Site Inspection Report

• Project Name

• Target Area

• Date and time site inspection conducted

  Date
• Location
  Address

• Inspectors Name / Position

• Additional Participants

Template Revision 10/ Revised 7th April 2014

FACILITIES

• Firefighting extinguishers inside each office and crib room

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Food and waste paper bins provided and serviced

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• All facilities clean and tidy<br>

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Emergency equipment easily accessible<br>

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

ACCESS / EGRESS

• Public areas clean and free of trip hazards

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Project access and egress points clear and free of materials

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Internal stairs clean and free of trip hazards, materials, builders sand/dust etc

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Internal stairs and general access areas have lighting in use

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Relevant signage in place to identify access points

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Evacuation route signage at key locations for easy identification

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Vehicle and plant access obstructed

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Emergency exit points clear of plant and materials

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

PORTABLE TOOLS AND EQUIPMENT

• Tools ready for industrial use ( not domestic)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Guards in place and functional

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Equipment as manufactured - nil modifications observed

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

PLANT

• Daily pre-start inspections completed and documented

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Operating instructions manual available

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Plant serviced with supporting documentation available.

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Plant appears to be in sound condition

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Cab clean and tidy

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Air compressor- retaining devices used on hose couplings i.e. safety clips, wire ropes, chains

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Ladders and platforms rated industrial and in sound condition

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

CRANE & DROP ZONES ( & MOBILE PUMPS) ACTIVITIES

• As applicable to task- Drop/lifting zone and crane area delineated with barricading and signage. I.E. Structural steel erection, Crane erection, Precast concrete

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Lifting slings, chains, devices show no sign of damage and carry annual inspection (Or recorded on plant register)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• WLL marked on equipment

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Equipment storage off ground and protected

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Adequate ground support - rated slab / compacted ground

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Nil short legging or completed in compliance with the plans OEM manuals

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

EMPLOYEE CONDUCT

• Employees compliant with site PPE requirements

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Employee maintaining a clean area (housekeeping)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Tools being used are correct for the job and used correctly

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Workers not exposing themselves to a hazard without controls, As observed

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

WORK PERMITS ( public areas, out of hours, non- platform ladder, use of a harness, confined space, hot works, excavation)

• Permit at the place of work

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Work permit approved by DVC representative

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Work is performing the task have signed the work permit ( Ladder for access only does not require all staff to sign only those implementing use)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• If confined space and excavation entry, Is the sign in/ out registered completed

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

ELECTRICAL

• Power distribution board location clear of hazards and obstructions

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Construction wiring has iridescent yellow tape, Marked as construction wiring marked at maximum 5 meter spacings

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Live permanent wiring, marked as live wiring at maximum 5 meter spacings and easily distinguishable from Construction Wiring

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Current quarterly inspection tags on electrical tools and leads

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• As observed electrical appliances isolated and unplugged before changing blades or discs

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• All portable socket outlet devices contain an RCD ( Double adapters, office power boards are not permitted for construction activities)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Extension lead protected from hazards ( hung on non conductive device, in conduit or similar)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Lead connection plugs bonded type or transparent type following repair

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Extension leads do not exceed 25 m in length (1.5 mm cable can be 35 m)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Extension leads not joined to exceed the extension lead maximum allowable length

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

TRAFFIC MANAGEMENT

• Traffic controller has a copy of the TGS and associated approved Council and Police permits

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Traffic signs in place and appropriate for public roads in accordance with the TGS

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Traffic barricades erected for vehicle and pedestrian segregation around heavy vehicle movements

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

GENERAL SITE CONDITIONS

• Temporary fence and hoardings rigid and secure

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Temporary fence along public pedestrian ways have a bump rail every second fence panel

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• FFE positioned in each stair landing entrance though out the building

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Star Pickets, Reo bars, sharp objects capped/protected

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Tasks generate excessive noise sign posted for PPE requirement

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Materials stacked in a stable position

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

EXCAVATION

• Excavation under 600 mm signed to warn others

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Excavation over 600 mm barricaded & signed

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Excavations over 1.5 m deep have access every 9 m, minimum

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Control in place to prevent workers standing on excavation edges with a drop over 2 m

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• A monitoring or air movement controls in place with large quantities of plant operating near by, or if hazardous substances being used, or if in contaminated soil

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Excavations over 1.5 m deep are shored, battered, benched, or has geo-tech report to confirm stability

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

SCAFFOLDING

• Scaffold components match the designed scaffold (components from other scaffolds not mixed in)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Scafftag or Scaffold complete signs fitted at all main access points

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Scafftag identifies an inspection within the last 30 days (or documented in safety office)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• All components fitted I.E. Hand/mid rails, toe boards, mesh/perimeter screening, bracing etc.

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Scaffold height not more than 3 times the width (includes outrigger, raking shores in the dimensions)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Structural (building) ties every 4 m in both vertical and horizontal direction ( or supplied with outriggers, raking shores if free standing)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• All platforms fully planked and lap boards secured from uplift

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Scaffold workers not exposed to falls over 2 m

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Access ladders fixed within the scaffold (Ladders fixed externally not permitted)

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Exclusion zone around scaffold erection and dismantle activities

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• No extension for stepladders used for scaffold access

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• All sharp protrusions covered or protected

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

HAZARDOUS SUBSTANCES

• Hazardous substances/dangerous goods stored as per the segregation chart in the WHS Management Plan

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Hazardous substances in use segregated from other substances as per the segregation chart in the WHS Management Plan

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Containers with the decanted substances clearly labelled with product identifier (name) and hazard pictogram or hazard statement. If left unattended

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• No aerosol cans or pressurised gas bottles stored in unventilated sheds, offices, or storage/shipping containers

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

ENVIRONMENTAL

• WATER

• Concrete wash areas maintained with no water released to storm water or sewer

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Water and slurry from concrete cutting activities contained

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Painter and plasterer washout and sediment traps maintained

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• EROSION AND SEDIMENT CONTROL

• Gutter socks, silt fencing and other controls in sound condition

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Stabilisation of disturbed areas implemented

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Haul routes/ driveways leaving site have clean uncompacted rock for 15 m before exiting site, or from vibration grid to boundary

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• If utilised, vibration grids are clean and free of soil build up

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• CHEMICAL STORAGE

• Stores bunded or positioned to prevent environmental damage if a spill or release occurred

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Spill kit available

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• NOISE AND VIBRATION

• All activities performed inside the DA approved hours

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• AIR QUALITY

• Loads with soil or waste covered prior to leaving site

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Concrete or masonry cutting / grinding controlled with water or vacuum

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Dust suppression implemented for general construction activities as required

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Air purging or extraction implemented for required activities such as chemical use in basement areas

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• LAND CONTAMINATION AND ACID SULPHATE SOILS

• Acid sulphate deodorised or placed in trucks without odour leaving site

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Stock piles covered to prevent leeching

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• If required is signage informative of the hazard and clearly visible

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• WASTE

• Construction waste bins serviced and accessible

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• Regulated waste segregated from general waste

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• FLORA AND FAUNA

• Are flora and fauna protection devices maintain and effective

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

• CULTURAL HERITAGE

• Our cultural heritage protection devices maintain and effective

  Class1

  Class 2

  Class 3

  Not Applicable/ Assessed

  Compliant/Closed out C2,3

Template Revision 10/ Revised 7th April 2014

INSPECTORS COMPLETION

• Inspector comments

• SITE INSPECTION TO BE ISSUED TO PROJECTS SAFETY ADVISER, PROJECT MANAGER, AND THE ENVIRONMENTAL HEALTH AND SAFETY MANAGER

• ISSUED BY

• Name and Signature

  Sign

THE PROJECT MANAGER VERIFICATION OF CLOSED OUT

• The Project Manager shall ensure items are actioned and closed out in accordance with the compliance rating.
  Class 1 ( high risk )- Closed out immediately, or action taken to prevent incident
  Class 2 ( medium risk )- Closed out in 24 hours, with action taken to prevent incident
  Class 3 ( low risk )- Closed out in 5 days, with action taken to prevent incident

• VERIFICATION OF NON-COMPLIANCE RECTIFICATION

• Name and Signature

  Sign

Template Revision 10/ Revised 7th April 2014