Information

  • Client / Site

  • Prepared by

  • Comments

  • Comments

  • Comments

  • Comments

  • Conducted on

  • Location
  • Document No.

GENERAL

  • Access/egress (clear and defined)

  • Comments

  • Appropriate signage

  • Comments

  • PPE is issued and worn for task

  • Comments

  • Leads and electrical used correctly

  • Comments

  • Electrical equipment tagged

  • Comments

  • ELCB tested/used

  • Comments

  • Noise and dust levels controlled

  • Comments

  • Spill kits

  • Comments

  • SDS

  • Comments

  • Fire extinguishers (available and serviceable)

  • Comments

  • Lighting (where appropriate)

  • Comments

  • Permits in place (hot work, GDP, etc.)

  • Comments

  • Manual handling - assessed and managed

  • Comments

  • Housekeeping (clean and tidy)

  • Comments

  • Ample supply of bins

  • Comments

  • Waste in correct bins

  • Comments

  • Risk assessments conducted (STOP, START, JHA)

  • Comments

PLANT

  • Pre-start inspections completed

  • Comments

  • Logbooks are completed

  • Comments

  • Appropriate access and egress

  • Comments

MATERIAL STORAGE

  • Housekeeping (clean and tidy)

  • Comments

  • Accessible

  • Comments

  • Spill kits

  • Comments

  • SDS

  • Comments

EXCAVATIONS

  • Permit in place

  • Comments

  • Safe access/egress

  • Comments

  • Edge protection (windrows, barriers)

  • Comments

  • Fauna egress provided

  • Comments

STOCKPILES

  • Edge protection (windrows, barriers)

  • Comments

  • Appropriate use of stockpiles

  • Comments

  • Dust levels controlled

  • Comments

ROADS

  • Traffic management (as per plan)

  • Comments

  • Two-way being appropriately

  • Comments

  • Dust levels controlled

  • Comments

  • Spillage controlled

  • Comments

  • GENERAL COMMENTS

As shift supervisor I have inspected all active work areas on the date and time stated. All hazards identified have been addressed to reduce the effect of the working environment.

  • Inspected by (name and signature)

  • Superintendent name and signature

Email to site admin and/or safety department.

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