Site Inspection Record

• Contract Number

• Contractor

• Sub Contractor

• Conducted on

  Date

• Prepared by

• Location Description

• Location
  Address

OHS&E

• Name of Contractor's Representative in charge of site today

• PPE (Safety vests, safety boots, hard hats, eye and hearing protection)

  Safe

  At Risk

  N/A

• Is anything new on site new or different today. Is it being managed?

  Safe

  At Risk

  N/A

• Are environmental measures in place, silt fences/stockpile control?

  Yes

  No

  N/A

• Should we plan a Safety or EMS audit on a work procedure?

  No

  Yes

  N/A

• Verify an emergency communication system & 1st aid kit available?

  Safe

  At Risk

  N/A

• Are excavations properly barricaded/public safety protected?

  Safe

  At Risk

  N/A

• Are electrical leads/generators tested and safely located?

  Safe

  At Risk

  N/A

• Are Contractor's Site Induction Records available (Safety & Enviro)?

  Yes

  No

  N/A

• Are OHSE plans, CEMP, SWMS, JSEA's, job start available on site?

  Yes

  No

  N/A

• Housekeeping/barriers/bunding to appropriate standard?

  Yes

  No

  N/A

Resources

• Number of people on site (Trade x No.)

• Plant & Equipment on site

• Deliveries of items to be part of the Works

• Weather/Site conditions?

• Photo of weather/weather app screenshot

  Media

Work in Progress

• Outline the details of work

• Approximate work completed to date (%)

Quality

• Are Inspection and Test Plans on site & being used?

  Yes

  No

  N/A

• Are drawings on site up to date, and the latest version?

  Yes

  No

  N/A

• Are any specialist processes planned or underway?

  Safe

  At Risk

  N/A

Other discussions with Contractor Representative

• Items discussed

Responsible Officer

• Name of Responsible Officer

• Gippsland Water Representative

  Sign