Site Safety & Environmental Inspection - Julie

• Branch:

• Dept:

• Project/Work Order No:

• Date & Time:

  Date
• Location:
  Address

• Supervisor Name:

• Auditors Name:

• Crew/Subcontractor(s):

• Tasks Observed:

1. Personnel on Site

• Supervisor on site (or responsibility delegated)

  Yes

  No

  N/A

• Appropriate number of staff on site

  Yes

  No

  N/A

• Staff are competent (certificates, vehicle licences etc)

  Yes

  No

  N/A

• Staff are demonstrating safe behaviours

  Yes

  No

  N/A

• All on site have been inducted to, and are complying with Hazard ID)

  Yes

  No

  N/A

• Comments

• NOTE: Enter All Follow-Up Actions Into Section: 'Opportunity for Improvement'.

2. Plant and Equiptment

• Service, calibration, maintenance and electrical checks current

  Yes

  No

  N/A

• All plant and equipment kept clean and tidy

  Yes

  Needs Attention

• Comments:

• NOTE: Enter All Follow-Up Actions Into Section: 'Opportunity for Improvement'.

• Plant & Equipment fit for purpose (size, ROPS, flashing lights etc)

  Yes

  No

  N/A

• Daily Pre-Start check completed accurately, and issues reported

  Yes

  No

  N/A

• Plant & Equipment used appropriately (speed, load, seat-belts etc)

  Yes

  No

  N/A

3. Site Management

• TMP help on site & implemented correctly

  Yes

  No

  N/A

• Job START/Hazard ID in place, signed and implemented correctly

  Yes

  No

  N/A

• Emergency plan in place & equipped on site (spill, fire, 1st aid etc)

  Yes

  No

  N/A

• Environmental aspects identified and managed (dust, noise, waste etc)

  Yes

  No

  N/A

• Site housekeeping appropriate (materials, tools, slips/trips etc)

  Yes

  Needs Attention

• Comments:

• NOTE: Enter All Follow-Up Actions Into Section: 'Opportunity for Improvement'.

4. Facilities and Documentation

• Permits (eg RON, Confined Space etc)

  Yes

  No

  N/A

• Appropriate PPE available, in good order and being worn

  Yes

  No

  N/A

• Water available for drinking, washing and dust suppression

  Yes

  No

  N/A

• Appropriate storage for materials (and MSD sheets as required)

  Yes

  No

  N/A

• Visitor control in place and being used

  Yes

  No

  N/A

• NOTE: Enter All Follow-Up Actions Into Section: 'Opportunity for Improvement'.

• Comments

• Action(s) Required

Action

• Action:

• Action Assigned To:

• Action Completion Date:

• Signature:

  Sign

• Actions to be Entered into INX for Follow Up

Action

• Action:

• Action Assigned To:

• Action Completion Date:

• Signature:

  Sign

• Auditor Name:

• Date:

  Date

• Signature:

  Sign

• Site Supervisor Name:

• Signature:

  Sign

• Date:

  Date

• Construction Manager Name:

• Signature:

  Sign

• Date:

  Date

• (Only to be signed off by Construction Manager once ALL corrective actions have been completed in full)