Information

  • Site conducted

  • Client / Contractor

  • Address:

  • Site Supervisor

  • Conducted on

  • Prepared by

  • Add media

Site Safety Inspection

On-site Safety Documentation / Emergency Response / Supervision

  • Is there an up to date Site Safety Plan on site

Site Specific Safety Plan & WorkSafe NZ Notification

  • Has WorkSafe Hazardous Work notification been completed

Induction

  • Site specific safety inductions completed / induction register up to date

  • Date of last induction:

Sign In/Out

  • Is sign in/out register in use and up to date

Toolbox Meetings

  • Are toolbox meetings being held as per schedule

  • Date of last toolbox:

Self Inspection

  • Are self inspections being completed as per schedule (i.e. weekly / fortnightly)

  • Date of last self inspection:

Task Analysis

  • Is Task Analysis / SWMS being completed for critical work

Permits

  • Are Permits systems in use and used as required

Contractor Management

  • Are Contractors supplying adequate safety documents, ie TA / SWMS / Safety Plans / Training Records

Incident Reporting / Investigation

  • Have all incidents been sufficiently reported, investigated and actioned

Site Establishment & Site Facilities

Site Security & Access

  • Is site fencing / access and security adequate

Signage & Hazard ID

  • Is site safety signage clearly visible and up to date

Facilities

  • Are site facilities adequate for the work to be completed

Fire & First Aid

  • First Aid and Fire Resources available

Personal Protective Equipment

PPE Use

  • Do all personnel on site have adequate PPE

Housekeeping

  • Is construction waste being adequately controlled, including clear accessways

Hazardous Substances

  • Are hazardous substances and chemicals adequately controlled

Environmental

Environmental Controls

  • Are environmental hazards being controlled (i.e. environmental plans, washout, spill response, silt control)

Electrical Hazards

  • Overhead power lines adequately controlled

  • Is Electrical gear safe to use

Plant & Equipment

Mobile Plant

  • Is there mobile plant on site

  • Is Mobile Plant Safe

Tools / Equipment

  • Are tools and other equipment safe to use

Cranes & Lifting Appliances

  • Are there cranes and/or lifting appliances on site

  • Cranes have current test certification

  • Evidence of daily / weekly checks

  • Pre-lift plans completed

  • Chains and slings tagged annually, up to date, and in good visible condition

Mobile Elevated Work Platforms (MEWP)

  • Are there MEWP's on site

  • Current certification displayed / Logs books in use

  • Are harnesses being worn (boom lifts)

  • Is the user competent to operate EWP

  • Is the EWPs safe to use

Excavation / Earthworks

  • Are there excavations / earthworks on site

  • Have underground services been identified

  • Are Excavations safely battered, benched or supported

  • Have Demarcation / Exclusion zones been put in place

Height Safety

Ladders

  • Are there ladders being used on site

  • Are ladders being used safely

Harnesses

  • Are there safety harnesses used on site

  • Are harnesses safe to use

  • Are users competent

Safety Nets

  • Are safety nets in use

  • Are safety nets correctly installed and adequate for the work

Scaffolds

  • Are there any scaffolds on site

Scaffolds - General

  • Does the scaffold comply with the NZ Scaffold COP

  • Are the scaffold safety tags current

  • Last date Inspected

Mobile Scaffolding

  • Is mobile scaffolding safe to use

Height Safety - Edge Protection / Upper Floors / Lift Wells & Penetrations

  • Edge protection configured correctly

Other

Other Items

  • Additional item:

  • Additional item:

  • Additional item:

Comments / Notes

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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.