Weather

Overnight / previous period rainfall

Did it rain the previous night (or preceding period)?

Rainfall recorded previous night (mm)

Has this rain prevented work occurring for this work shift?

Weather - first work period (eg morning)
Temperature
Weather (first period of work ie morning)
Enter rainfall recorded(mm)

Has rain prevented work occurring this period?

What work activity has been impacted?

Add media

Comments on weather conditions

Weather - second work period (eg afternoon)
Temperature
Weather (second period of work ie afternoon)
Enter rainfall recorded(mm)

What work activity has been impacted?

Has rain prevented work occurring this period?

Add media

Comments on weather conditions

General

Activity Checklists Completed and QAS Completed

Hold Points, Witness Points and Non Conformance Observations

Surveyor on Site

Areas surveyed

Testers onsite

Areas tested

Meetings Attended

Visitors to Site

General Site Observations and Comments

Materials delivered or Removed from Site

Plant Mobilised or Demobilised

Plant out of Service or Stood Down

Complaints from Public

Work Activity Record

Add work activity diary entry

Work Activity Entry
Activity summary

Location /zone within site that activity is occurring

Work activity description

Is the activity on the critical path

Subcontractor(s) assisting?

Subcontractor(s) name

Time of activity commencement
Time of activity completion

Comments on work activity / Directions provider to contractor

Personnel resources

Supervisor on site

Supervisors Name

Leading hand on site

Leading Hands Name

Labourers (including plant operators)
Spotters / Marshalls

Add personnel resource

Personnel

Personnel description

Number of personnel
Plant Resources
Number of trucks

Dogs included?

Number of excavators

Size of excavators?

Number of support vehicles (Utes or small work truck)

Add other plant and equipment (eg tools)

Plant / equipment

Description of plant or equipment

Number of plant
Photos of work activity

Add Photos of work activity

photo
Add media

Photo description

Traffic Management

Traffic control been implemented for activity

Team Leaders Name

Provide details of controls implemented ie TCP number, VMP, TC contractor, or other controls put in place, etc

Controls correctly implemented

Provide details of comments provided to supervisor

Add media
WHS

Safety controls been implemented for activity?

Provide details of controls implemented ie SWMS number, included as part of Toolbox/startup briefing, or other controls put in place, etc

Safety controls correctly implemented

Provide details of comments made to supervisor

Add photo of safety controls

Safety photo
Safety control photo
Environmental Controls

Enviromental controls been implemented for activity?

Provide details of controls implemented ie ESCP, or other controls put in place, etc

Environmental controls correctly implemented

Provide details of comments made to supervisor

Add photo of environmental control

enviro photo
Enviro control photo
Sign once completed. Surveillance Officer
Sign once completed. Project Engineer
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.