Site Inspection Quote Sheet

Customer Details

• Client/Company

• Contact

• Phone Number

• Email

• Business Card

  Media

Inspection Details

• Description of job

• Location
  Address

• Job Number

• Conducted on

  Date

• Prepared by

Site Specifics

• Type of site

  Select Construction Petrochemical Water Sewage Treatment Plant Pump Station Water Storage Power Plant Gas Distibution Workshop Road Rail Quarry Prison Plant Yard Industrial Domestic

  • Construction
  • Petrochemical
  • Water
  • Sewage
  • Treatment Plant
  • Pump Station
  • Water Storage
  • Power Plant
  • Gas Distibution
  • Workshop
  • Road
  • Rail
  • Quarry
  • Prison
  • Plant Yard
  • Industrial
  • Domestic

• Hazards

  Select Water Effluent Aerated Water Chlorine Confine Space Hydrocarbons Mobil Plant Excavation Engulfment Live Power Overhead Power Pedestrians Traffic Trains Working at Heights Operating Plant

  • Water
  • Effluent
  • Aerated Water
  • Chlorine
  • Confine Space
  • Hydrocarbons
  • Mobil Plant
  • Excavation
  • Engulfment
  • Live Power
  • Overhead Power
  • Pedestrians
  • Traffic
  • Trains
  • Working at Heights
  • Operating Plant

• Permits, Plans or Training

  Select Safe Work Method Statement Confine Space Entry Hot Work Traffic Management Working at Heights Elevated Work Platform Trenching Forklift Plant Risk Assessment N/A

  • Safe Work Method Statement
  • Confine Space Entry
  • Hot Work
  • Traffic Management
  • Working at Heights
  • Elevated Work Platform
  • Trenching
  • Forklift
  • Plant Risk Assessment
  • N/A

• Are there any inductions required?

  Yes

  No

  N/A

• Site Access

  Select Good Bad Guarded Gate Road/Street Muddy Steep 4x4 Only

  • Good
  • Bad
  • Guarded Gate
  • Road/Street
  • Muddy
  • Steep
  • 4x4 Only

• Site Conditions

  Select Good Bad Dry Wet Muddy Green field Workshop

  • Good
  • Bad
  • Dry
  • Wet
  • Muddy
  • Green field
  • Workshop

• Site Amenities

  Select Toilets Portaloo Wash Room Lunchroom 1st Aid Site Office Canteen Need to Provide Nil N/A

  • Toilets
  • Portaloo
  • Wash Room
  • Lunchroom
  • 1st Aid
  • Site Office
  • Canteen
  • Need to Provide
  • Nil
  • N/A

• Is There Power?

  Select Yes No Single Phase 10 amp 15 amp 3 Phase 20 amp 32 amp Generator Required

  • Yes
  • No
  • Single Phase
  • 10 amp
  • 15 amp
  • 3 Phase
  • 20 amp
  • 32 amp
  • Generator Required