Information

  • Project Name

  • Site Address
  • Client Name

  • Project Manager

  • Project Supervisor

  • Prepared by

  • Conducted on

General Work Environment

  • Are all work area clean and dry?

  • Rubbish/ Debris removed daily?

  • Are walkways, doorways, and exit routes kept clear and unobstructed?

  • Are toilets and washing facilities provide, kept clean, and safe?

  • Are there any hazardous materials on-site? Are they in a safe designated area? Is the SDS accessible on-site?

  • Are measures in place to protect the public from exposure to work activities and equipment?

  • Are required site induction forms readily available to all employees on-site?

  • Are monthly/ weekly "tool box" safety meetings held and documented with sign in sheets? Was a copy forwarded to the Project Manager?

  • Is material piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?

  • Comments:

Site Office

  • Padlock available on-site to stop unauthorised people from access?

  • Whiteboard on-site?

  • Desks and Chairs on-site?

  • Lunch Room Facilities (Microwave, Fridge) on-site?

  • Contact Details of Subbies, Suppliers, Owners on-site?

Site Appearance

  • Are site fences fixed and secured in place?

  • Are marketing signages installed on the fences?

  • Site Debris in Designated Area - Bin Located in a secured spot on-site ?

  • Site area surrounds clean and clear away of dust and debris?

  • PPE correctly worn by all site team?

  • Are materials stored in dry/ covered area?

Site Folder

  • Site folder on-site?

  • Site inductions filled out?

  • Quality assurance checklist in folder?

  • Inspection Test Points in Folder?

  • ITP's Hold Points recorder and signed by Project Manager and Builder?

  • 2 Weeks look ahead program in Folder and on whiteboard?

  • Revised Construction program/ Schedule in Folder?

  • SWMS reviewed and signed by contractors?

First Aid and Emergency Equipment

  • Are emergency telephone numbers posted on the job site?

  • Are first aid kits easily accessible, inspected, and stocked at least monthly?

  • Are there any exit doors that open into streets or other high traffic areas? Are adequate warnings provided to alert employees of the hazard?

  • Kit on-site?

  • Green cross sticker installed?

  • First aid kit stocked and full?

  • Basic PPE on-site (Gloves, Masks, Safety Glasses)

  • Fire extinguisher on-site? and in service?

Fall Protection

  • Are holes and other floor openings guarded by a grate, cover, guardrail, or equivalent on all sides (except at entrances to stairways or ladders)?

  • Are there stairrails or handrails on all stairways having four or more steps?

  • Are railings provided on ramps?

  • Do all elevated surfaces have guardrails at least 1m high?

  • Where a job site has protruding steel rebar below the work level, are the steel rebar protected by covers to prevent impaled injuries?

  • Have you checked the fall guard being installed correctly secured to the building?

Portable Ladders

  • Are all ladders maintained in good condition and inspected before each use? Are broken and defective ladders taken out of service immediately?

  • Are ladders being used for their designed purpose only? (Step ladders/Extension ladders)

  • Did you make sure the ladders are not being used beyond their maximum intended load?

  • Are ladder rungs/steps slip-resistant and free of dirt, grease, oil, ice, snow, etc?

  • Are employees standing below the top 2 steps when using step ladders?

Electrical

  • Are all cord-connected, electrically-operated tools and equipment double insulated or effectively grounded?

  • Are ground-fault circuit interrupters provided on all temporary electrical circuits?

  • Are all electrical rooms/panels secured and have proper signage?

  • Do all extension cords have 3-prong plugs and all 3 prongs intact?

  • Are all electrical cords inspected and in good working condition (i.e. no splices, frays, or the ground prong is removed)?

  • Where electrical cords must cross roads, driveways, or walkways, are they protected by solid, weather-resistant bridges to prevent damage to the cords?

  • Are electrical circuits and equipment shut off, de-energized, and locked out before equipment installation, repairs, maintenance, or servicing?

  • Are unused switches, receptacles, and junction boxes covered with tight-fitting covers or plates

Trenching and Shoring

  • Are spoils, materials, and equipment set back a minimum of 4m from edge of the excavation?

  • Are barriers in place around excavation area?

  • Is high visible PPE worn by all employees working in and around trenches?

  • Are employees protected from loose rock or soil?

  • For the soil type is the excavation sloped properly?

Power-Actuated Tools / Hand and Power Tools

  • Are employees who operate power actuated tools properly trained and carry a valid operator's card?

  • Are power actuated tools inspected for obstructions or defects before use?

  • Are all tools maintained in safe condition?

  • Are damaged and defected tools removed from service and repaired or replaced as soon as the damage or defect is found?

  • Are grinders, saws, and other tools with moving parts, equipped with appropriate safety guards to prevent physical contact with moving parts?

Site Signage

  • Project Manager and Site Supervisor contact details on the signage?

  • CDC/ DA No. ?

  • Builder License Number?

  • Building Certifier Number?

  • Site Address?

  • Nearest Hospital?

  • Esteem Constructions Signage installed and visible to public?

Access and Public Protection

  • Stair Tower/ Scaffold Tagged?

  • Scaffold Tagged and Handover certificate in site folder (Weekly/ monthly)?

  • Scaffold free of materials and debris?

  • Scaffold Mesh Intact?

  • Scope/ Plans printed in Site Folder?

  • Scope/ Plans printed in Site Office?

  • Scope/ Plans printed for posting where works undertaken?

  • All details and plans are printed in A3?

  • Approved variations added to scope?

Site Plans

  • Obtain Architectural and Structural Plans?

  • DBYD service location (Call 1100)

  • Print all DBYD plans and review?

  • Obtain Sydney Water plans if required?

  • Coordinate with service providers if required?

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.