Title Page

  • Site name:

  • Lot numbers

  • Conducted on

  • Prepared by

  • Location

Site Setup and Amenities.

  • Temporary fencing installed around site?

  • Construction site sign legible and displayed<br>on front fence?

  • Health and Safety Co-ordination plan,<br>permit and plans in the meter box?

  • Toilet on site clean and in good working<br>order?

  • Site office installed and setup?

  • Cool drinking water available?

  • Site induction training completed for all new trades on<br>site?

  • Construction Induction training completed?<br>(Red card or equivalent)

  • SWMS's completed for medium/high risk trades on site?

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House Keeping

  • Safe access to and around work areas?

  • Are the temporary fences maintained and secure for the general public.

  • Is rubbish regularly removed from site?

Electrical Safety

  • Temporary supply boards (RCD'S lockable,<br>leads through insulated slot, signs, 1metre<br>clearance at front, tie bar

  • Certificate of electrical safety for boards?

  • Earth leakage protection required?

  • Earth leakage protection provided?

  • RCD in meter box tested monthly - Take<br>photo of last test in meter box?

  • Electrical equipment and leads:<br>1/ Checked and tagged every 3 months?<br>2/ Secured and off the ground?<br>3/ Length not exceeding 35 meters?

Overhead power lines on poles

  • Scaffolding not erected within 4.6m of sides<br>or 5m above or below power lines on poles<br>without written permit, from power<br>authority, SWMS and meeting.

  • Spotter required if mobile plant between 3m<br>- 6.4m of power lines on poles.<br>Written permit, from power authority SWMS<br>and meeting if closer than 3m.

Fall protection required when working at heights over 2 metres

  • Scaffold provided for all fall protection?

  • Guardrails provided for fall protection?

  • EWP's provided for fall protection?

  • Floor and wall penetrations barricaded or<br>covered?

Construction foreman sign off

  • Add signature

  • Select date

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