Information

  • Project Title

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • Location Photo

  • Personnel

  • Personnel Photos

  • Date and Time of Project

Project Information

  • Contractor Name

  • Equipment

  • Type of Equipment

  • Equipment Pictures

  • Project Type

  • Type of Work being done?

  • Site Activities

  • Site Photos

  • Weather

  • Ground Conditions

Safety Requirements

  • Personal Protective Equipment is worn and appropriate for works?

  • General work site notification in place (signage)?

  • Areas free of slip and trip hazards?

  • Site exclusions (zones/barricades) in place and being followed?

  • Site is maintained appropriately (clean, neat and tidy)?

  • Stockpiles are appropriately maintained?

  • Materials stored safely and secured?

  • Excavation, penetrations and openings covered where required?

  • Excavations - Ground support in place, clear access and secure?

  • Excavations - Exclusion zones/barricades in place and being followed?

  • Excavations - Fall protection, handrails, platforms, guarding in place?

  • Underground services located, marked and appropriately protected?

  • Traffic management in place and appropriately managed?

  • Plant and Equipment in use is fit for purpose, operational and used appropriately?

  • Confined Space Entry procedures being followed?

  • Temp services in place and in good working order?

Environmental

  • Exclusion zones in place and being followed - Enviro?

  • Exclusion zones in place and being followed - Cultural?

  • Exclusion zones in place and being followed - Flora and Fauna?

  • Silt fencing and run-off areas appropriately treated?

  • Management controls in place for Flora and Fauna where in the vicinity of the works?

  • Management controls in place for handling Hazardous Materials (Asbestos Handling)?

  • Management controls in place for storage and handling of Hazardous Goods and Substances?

Sign Off

  • Comments

  • Has the contractor been made aware of any issues or observations arising from this inspection?

  • Signed

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.