Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Project:

  • Project No.:

  • Inspection Location:

  • Date:

  • Inspected by:

  • Inspection Time:

People

  • Remarks

  • Safe work practices evident/in use

  • Hard Hat compliance

  • Appropriate safety glasses worn for the task

  • Appropriate gloves worn for the task

  • Respiratory and hearing protection used where required

  • Harness and lanyard used properly and in good condition

  • Fall protection in place for work at heights

Work Activity

  • Remarks

  • SWMS/JSEA/SOPs are in place and relevant to the work activities being undertaken

  • Access and egress to and from work area is suitable

  • Electrical equipment has been tagged for the month

  • Spotters or firewatch in place where required

  • Protection from inclement weather where appropriate

  • Lighting conditions are adequate

  • Scaffolds to standard and Scaftag in date (< monthly inspection required)

  • Barricades and flagging in place where required

  • Permits in place and signed as required

  • Formwork/reo-bar or star pickets capped

  • Equipment stored for forklift access where required (use of gluts, pallets etc)

  • Trip hazards correctly managed

  • Welding screens in place as required

  • Fire protection and prevention in use

  • Rubbish and construction waste appropriately managed

Equipment

  • Remarks

  • Confirm that all penetrations in work area are suitably covered

  • Confirm that ELCB protection is in place and being utilised by work crew

  • Leads are elevated and suspended appropriately by lead hooks/stands

  • Confirm that any hazardous substances are being used in accordance with the relevent SDS and that they are being stored correctly

  • Controls in place for work areas above and below as necessary, confirm there are no overhead hazards

  • Log Books checked and in place

  • Earthmoving/Mobile plant set up correctly and in good condition

  • Welding Machine leads, clamps, electrode holders are in good condition

  • Gas cylinders, flash back arrestors, hoses in good condition

  • Compactors used correctly, hearing protection used

  • Rigging gear (Slings, Chain blocks) in good condition

  • Cranes, EWP's & Winches set up and used correctly

  • Exclusion zones for EWP, forklift, crane managed correctly

Corrective Actions Raised

  • Closed Out

  • By Who And Date Closed

Reviewed by the Site Manager or Project Manager:

  • CORRECTIVE ACTIONS FROM THIS WORKPLACE INSPECTION ARE TO BE INCLUDED IN THE CORRECTIVE ACTIONS REGISTER

  • THE INSPECTION IS THEN TO BE KEPT ON FILE FOR AUDIT RECORDS

  • Name:

  • Signature:

  • 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.