Title Page

  • Location
  • Conducted on

Worksite

  • Site access clear

  • Access to work areas clear and safe

  • Safety barriers and cones implemented (if applicable)

  • Site facilities clean and hygienic

  • Safety signage displayed clearly and up to date

  • Work areas tidy, organised, clutter/rubbish free

  • Slip, trip and fall hazards minimised

  • Loose materials secured

  • Waste disposed of correctly

  • TMP approved and compliant onsite

Personnel Onsite

  • All personnel onsite have completed an Induction

  • All personnel onsite have signed in

  • All personnel are wearing required and appropriate PPE

  • All personnel are appropriately trained, and Competency register is up to date

  • Safety meetings held regularly and minutes sighted

Plant, Equipment and Vehicles

  • SOP/JSA/Permit to Work approved (where applicable)

  • Vehicles, equipment, and tools correct for the task and being used safely

  • Vehicles, equipment, and tools onsite all well maintained and in good condition

  • Certifications, registrations, warrants, and servicing requirements current

  • All equipment and tools visually checked before use

  • Equipment, and tools all stored correctly when not in use

Excavation

  • JSA and permit to dig completed and approved by site management (including identification of underground services)

  • Notifiable work reported to WorkSafe and Emergency Response Plan in place

  • Excavations shored/benched/battered

  • Loads (including soil, equipment and vehicles) held at an adequate distance from the edge

  • Excavations fenced/barriered to prevent access and falls

  • Safe access and egress routes available

Hazardous Substances

  • Inventory and Safety Data Sheets readily available

  • Substances stored and labelled correctly

  • Signage displayed onsite

  • Only trained operators to access - handled as per SDS

Emergencies

  • Site emergency procedures up to date and displayed

  • First aid kits and fire extinguisher available in all vehicles onsite

  • First aid kits checked, current and fully stocked

  • First aiders onsite

  • Fire extinguishers serviced and within certification date

  • Incident register and investigations up to date

Sign-off

  • Inspector:

  • Signed:

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