Cover Page

  • Project Name

  • Conducted on

  • SOR

  • Site Address

  • Prepared by

  • Signature

Site Access & Security

  • Are the site gates locked?

  • Is there a Site Contact Board displayed?

  • Are vehicle & pedestrian routes kept apart? if not, are there warning signs displayed?

  • Add media

Route to Work Area

  • Are pedestrians routes to work area free from obstructions & other hazards?

  • Have measures been taken to prevent workers from being struck by moving materials, plant etc?

  • Are warning notices, signs etc displayed where hazardous conditions exist?

  • Add media

Lighting & Other Services

  • Are all areas of the workplace supplied with site general lighting?

  • Do contractors provide their own task lighting?

  • Are contractors using battery operated tools?

  • Add media

Transport/Logistics

  • Is there a designated area for unloading materials?

  • Is this area located inside the site compound?

  • Can reversing be avoided by using a one way system or a turning area?

  • Add media

PPE & Welfare Facilities

  • Is there site PPE signage detailing site requirements?

  • Have site provided adequate toilet & washroom facilities?

  • Have site provided a contractors canteen?

  • Add media

First Aid, Waste Disposal & Site Safety Notices

  • Is their a designated Site First Aider?

  • Do site provide adequate waste removal facilities?

  • Does the site display a Notice Board showing fire & emergency procedures?

  • Add media

Any Other Findings

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  • Add media

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.