Information

  • Site

  • Tipe of work

  • Conducted on

  • Location
  • Prepared by

  • Personnel

TOOLS AND EQUIPMENT

  • Have all the tools,equipment and PPE been checked before work starts?

  • List tools and equipment that need repairs or replacing

WEATHER CONDITIONS

  • Is it raining?

  • Is there lightning?

  • High winds?

  • Are ther any other unsafe weather conditions?

SITE CONDITIONS

  • Ground level conditions?

  • What extra percautions were taken?

  • Is there any overhead power line within 5m?

  • Is the access to the structure blocked?

  • Is road conning requierd?

  • Does the site require to be demarcated?

  • Does the site require cordoning off?

  • Are there any other unsafe conditions?

VOLTAGE TESTER

  • Does the site have an electricity supply?

  • Has the volt tester been used?

  • Has the volt tester been calibrated, tested and is it in date?

CONDITION OF STRUCTURE

  • Does the structure have catwalks and catladders?

  • If there are catwalks and catladders, are they safe and in good condition?

  • Are there safe achorpoits/rails to hook on to.

  • Is the paintwork in a good condition?

  • Any signs of rust?

  • Any other structual isseus?

Complete RA by:

  • Signing

  • Picture of atendees

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.