Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Activity Details
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RAMs Reference/Details of Activity
Work Week
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Work Week?
Permit to Work
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Is the permit available and signed?
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Is any special permit required?
SPA (Safe Plan of Action)
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Is the SPA available and completed correctly outlining the task at hand?
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Is the SPA signed by the appointed supervisor?
Equipment Inspection, Hand Tools, Power Tools & GA Forms
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All relevant GA forms completed?
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All lifting equipment in date and checked? GA 1 in date?
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PAT Tests all valid?
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Are all hand tools in good condition?
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Are all power tools & cords in good condition?
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Is a Hot Works Permit required?
Site Observations: Access/egress, non-compliances, unsafe Conditions, SBOs
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Housekeeping is being maintained?
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Site Illumination?
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Suitable Safety Signage available?
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Exclusion Zones (If Applicable, Excavations, W.A.H, Equipment/Heavy, M.M.I)
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Material Stacking Maintained?
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Waste Segregation
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Acees/Egress, Emergency routes are all clear?
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Operatives CSCS & other trainings valid.
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All operatives complying to PPE?
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First Aider, Fire Marshal Numbers & Emergency Numbers are displayed?
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All walking platforms safe to use?
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Are adverse weather conditions considered?
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Scaffolding tagged, in date & safe to use?
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Are welfare facilities available?
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Are your Safe Stands in good condition? Are the operatives competent to use stands, are checklists completed?
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Pollutants Management
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Are noise levels being monitored?
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Vibration levels being monitored?
