Title Page

  • Client

  • Job Name

  • Location
  • Conducted On

  • Prepared By

  • Photos Of Site Boundary

  • Project Manager/Site Foreman

  • TRADES DOING WORK ON SITE Not necessarily on site at time.

  • If Other Name Trade

  • Name Trade

  • Name Trade

  • Name Trade

SITE CONTROL

  • Clear & Defined Entry To Site From Road / RoW

  • Is There Any Need To Consider A Traffic Management Plan. This would be considered when site activities are extending onto the road or footpath outside the construction site.

  • Traffic Management Plan In Place

  • Organise aTraffic Management Plan. Any Work Creating A Risk Should Be Stopped Until A Plan Is In Place.

  • Hazard Board & Signage At Site Entry

  • Hazard Board Complete With Contact Details, Current Hazards, Signed And Dated At Weekly Intervals Or When Site Conditions Change

  • Whats Missing?

  • What is is

  • Site Office Clearly Identified & Safe Access Indicated Prior To Site Entry

  • Have Underground Services Been Located? i.e. Power, Water, Waste, Any underground services.

  • Do Not Work Or Allow Any Digging Work Activity Until Services Have Been Located
    Contact Project Manager, General Manager.

  • Are There Overhead Power lines?

  • Have The Power Lines Company Been Notified and Close Approach Permit Applied For And Received? <br><br>This is needed for any work within 4 metre's of the power lines including, but not limited to the following work activities - deliveries from hiab trucks, craning activities, machinery use, scaffolding, paint rolling.

  • Take The Following Course Of Action:
    Do Not Work Or Allow Any Work Activity Within 4metres of the Lines
    Contact Project Manager, General Manager.

  • Safety Notice Board At Site Sign In

  • SSSP Onsite & Complete

  • Safety Inductions Log Available & Complete

  • Toolbox Safety Meetings Up To Date

GENERAL SITE TIDINESS & ACCESSWAYS

  • Clear, Safe Access To Work Areas

  • Stairways & Access-ways Clear

  • Hoardings / Fence & Gates Secure

  • Loose Materials Secure From Wind

  • Construction Waste Materials Stored Safely Or In Waste Bins For Removal

SITE FACILITIES

  • Toilets - Clean, Adequate, & With Washing Water

  • Break Areas - Clean, Adequate, & With Potable Water

  • Tool Sheds - Clean, Adequate & Secure

ELECTRICAL EQUIPMENT

  • Main Board Lockable / Weatherproof / RCD / Certificate of Compliance (CoC), a Record of Inspection (RoI) and an Electrical Safety Certificate (ESC).

  • Equipment In Good Condition - i.e. no exposed primary insulation, plugs and cords in good condition, guards in place and secured, casing not damaged, tools running as they should be.

  • REMOVE ANY PLANT FROM SITE THAT IS DAMAGED OR NOT GUARDED PROPERLY
    IT IS NOT TO BE BOUGHT BACK ONTO SITE UNTIL FIXED.


    Guards can be removed from table saws for scoring timber but must be put back immediately after the task.

  • Current Tagged Plant Or Inspection Routine In Place - If tag out of date or no tag look at condition of tool, ensure no primary insulation, no broken casing, guards in place. Ensure plant is safe before using. Ensure visual checks are done before plant. Ensure documented regular inspection routine is in place.

  • Current Leads Tagged & Damage Free -If leads are not tagged ensure that the lead is in good condition with no exposed primary insulation, damaged shrouds and no damaged pins.

  • Appropriate Guards On Equipment

  • Leads Safely Placed

  • Adequate Temporary Lighting

DUST AND AIRBORNE CONTAMINANTS

  • Are there activities that create dust and airborne contaminants on site?<br>i.e. cutting, grinding, demo

  • Have other trades in the local area been notified of the risk and PPE requirements

  • Is there designated area for cutting ?

  • Stop work and set up a designated area for cutting.

  • Is there some way to isolate the dust onsite ? i.e vacuum extraction, water suppression ?

  • Is A Dust Mask Being Used As Well As Secondary Protection?

  • If Silica dust is involved no cutting/grinding is to be undertaken until extraction or suppression set up is in place.

  • WorkSafe - Managing Dust In Construction
    https://worksafe.govt.nz/topic-and-industry/dust-and-fumes/dust/

PERSONAL SAFETY EQUIPMENT (PPE)

  • PPE Signage Displayed & Legible

  • Are Hard Hats Required For Activities Onsite

  • Are Hard Hats Being Worn By All Workers?

  • Workers Name and Employer

  • Correct Footwear Being Worn

  • Workers Name and Employer

  • Worker Is Not To Go Back To Task Until PPE Is Put On

  • Workers Name and Employer

  • Workers Name and Employer

  • Workers Name and Employer

  • Workers Name and Employer

  • Hi-Viz Vests / Clothing Being Worn - Must Be Worn Around Moving Traffic i.e. Craning Activities, Hiab, Concrete Pumps

  • Eye Protection Being Used - Note - Fashion Sunglasses Are Not Safety Glasses.

  • Are The Safety Glasses In Good Condition?

  • Worker Who Needs New Glasses

  • Workers Name and Employer

  • Workers Name and Employer

  • Workers Name and Employer

  • Advise Worker to wear safety glasses. re-induct if necessary.

  • Hearing Protection Being Used

  • Who Are The Worker Not Wearing Hearing Protection

  • Workers Name and Employer

  • Worker Is Not To Go Back To Task Until PPE Is Put On

  • Workers Name and Employer

  • Workers Name and Employer

  • Workers Name and Employer

  • Workers Name and Employer

  • Masks / Respirators Being Used

  • Are Dust Masks In Good Condition And Suitable For The Task? i.e. Good Fit, Vapour/Dust Masks

  • Workers Name and Employer

  • Worker Is Not To Go Back To Task Until PPE Is Put On

  • Workers Name and Employer

  • Workers Name and Employer

  • Workers Name and Employer

  • Workers Name and Employer

  • Seasonal Clothing Considered

  • Harness Inspections Completed And Current Certification

  • Workers Trained In Harness Use And Working At Heights

FIRST AID / FIRE PREVENTION / EVACUATION

  • First Aid Equipment Available

  • Fire Fighting Equipment Available

  • Fire Extinguisher Type & Number Sufficient

  • Fire Extinguisher Service Certificate <12 Months

  • Injury Register / Investigation Processes In Place

  • Evacuation Plan In Place

  • All Emergencies Included

LADDERS

  • Are ladders on site?

  • Are the ladders in good condition? I.e. No bends or buckles, all rivets in place, stays in good working condition, feet not worn through and in good condition, steps free of debris.

  • Ladders that are not in a good condition must be removed from site immediately.

  • Trade Rated

  • Remove ladder from site and find suitable option.

  • Working Within Manufacturers Recommendations

  • Stop work on ladder and find an appropriate ladder or appropriate working platform.
    https://worksafe.govt.nz/topic-and-industry/working-at-height/equipment-for-working-at-height/

  • Site Manager To Contact Contractor And Forward On Information And Create Follow Ups
    https://worksafe.govt.nz/topic-and-industry/working-at-height/equipment-for-working-at-height/

  • Three Points Of Contact

  • Are Ladders Used For Access Being Secured At The Top & Bottom

  • WorkSafe - Equipment for Working at Height
    https://worksafe.govt.nz/topic-and-industry/working-at-height/equipment-for-working-at-height/

  • WorkSafe Guidelines - Safe working with ladders and stepladders
    https://worksafe.govt.nz/dmsdocument/20-safe-working-with-ladders-and-stepladders

FIXED SCAFFOLDING

  • Is there scaffolding present of site?

  • Does the scaffold have a tag system attached to the entry point?? Does not include mobiles where the platform height is lower than 2 metres.

  • Does the tag say who erected it, show their contact details and when they erected it? - Must have clear and legible details on back of scaffold tag including the name and contact phone number of the certified scaffolder (or erector if under 5 m).

  • Does the tag show the purpose and duty loading?

  • Are weekly inspections documented on back of scaffold tag?

  • Are Installer Procedures In Place - Task Analysis/Job Safety Analysis/Safe Work Method Statement in place following the Good Practice Guidelines?

  • WorkSafe NZ Notifiable Work Notifications Completed - Required for Platform Height greater than 5 metres.

  • Is the scaffold stable?

  • Does the scaffold have base plates or base jacks centred on the sole boards?

  • Scaffold needs inspection and repairs. Contact scaffolder immediately. If scaffold is moving or unstable removed scaffold tag, stop access at gates and advise all trades on site it is not to be used.

  • Ladders / Stairs Installed Correctly, All ladders must extend 900mm past the platform they are giving access to.

  • Ladders must be installed and set up so they are fit for use and appropriate access is available to the working platforms.
    Scaffold needs inspection and repairs. Remove scaffold safe tag, . Contact scaffolder immediately. Stop access at gates and advise all trades on site scaffold is not to be used.

  • Are All Handrails / Midrails Installed - Handrail Must Be Between 900mm and 1100 With The Midrail Set In The Middle Of The Handrail And Platform.

  • Scaffold Must Not Be Used.
    Remove Tag, Secure All Entrances With Do Not Use Signs
    Contact Project Manager & Scaffolder

  • What is the roof pitch?

  • Where the platform is located below the roof edge, it should be within 300 mm.
    Install the mid rail and bottom rail at 500 mm centres.
    Install the top guardrail 900 – 1100 mm above where the roof line projection intersects the guard railing.

    scaffolding-figure-51.gif
  • Is the scaffold set up appropriately?

  • Stop work on the roof and contact scaffolder to fix.

  • Scaffold must be set up so that its platform is within 1m of the roof edge and appropriate rail height - see image

    scaffolding-figure-50.gif
  • Is the Scaffold setup appropriately?

  • Stop work on the roof and contact Scaffolders to fix.

  • Is Work Being Done on Roof or Roof structure within 2 metre's of the Gable Ends?

  • Does The Scaffold Have Gable End Protection Offering The Same Protection As The One In The Picture

    scaffolding-figure-52.gif
  • Recommended path of action.
    Ensure no work is undertaken within 2 metres of the gable ends
    Develop a task analysis for the work
    If work needs to be done within 2 metres ensure gable ends are put in place or a harness is used.
    Contact Project Manager, General Manager and Scaffolder.

  • Site manager must be contacted. . No work is to be undertaken on the roof within 2 metres of the gable ends if protection is missing. Warning Barrier Must Be Put Up To Stop Worker Encroaching On 2 Metre Exclusion Zone. This applies for timber work.

  • Toe Boards Installed - Not required at ground level due to low level of risk.

  • Contact Site Manager and Scaffolder's to install Toe Boards. Only let scaffold be used as access tool, not for work.

  • Are Platforms an Planks Fixed or Secured

  • - Contact Project Manager and Scaffolder - Scaffolders Details Should Be On Tag
    - Pull Scaffold Safe Ticket If Deemed High Risk.
    - Tell All Current And Future Trades It Is Out Of Action Until Notified,
    - Put Signage At All Access Points Saying Scaffold Not Safe.

  • Work Platforms Clear

  • Organise a clear up of the scaffolding to ensure appropriate access.

  • Headroom Clear

  • Contact Project Manager and Scaffolder.

  • Screening Installed

  • Scaffold Good Practice Guidelines
    https://worksafe.govt.nz/topic-and-industry/working-at-height/scaffolding-in-new-zealand/#lf-doc-18833

MOBILE SCAFFOLDING

  • Is Mobile Scaffolding On Site And In Use Or Being Setup For Use

  • Is the scaffold suitable for the purpose for which it is being used?

  • Stop using the scaffold, reassess the situation and re-do a task analysis immediately.

  • Does the mobile have ladder access to all deck levels?

  • Is the mobile fully decked, with the decks secured from moving?<br>If the mobile is not fully decked does it have guardrails to protect the voids?

  • Are the top guardrails between 900 mm and 1100 mm high?

  • Stop Using Scaffold, Set It Up As Per Manufacturers Recommendations.

  • Are the castors lockable and marked with their SWL?

  • Is the scaffold stable (3 to 1 for 2 m or above, 2:1 for under 2 m) see below?

  • Is the mobile more than 2.0 m away from the edge of a building and any floor penetrations, voids etc?

  • Does the mobile have a plan brace if not fully decked within 3 m of the base?

  • Are the people using the mobile trained in its use?

  • Follow the link below for access to the WorkSafe Scaffolding Good Practice Guidelines - Mobile Scaffolding Section 12.3

  • https://worksafe.govt.nz/topic-and-industry/working-at-height/scaffolding-in-new-zealand/#lf-doc-20099

ROOFING WORK

  • Is There Roofing Work Underway - Includes Installation Of Trusses And Rafters

  • Is there scaffold set up on site that provides adequate protection for all roofing work?

  • A task analysis must be produced and followed for all areas where there is no protection. If it is work that can be measured in minutes, not hours working from a harness may be appropriate.

  • Is it short duration work? i.e Work that can be measured in minutes, not hours?

  • This situation could be appropriate for use of a harness to complete the task.
    Complete a task analysis/safe work method statement prior to task and ensure all controls are in place before work begins on the roof.

    THIS JOB MUST NOT BEGIN UNLESS TASK ANALYSIS IS PRODUCED AND FOLLOWED

  • Ensure suitable edge protection in installed then complete another task analysis or safe work method statement prior to beginning the task.

  • Where the roof is more than 25 degrees in pitch, is the platform within 300mm's of the roof or trusses? <br>See image below

  • No roofing work to be done until scaffold is at appropriate levels.
    Contact Project Manager & Scaffolder

  • Roof Pitch +25.gif
  • Where the roof is less than 25 degrees in pitch, is the platform within 900mm's of the roof or trusses? <br>See image below

  • No Work To Be Undertaken.

    Contact Project Manager and Scaffolder.

  • Is there a form of fall protection in place - i.e. trusses, nets, soft fall systems?

  • Is there gable end protection in place? See image

  • scaffolding-figure-52.gif
  • No roofing work to be done until scaffold is at appropriate levels.

    Contact Project Manager & Scaffolder

  • Roof Pitch less than 25.gif
  • WorkSafe - Working On Roofs Good Practice Guidelines
    https://worksafe.govt.nz/topic-and-industry/working-at-height/roofs/working-on-roofs-gpg/

  • WorkSafe - Working at Height Guidelines
    https://worksafe.govt.nz/topic-and-industry/working-at-height/

FALL HAZARDS

  • Floor Edges / Floor Openings Protected

  • All work within 2 metres of the void must be stopped.
    A plan must be put in place immediately so that the fall is managed, until such time as a hard fixing is in place ensure a physical boundary is set up so that workers do not walk within the ares.

  • Stairwell/Lift Shaft Openings Protected

  • Void Fall Areas Protected

  • Adequate Fall Restraint Systems In Use

  • Anchor Points Identified For Fall Restraint

  • WorkSafe Working At Height Guidelines
    https://worksafe.govt.nz/topic-and-industry/working-at-height/

  • WorkSafe - Hazardous Substances
    https://worksafe.govt.nz/topic-and-industry/hazardous-substances/about-hazardous-substances/

EXCAVATIONS

  • Are there trenches/ditches/excavations on site?

  • Is A Safe Work Method Statement On Site?

  • Stop Work And Fill Out Form If Work Not Completed

  • Are Trenches Being Secured?

  • Are All Reinforcing Rods Being Capped

  • Open Excavations Correctly Shored

  • Fall Risks Assessed & Controlled

  • YExcavation Machinery / Equipment Procedures In Place

  • Licensed / Authorised / Competent User Checks Completed

  • WorkSafe NZ Notifiable Work Notifications Completed

  • Unsure? Check what's require to be notified in the following link.
    https://forms.worksafe.govt.nz/hazardous-work-notification

  • WorkSafe Excavation Guidance
    https://worksafe.govt.nz/topic-and-industry/excavation/

  • WorkSafe - Code of Practice for Powder Actuated Tools
    https://worksafe.govt.nz/topic-and-industry/power-tools/powder-actuated-tools/

CHEMICALS/FUELS

  • Are There Any Chemicals On Site?

  • Are workers trained in the safe use, handling and storage?

  • Operators have and are using required PPE

  • Emergency/Clean up plan in place should a spill or incident happen?

  • If flammable is a fire extinguisher available?

  • Correctly Stored - Containers in good condition away from electrical plant, power points and incompatible substances.

  • Safety Data Sheets/Safety Available

  • Warning Signage Adequate

  • WorkSafe Hazardous Substance Guidance
    https://worksafe.govt.nz/topic-and-industry/hazardous-substances/

  • WorkSafe Managing your Hazardous Substances -https://worksafe.govt.nz/topic-and-industry/hazardous-substances/managing/

  • WorkSafe - Safety Data Sheets - https://worksafe.govt.nz/topic-and-industry/hazardous-substances/managing/safety-data-sheets/

POWDER ACTUATED TOOLS

  • Are There Powder Actuated Tools On Site For Use Or In Storage?

  • Powder Actuated Tools Securely Stored

  • Powder Actuated Tools - Current

  • Operator Procedures In Place

  • Powder Actuated Tools Signage On Site

  • Licensed / Authorised / Competent User Checks Completed

SITE COMMENTARY

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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.