Title Page

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • NJS Trades Present on Site

Administrative

  • Temporary Works Designs/Compliance Sheets in Place?

  • Site/Task Specific RAMS in place

  • First aid kit(s) present or Site First Aid provided

  • Tool Box Talk done

Site Conditions

  • Welfare Facilities

  • Provide information relating to condition

  • Pedestrian Walkways in Place and well maintained

  • Exclusion Zones Established Around Lifting or Work at Height Activities/Excavations

  • Presence of Slips, Trips or Falls on the same level

  • Housekeeping in Good Order

  • Suitable Lighting Conditions/Task Lighting

Personal Safety Equipment for Employees/ Visitors

  • Hi-Visibility Vests or Jackets Worn and in Good Condition

  • Hard Hats Being Worn Correctly, No Baseball Caps or Hoodies Worn Underneath.

  • Safety Glasses Worn (Site Requirement or Task Specific)

  • Respiratory or Hearing Protection Worn (Task or Client Specific)

  • Appropriate Safety Footwear Worn and in Good Condition

  • Fall Arrest Equipment Worn Correctly if Applicable

Fall Protection

  • Is there a risk of objects falling from height?

  • If yes, provide information.

  • Are Employees adequately protected from Falls From Height

  • Do Working Platforms Have the Correct Guardrails and Toe-Boards in Place (Scaffolding and Tower Systems)

  • Is the proper equipment available on site to complete the task

  • If not, what action needs to be taken?

Tools and Equipment

  • Are System products in use on site (Haki Stairs/Aluminium Towers etc.)

  • Power cables, transformers etc in good order (PAT Test Tag)

  • Up to date fire extinguishers on-site and in place

  • Machine and tool guards in place

  • Ladders in proper condition (No broken rungs, feet or stiles)

  • Ladders adequately secured and set at correct angle

  • Tools in safe condition

  • Step ladders being used properly (Permit to Use)

Environmental Inspection

  • Are the correct Waste Disposal Procedures Adhered To (Correct Skips used etc.)

  • Excessive Waste Materials Present on Site

  • Are Hazardous Products Stored Safely on Site

  • Noise Nuisance or Dust Issues Identified From Our Activities

  • What action needs to be taken?

Customer Feedback

  • What is the overall impression of NJS?

  • What are the issues to discuss

  • Have NJS employees complied with H&S Requirements? (PPE Etc.)

  • What issues have been raised?

  • Has the Quality of work met your expectations?

  • If poor, what are the issues raised?

Overall impression

  • Necessary to follow up with written documentation

  • Were there any critical deficiencies

  • Were they corrected immediately?

  • Provide details

Completion

  • Inspected by

  • Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.