Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Project:
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Project No.:
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Inspection Location:
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Date:
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Inspected by:
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Inspection Time:
People
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Remarks
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Safe work practices evident/in use
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Hard Hat compliance
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Appropriate safety glasses worn for the task
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Appropriate gloves worn for the task
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Respiratory and hearing protection used where required
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Harness and lanyard used properly and in good condition
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Fall protection in place for work at heights
Work Activity
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Remarks
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SWMS/JSEA/SOPs are in place and relevant to the work activities being undertaken
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Access and egress to and from work area is suitable
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Electrical equipment has been tagged for the month
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Spotters or firewatch in place where required
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Protection from inclement weather where appropriate
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Lighting conditions are adequate
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Scaffolds to standard and Scaftag in date (< monthly inspection required)
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Barricades and flagging in place where required
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Permits in place and signed as required
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Formwork/reo-bar or star pickets capped
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Equipment stored for forklift access where required (use of gluts, pallets etc)
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Trip hazards correctly managed
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Welding screens in place as required
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Fire protection and prevention in use
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Rubbish and construction waste appropriately managed
Equipment
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Remarks
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Confirm that all penetrations in work area are suitably covered
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Confirm that ELCB protection is in place and being utilised by work crew
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Leads are elevated and suspended appropriately by lead hooks/stands
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Confirm that any hazardous substances are being used in accordance with the relevent SDS and that they are being stored correctly
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Controls in place for work areas above and below as necessary, confirm there are no overhead hazards
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Log Books checked and in place
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Earthmoving/Mobile plant set up correctly and in good condition
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Welding Machine leads, clamps, electrode holders are in good condition
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Gas cylinders, flash back arrestors, hoses in good condition
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Compactors used correctly, hearing protection used
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Rigging gear (Slings, Chain blocks) in good condition
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Cranes, EWP's & Winches set up and used correctly
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Exclusion zones for EWP, forklift, crane managed correctly
Corrective Actions Raised
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Closed Out
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By Who And Date Closed
Reviewed by the Site Manager or Project Manager:
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CORRECTIVE ACTIONS FROM THIS WORKPLACE INSPECTION ARE TO BE INCLUDED IN THE CORRECTIVE ACTIONS REGISTER
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THE INSPECTION IS THEN TO BE KEPT ON FILE FOR AUDIT RECORDS
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Name:
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Signature:
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Date: