Information

  • Job number

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Type of works

  • Type of traffic control being used

  • Are operatives carrying their lantra cards/certification/slg card?

  • Operative briefed on latest Safety Alert/Toolbox talk?

  • Do all members have the correct PPE for this site, and is it in good condition and presentable?

  • Are RA/MS available on site and are they in good condition and up to date?

  • Has all site paperwork been issued, signed and is it relevant and correct for the works being carried out

  • Where there any site specific instructions issued and are they being carried out

  • What where the site staff doing when you arrived?

  • Have the vehicle checks been completed, are there any issues and is the vehicle in a good and presentable condition?

  • Does the site comply with the relevant drawing, RA/MS, ACOP, and chapter 8?

  • Are all signs secured, footways clear, and drives and junctions clear of obstructions?

  • What was the general state of the traffic management equipment/ system being used?

  • Where the operatives briefed correctly by the operations team, is the information suitable for the site and is there anything that can be improved upon

  • HSQ Conversation: Ask the operative for feedback regarding health and safety, safety and quality of site and equipment including the information supplied to them (VFL)

  • Environmental assessment of site. Has an environmental assessment been carried out for this site, and was one required?

  • Is the customer happy with the service supplied so far? (Please provide customer feedback)

  • Add media

  • Add signature

  • Add signature

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.