Environmental & Waste Management

  • Has a Bird Nesting Survey been completed?

  • Have any invasive weeds been identified and demarcated?

  • Have any protected species been identified and appropriate measures been implemented?

  • Have Pre-notification Letters been sent for excessive noise or nuisance works?

  • Are appropriate consents in place and available on site?

  • Has Waste been produced?

  • Disposal method - carrier or processor details?

  • Are spill kits and plant nappies at the worksite?

  • Are the Ops aware of the Spillage Procedure and have a copy on site?

  • Is effective prevention of water/ground pollution in place?

  • Any comments?

  • Overall - Environmental & Waste Management

9. Behavioural Safety & Culture

  • Is staff behaviour & discipline good?

  • Have emerging hazards been identified and recorded correctly?

  • Are the Ops aware of the Work Safe Procedure?

  • Are the Ops aware of who to report an Accident or Incident to? And when?

  • Are Ops aware of the Golden Hour?

  • Have any Close Calls been identified by the Ops?

  • Describe (incl. Infrastructure or Site Safety/Behavioural)

  • Have any Close Calls been identified by you but not identified by the Ops?

  • Describe (incl. Infrastructure or Site Safety/Behavioural)

  • Are the Ops knowledgable in relation to the Life Saving Rules?

  • Any comments?

  • Overall - Behavioural Safety & Culture

10. Welfare

  • Are welfare facilities available on site?

  • Are site welfare facilities clean & tidy?

  • Transient Sites - Are welfare facilities identified and the address listed on the Task Brief?

  • Is adequate site security in place?

  • Any comments

  • Overall - Welfare

11. Quality Assurance

  • Has the work been carried out to the clients specification?

  • Are ongoing site checks satisfactory?

  • Are all products used to the correct specification?

  • Has testing been undertaken and recorded?

  • Are site records being maintained (Electronic Site Report)?

  • Have non-conformances a been addressed satisfactorily?

  • Any comments

  • Overall - Quality Assurance

Report Received by/completed by

  • Overall comments

  • Completed by

  • Auditor Signature

  • Team Leader

  • Received by signature

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