1.1. Fall risks of 2m or more? (including voids, pits, and trenches)
1.2. Lack of edge protection?
1.3. Unsafe or incomplete edge protection?
2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)
2.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)
2.3. Unsafe or incompatible attachments used with plant/equipment?
2.4. Unlicensed operators?
2.5. Lack of safe work instructions?
3.2. Unsafe or incomplete scaffold?
3.4. Incompatible scaffold components? Unlabelled or do not meet AS?
3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)
4.1. Unsafe or damaged plant?
4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?
4.3. Lack of maintenance, testing and inspection?
4.4. Lack of SWL information displayed?
4.5. Lack of daily inspection protocol?
4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?
4.7. Lifting equipment unlabelled, does not meet AS, no SWL displayed?
4.8. Unlicensed operators?
5.1. Unsafe or damaged harness or equipment?
5.2. Incompatible hooks/equipment?
5.3. Unlabelled or does not meet AS?
5.4. Unsafe or uncertified anchor points?
5.5. Lack of inspection protocol for equipment?
5.6. Lack of or inadequate formal training for operators?
6.1. Unsafe or damaged ladders?
6.2. Unsafe positioning of ladders?
6.3. Ladder not properly secured?
6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
7.1. Lack of identification hazardous manual tasks?
7.2. Lack of assessment of hazardous manual tasks?
7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)
7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?
8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
8.2. Incompatible chemicals stored near each other?
8.3. Inadequate spill containment equipment?
8.4. Safety Data Sheets not accessible on site?
8.5. Lack of emergency procedures for injury/spills/fire etc?
8.6. Excessive quantities stored on site or in vehicles?
8.7. Insufficient ventilation?
8.8. Insufficient, or incorrect, PPE?
8.9. Unsuitable storage containers? (unlabeled or stored in food containers)
9.1. Lack of, or no emergency plans for site?
9.2. Emergency procedures not displayed at site?
9.3. Lack of training and rehearsal of emergency plans?
9.4. Lack of, or inadequate first aid kits aid equipment for site?
9.5. Insufficient access to formally trained First Aiders for all shifts?
9.6. Unsuitable or inadequate communication equipment?
10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?
10.2. Lack of training in TMP for all persons on site?
(contractors and visitors)
10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
11.1. Lack of, or inadequate PPE (including sun protection)
11.2. Lack of system to issue, inspect, replace and monitor PPE?
11.3. Lack of training in safe use, clean-up and inspection of PPE?
12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
12.2. Insufficient lighting?
12.3. Inadequate housekeeping?
12.4. Lack of, or inadequate noise/ vibration control?
13.1. Unsafe electrical leads? (damaged, out of test date or untested)
13.2. Lack of RCD protection?
13.3. Contact with underground assets?
13.4. Contact with overhead electrical lines?
13.5. Overloading outlets?
13.6. Leads placed on ground or on metal structures?
13.7. Electrical equipment near water?
13.8. Electrical equipment near flammables?
13.9. Electrical equipment near chemicals that could cause damage?
13.10. Electrical leads that may be damaged from contact with moving machinery parts?
13.11. Electrical leads on work surfaces?
13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?
14.1. Lack of/or inadequate Environmental Management plan (EMP)?
14.2. Lack of/or inadequate, dust suppression system?
14.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?
14.4. Lack of water re-use systems?
15.1. Lack of/or inadequate Site Safety Plan?
15.3. Lack of, or inadequate, induction for workers, contractors, visitors?
15.6. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?
Enter any corrective actions that will be undertaken