Title Page

  • Location

  • Conducted on

  • Prepared by

Housekeeping/Working Environment

  • Work areas neat and tidy?

  • Have POWAs been completed?

  • Have POWAs been completed effectively?

  • Do the Supervisor Check Sheets reflect the actual environment and activities?

  • Tubes are stored horizontally when not in imminent use?

  • Have all materials and fittings been removed that are no longer necessary?

  • Walkways clear?

  • Adequate lighting in place?

Hand and Power Tools

  • The correct tools are being used for the task?

  • Tools have been checked and in good working order?

  • Tool tethers being used?

  • If the Gin Wheel is not being used, has it been put away?

  • Dust extractor being used when drilling?

  • Wrappa anchor sling being used when drilling?

Fall Protection

  • Safety rails in place and secure?

  • Are operatives double hooked on when not fully guarded?

  • Loose materials secured/stored away from the edge?

Scaffolding

  • Ladders secured top and bottom and fit for purpose?

  • Are scaffolds being built using the 1 metre lift and advanced guardrail system?

  • Are hard barriers being used on unfinished jobs to prevent access to third parties during lunch breaks or unattendance?

  • Have ladders not in use removed from site?

  • Are Brick guards fitted where necessary?

  • Scaffolding tags in date?

  • Is scaffolding tied into structure where the height to base ratio is 4:1?

  • Is scaffolding bonded if in contact with any cable over 110v?

  • Does each standard have a base plate?

  • Are all toeboards in place?

  • Are gaps between boards satisfactorily filled?

  • Are top guardrails a minimum of 950mm?

  • Gaps between rails/floor do not exceed 470mm?

  • Are nipples and caps used on all finished scaffold?

Material Handling

  • Employees using proper lifting techniques?

  • All raising and lowering of materials is carried out in a controlled manner? i.e hand to hand

  • Employees keep clear of overhead loads?

  • Employees lifting loads they are physically comfortable with?

Personal Protection Equipment

  • Hard hats being worn?

  • Safety glasses being worn?

  • Appropriate gloves being worn?

  • Hi-Vis being worn?

  • Hearing protection used when necessary?

  • Are hard hat chinstraps being used?

Plant/Vehicles

  • Are PPI systems in place?

  • Are MEWP inspections in date?

  • Are Plant nappies being used?

  • Is a banksman being effectively used when maneuvering near persons/structures/plant/equipment?

Signage

  • Is all relevant signage in place and up to date? i.e Drop Zone/Restricted Access.

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.