Site Safety Inspection

• Document No.

• Client / Site

• Conducted on

  Date

When completed and all necessary corrective actions implemented, this report is to be forwarded to management.

• Work Location/Project:

• Date Of Inspection

  Date

House Keeping / Emergency Equipment

• Are all areas clean, clear & free of slip/trip hazards

  Yes

  No

  N/A

• Caps on reinforcement bars and Star pickets

  Yes

  No

  N/A

• Are materials stored appropriately

  Yes

  No

  N/A

• Are access ladders and stairs in good condition

  Yes

  No

  N/A

• Are emergency exits clear

  Yes

  No

  N/A

• Is installed fire equipment maintained

  Yes

  No

  N/A

• Are first aid kits available and maintained

  Yes

  No

  N/A

Personal Protective Equipment

• Is safety footwear worn by all

  Yes

  No

  N/A

• Are hard hats worn where required

  Yes

  No

  N/A

• Is hearing protection worn in noisy areas

  Yes

  No

  N/A

• Are respirators being worn when required

  Yes

  No

  N/A

• Is eye protection worn when required

  Yes

  No

  N/A

• Are road safety vests worn when required

  Yes

  No

  N/A

• Is corrective PPE available

  Yes

  No

  N/A

Electrical Safety

• Is electrical equipment tested, Is it tagged

  Yes

  No

  N/A

• Where required, are leads elevated

  Yes

  No

  N/A

• Is electrical equipment free of water, heat sources and cutting points

  Yes

  No

  N/A

• Yes

  No

  N/A

Excavations / Confined Spaces

• Is the required access permit held

  Yes

  No

  N/A

• Are all openings barricaded

  Yes

  No

  N/A

• Are all excavations correctly battered / shored

  Yes

  No

  N/A

• Is access and egress provided

  Yes

  No

  N/A

• Are spoil heaps clear of excavation

  Yes

  No

  N/A

Hazard Materials

• Are all hazardous Materials labeled

  Yes

  No

  N/A

• Are all Material Safety Data Sheets available

  Yes

  No

  N/A

• Is material stored in the correct location

  Yes

  No

  N/A

Working From Heights

• Are heights clear of power lines

  Yes

  No

  N/A

• Scaffolds - Fully boarded, guard rails and toe boards

  Yes

  No

  N/A

• Are ladders tied off, angled correctly (1 in 4) and extended 1m above landing

  Yes

  No

  N/A

Safe Work Instructions / JSEA's

• In order to meet legislative compliance requirement

  Yes

  No

  N/A

• Workers involved in JSEA development, are site specific

  Yes

  No

  N/A

• Reviews carried out as scheduled (period noted on JSEA)

  Yes

  No

  N/A

• Are controls implemented, effective and meet legislative requirement

  Yes

  No

  N/A

• Are SWI's developed, consistent with the Risk Assessment on JSEA

  Yes

  No

  N/A

Environmental Controls

• Are dust control activities effective

  Yes

  No

  N/A

• Are sedimentation controls effective

  Yes

  No

  N/A

• Is emergency spill kit on site

  Yes

  No

  N/A

• Is the noise generated on site within acceptable limits

  Yes

  No

  N/A

Quality Controls

• Are all QA documentation and checklists being used

  Yes

  No

  N/A

• Has all the corrective / required site-specific documentation been provided and being used ( e.g Drawing register, DBYD info, specifications, compaction tests, construction program)

  Yes

  No

  N/A

Operation of Plant

• Unit Number:

• Pre-start completed

  Yes

  No

  N/A

• Operates as per competency standards

  Yes

  No

  N/A

• Are controls implemented, effective and meet legislative requirement

  Yes

  No

  N/A

• Is all moving machinery & nip points guarded / Quick Hitch Safety Pins in place

  Yes

  No

  N/A

• Are all lock out devices operating

  Yes

  No

  N/A

• Have plant compliance statements been completed for all hired / sub-contracted plant on site

  Yes

  No

  N/A

Operation of Plant

• Unit Number:

• Pre-start completed

  Yes

  No

  N/A

• Operates as per competency standards

  Yes

  No

  N/A

• Are controls implemented, effective and meet legislative requirement

  Yes

  No

  N/A

• Is all moving machinery & nip points guarded / Quick Hitch Safety Pins in place

  Yes

  No

  N/A

• Are all lock out devices operating

  Yes

  No

  N/A

• Have plant compliance statements been completed for all hired / sub-contracted plant on site

  Yes

  No

  N/A

• Where required, do operators hold appropriate certificate

  Yes

  No

  N/A

Operation of Plant

• Unit Number:

• Pre-start completed

  Yes

  No

  N/A

• Operates as per competency standards

  Yes

  No

  N/A

• Are controls implemented, effective and meet legislative requirement

  Yes

  No

  N/A

• Is all moving machinery & nip points guarded / Quick Hitch Safety Pins in place

  Yes

  No

  N/A

• Are all lock out devices operating

  Yes

  No

  N/A

• Have plant compliance statements been completed for all hired / sub-contracted plant on site

  Yes

  No

  N/A

• Where required, do operators hold appropriate certificate

  Yes

  No

  N/A

General

• Are all required access and other permits held

  Yes

  No

  N/A

• Safety signage and Mendi site signs in place

  Yes

  No

  N/A

• Do on site amenities comply with advisory standard

  Yes

  No

  N/A

• Is site Safety / Environmental control Plans and all associated control documentation in ISMP (e.g Traffic, Erosion & Sedimentation, contractors SWMS's)

  Yes

  No

  N/A

• Have all been site inducted

  Yes

  No

  N/A

• Are manual handling aids used where applicable

  Yes

  No

  N/A

OTHER problems found during inspection

• Action required

  Yes

  No

  N/A

• Safety Inspection Conducted By:

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• Reviewed By:

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