Redwood Meadows Townsite

• Project Title

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Location Photo

  Media

• Personnel

• Personnel Photos

  Media

• Date and Time of Project

  Date

Project Information

• Contractor Name

• Equipment

  Yes

  No

  N/A

• Type of Equipment

• Equipment Pictures

  Media

• Project Type

• Type of Work being done?

• Site Activities

• Site Photos

  Media

• Weather

• Ground Conditions

Safety Requirements

• Personal Protective Equipment is worn and appropriate for works?

  Yes

  No

  N/A

• General work site notification in place (signage)?

  Yes

  No

  N/A

• Areas free of slip and trip hazards?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Stockpiles are appropriately maintained?

  Yes

  No

  N/A

• Materials stored safely and secured?

  Yes

  No

  N/A

• Excavation, penetrations and openings covered where required?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Underground services located, marked and appropriately protected?

  Yes

  No

  N/A

• Traffic management in place and appropriately managed?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Confined Space Entry procedures being followed?

  Yes

  No

  N/A

• Temp services in place and in good working order?

  Yes

  No

  N/A

Environmental

• Exclusion zones in place and being followed - Enviro?

  Yes

  No

  N/A

• Exclusion zones in place and being followed - Cultural?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Silt fencing and run-off areas appropriately treated?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Sign Off

• Comments

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

  Yes

  No

  N/A

• Signed

  Sign