Page 1: Project Info
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Site Safety Inspection No.
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Location
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Conducted on
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Client / Contractor
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On site representative (Client / Contractor)
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Project name
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Town or Suburb
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Road
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Weather (choose multiple if required)
- Clear Sky
- Cloudy / Overcast
- Drizzle
- Raining
- Windy
- Hazy / Foggy
- Hot
- Cold
- Other
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Ground conditions (choose multiple if required)
- Muddy
- Wet
- Damp
- Dry
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Current activities being carried out on site
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DISCLAIMER
The assessor believes the information contained within this report to be
correct at the time of printing. The assessor does not accept responsibility
for any consequences arising from the use of the information herein. The
report is based on matters which were observed or came to the attention of
the assessor during the day of the assessment and should not be relied
upon as an exhaustive record of all possible risks or hazards that may exist
or potential improvements that can be made.
Information on the latest WHS laws can be found at the relevant State
WorkCover / WorkSafe Authority.
Page 2: Site Safety Inspection Details
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Has a "DAILY PRE-START / RISK ASSESSMENT" been carried out
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Is there an "IPMP - INTEGRATED PROJECT MANAGEMENT PLAN" on site
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Are all personnel inducted & signed on to the "SITE INDUCTION REGISTER"
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Are personnel on site signed onto "SWMS"
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Are personnel on site wearing applicable "PPE"
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Who is the "FIRST AID OFFICER" on site
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Is there a "FIRST AID KIT" on site
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Does the "FIRST AID KIT" have required contents? (check / dates)
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Has a "MACHINERY PRE-START INSPECTION" been carried out on plant
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Does plant "REVERSING BEEPERS & HAZARD WARNING LIGHTS" work
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Are electrical leads "TESTED & TAGGED"
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Are "CHEMICALS" stored & protected as to not cause "ENVIRONMENTAL HARM"
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Is there a "SPILL KIT" on site
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Does the "SPILL KIT" have required contents. (check)
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Is there "PROJECT INFO / SAFETY SIGNAGE" on site
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Is "TRAFFIC MANAGEMENT" in place
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Is site "CLEAN & TIDY"
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Are works clear of "OVERHEAD POWERLINES"
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Is there an "OVERHEAD AWARENESS ELECTRICAL SPOTTER" in use
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Are "EXCAVATIONS" barricaded
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Is the site "CLEAR OF DUST"
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Are appropriate "EROSION SEDIMENT CONTROLS" in place
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Are works being carried out as per "SWMS". Observe
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Are all "HAZARDS / RISKS" on site being managed correctly
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Which "HAZARDS / RISKS" have you identified that require management
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What "CONTROLS" are required to manage those "HAZARDS / RISKS"
Page 3: Sign Off
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"SAFETY INSPECTION" carried out by
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Notes
