Information

  • Document No.

  • Client

  • Project No.

  • Project Name

  • Conducted on

  • Prepared by

  • Location
  • Site Supervisor

SITE MANAGEMENT

  • Is there an OH&S Plan on site?

  • Have site inductions been completed? (i.e. register filled out?)

  • Are Subcontractor SWMS in place and signed off?

  • Are emergency procedures (Evacuation Plan) in place and visible?

  • Is there Fire Fighting Equipment in place?

  • Are First Aid facilities in place?

  • Is there safe access & egress to site?

  • Is the site secure? (Have measures been taken to prevent break-in and theft?)

  • Additional Site Establishment Comments

HOUSEKEEPING

  • Are walkways and work areas clear and free of trip hazards and rubbish?

  • Are unfixed materials stored safely and securely?

  • Are safety signs in place and located in the appropriate positions?

  • Are electric leads suspended?

  • Additional Housekeeping Comments

FALL PROTECTION

  • Is there perimeter protection/handrails in place?

  • Are penetrations covered?

  • Have all falls greater than 2m been protected?

  • Additional Fall Risk Comments

PPE & INCIDENT MANAGEMENT

  • Is PPE worn and used correctly?

  • Additional Incident Management Comments

PLANT & EQUIPMENT

  • Is plant & equipment maintained and used correctly and records maintained? (Pre-starts, maintenance records etc)

  • Additional Powered Mobile Plant Comments

  • Is electrical equipment tested and tagged?

  • Additional Electrical Safety Comments

ENVIRONMENT

  • Are hazardous substances being stored safely & securely according to their MSDS?

  • Is there adequate placement of bins and is rubbish being disposed of correctly?

  • Is there a spill kit on site?

  • Additional Chemical Safety Comments

GENERAL

  • OVERALL SITE SAFETY

  • Note any improvements you consider necessary. Use this space for additional comments.

Sign off

  • AUDITOR

  • SUPERVISOR

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.