Site Inspection

• Client Name:

• Site:

• Inspection done by:

• Conducted on:

  Date

• Site Inspection Number:

Personal Protective Equipment:

• Required PPE worn by all?

  Compliant

  Non-Compliant

  N/A

• PPE found in good condition?

  Compliant

  Non-Compliant

  N/A

• PPE used as per risk ?

  Compliant

  Non-Compliant

  N/A

Hand Tool Inspection:

• Applicable to contractors scope of work:

  Applicable to contractor

  Not applicable to contractor

• Any badly damaged or modified hand tools?

  Compliant

  Non-Compliant

  N/A

• Are hand tools such as chisels and punches, which develop mushroomed heads during use, reconditioned or replaced as necessary?

  Compliant

  Non-Compliant

  N/A

• Are all tools and equipment used by employees at their workplace in good condition?

  Compliant

  Non-Compliant

  N/A

Portable Electrical Equipment Inspection:

• Applicable to contractors scope of work:

  Applicable to contractor

  Not applicable to contractor

• Are power tools used with the correct shield, guard, or attachment, recommended by the manufacturer?

  Compliant

  Non-Compliant

  N/A

• Good condition of casings?

  Compliant

  Non-Compliant

  N/A

• Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?

  Compliant

  Non-Compliant

  N/A

• All plugs found correctly wired and in safe condition?

  Compliant

  Non-Compliant

  N/A

Portable Ladder Inspection:

• Applicable to contractors scope of work:

  Applicable to contractor

  Not applicable to contractor

• All ladders free from defects?

  Compliant

  Non-Compliant

  N/A

• Proper sized ladders being used for correct purpose?

  Compliant

  Non-Compliant

  N/A

• Are ladder users working at least 2 steps from the top?

  Compliant

  Non-Compliant

  N/A

• Are ladders being supported when in use?

  Compliant

  Non-Compliant

  N/A

Scaffold Inspection:

• Are scaffolds and their components inspected daily by competent person?

  Compliant

  Non-Compliant

  N/A

• Is the scaffold on base plates?

  Compliant

  Non-Compliant

  N/A

• Are the wheels in good working order?

  Compliant

  Non-Compliant

  N/A

• Is the scaffold plumb and square?

  Compliant

  Non-Compliant

  N/A

• Are all brace connections secured?

  Compliant

  Non-Compliant

  N/A

• Platforms on all working levels fully decked?

  Compliant

  Non-Compliant

  N/A

• Ladders are provided to access scaffold platform?

  Compliant

  Non-Compliant

  N/A

• Guardrails in place where workers are working?

  Compliant

  Non-Compliant

  N/A

Working at Heights and Fall Arrest System Inspection:

• Applicable to contractors scope of work:

  Applicable to contractor

  Not applicable to contractor

• Safety harness being used for work being performed above 2 meters ?

  Compliant

  Non-Compliant

  N/A

• Safety harness is in safe usable condition?

  Compliant

  Non-Compliant

  N/A

• Safety harness properly worn?

  Compliant

  Non-Compliant

  N/A

• Personnel can maintain a secure footing at all times?

  Compliant

  Non-Compliant

  N/A

• Employees use two lanyards when needed to maintain continuous tie off?

  Compliant

  Non-Compliant

  N/A

• Employees select and use appropriate anchor points for tie off?

  Compliant

  Non-Compliant

  N/A

Mobile Plant Equipment Inspection:

• Applicable to contractors scope of work:

  Applicable to contractor

  Not applicable to contractor

• Wheels, tires and axel in good condition?

  Compliant

  Non-Compliant

  N/A

• Light, strobe, and horn in working condition?

  Compliant

  Non-Compliant

  N/A

• Accessory plug and cables in good condition?

  Compliant

  Non-Compliant

  N/A

• Safe loading / working / lifting in date?

  Compliant

  Non-Compliant

  N/A

• All mirros in good condition?

  Compliant

  Non-Compliant

  N/A

• Fire Extinguisher in good condition and indate?

  Compliant

  Non-Compliant

  N/A

• Equipment licens up to date?

  Compliant

  Non-Compliant

  N/A

• Daily inspection list completed?

  Compliant

  Non-Compliant

  N/A

Confined space entry inspetion:

• Applicable to contractors scope of work:

  Applicable to contractor

  Not applicable to contractor

• Applicable to contractors scope of work:

  Applicable to contractor

  Not applicable to contractor

• Non-working supervisor in place?

  Compliant

  Non-Compliant

  N/A

• Gas monitor in place?

  Compliant

  Non-Compliant

  N/A

• Manholes opened?

  Compliant

  Non-Compliant

  N/A

• Confined space entry checklist availble?

  Compliant

  Non-Compliant

  N/A

• Sufficeint light availible?

  Compliant

  Non-Compliant

  N/A