Title Page

  • Site conducted

  • Inspection date

  • Day ( to be used as a quick reference when searching)

Weekly employee checks

  • have the following employee checks been carried out this week?

  • RPE

  • Harness

  • Lanyard

  • Plant inspections

  • Burning equiepmt

  • Other

  • Details of other

  • Have any issues been raised following the employee checks

  • please select the relevant check(s) that highlighted the issue

  • please detail the issue raised

  • Add an image of the inspection sheet and issue if possible

  • Please detail any action taken

  • If possible please add an image of the inspection sheets

  • Weather conditions

  • Please detail other

  • Overview of operations

  • add an image of the site / the operation when safe and practical to do so

Resources / labour

Operatives Onsite

  • please select the names of employees on site

  • please detail any ''Other(s)''

Site Visitors

  • Has there been any visitors on site today

  • list of visitors on-site today:-

Sub-Contractors

  • Do you have any sub-contractors onsite ?

  • List sub-contractors below

Heavy Plant Onsite

  • Do you have any heavy plant onsite ?

  • List of the additional plant not detailed on the Plant List.

Learning events

  • please detail any near-miss , good practices or events you feel may be used as a learning event for the company. This information will be shared will all JBV site managers and senior managers. this information is to be used to prevent accidents, improve standards and promote good working practices

  • do you wish to add a learning event ?

  • Type of event

  • Try to include the learning taken from the event

  • Details of the event

Records

Stoppages, Delays or Downtime

  • Any stoppages, delays or downtime ?

  • detail the cause and effect :-
    e.g. down time of 4 hours due to the client not isolating the services as agreed at pre start

  • 1)

  • Do you have any more stoppages,delays or downtime ?

  • 2)

  • Do you have any more stoppages,delays or downtime ?

  • 3)

  • Do you have any more stoppages,delays or downtime ?

  • 4)

  • Do you have any more stoppages,delays or downtime ?

  • 5)

RFI's

  • Have you requested any information

  • details of request for information (RFI)

  • 1) What information has been requested?

  • 2) Who requested it?

  • 3) In what form has it been requested? e.g email sent to the client

  • email where possible try to avoid verbal RFI's unless you follow them up with an email. ( ensure you have evidence of the RFI)

Accidents and incidents

  • have there been any accidents or incidents on site

  • details of incident

  • has it been recorded in the accident book

  • detail reference number and location report is saved

Client requested and notified day works / extras’

  • Do you wish to record any day work or extras?

  • why are the works required e.g. at the request of the client, due to inaccurate pre-construction information. Please detail

  • please detail the extent and duration of the work. try to detail the time taken and any plant, equipment and the number of employees used

  • do you wish to get the client to approve the daywork

client approval

  • I sign to confirm the mentioned day works/extras have been carried out.

  • position

Records of waste movements

  • Do you wish to record any waste movements?

  • Skip Movements
  • Material in skip

  • Tipping Location

  • Weight of skip if available in tons

  • Take images if required

Daily employee checks

  • Have the following employee checks been carried out?

  • RPE

  • Harness

  • Lanyard

  • Plant inspections

  • Burnign checklist

  • other(s)

  • Details of other

  • Have any issues been raised following the employee checks

  • please select the relevant check(s) that highlighted the issue

  • please detail the issues raised

  • Add an image of the inspection sheet

  • Please detail any action taken

Significant events / Diary Logger

  • Details of any significant events that have not already been covered. This page can also be used as a timeline if required

  • dD you wish to add any Significant events?

  • Diary Entry No
  • undefined

  • Add media

Sign off

Additional Information

  • do you wish to record additional information.

  • Please detail

  • diary entry by

  • Date

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.