SITE SAFETY INSPECTION

• Document No.

• Contractor Name

  Select Welch Civils T1 MS3 AUS EDEN BOYANT-C 360

  • Welch Civils
  • T1
  • MS3
  • AUS
  • EDEN
  • BOYANT-C
  • 360

• Date and Time

  Date

• Name of person completing this report

• Location
  Address

• Project / Site Name (i.e HUL117 - BEVERLEY ROAD)

General

• Supervisor / Foreman at time of this inspection

• Current activities being undertaken on site (select all that apply)

  Select Track Work Blockages - PIA Box Building Rod & Rope Works Cabling Splicing Cleanup Demolition Other

  • Track Work
  • Blockages - PIA
  • Box Building
  • Rod & Rope Works
  • Cabling
  • Splicing
  • Cleanup
  • Demolition
  • Other

• Describe activities being undertaken on site

Site Safety Inspection

First Aid Facilities

• Are first aid facilities to be inspected in this audit?

  Yes

  No

• Employees aware of location of first aid equipment?

  Yes

  No

• Are first aid officers known to workers and accessible?

  Yes

  No

• Are emergency numbers displayed?

  Yes

  No

Personal Protective Equipment (PPE)

• Is Personal Protective Equipment to be inspected in this audit?

  Yes

  No

• Are gangs aware of correct PPE for tasks they are trained to perform?

  Yes

  No

• Is head protection worn where required?

  Yes

  No

  N/A

• Is eye protection worn where required?

  Yes

  No

  N/A

• Is hearing protection worn when required?

  Yes

  No

  N/A

• Are the correct forms of hand protection worn for manual tasks

  Yes

  No

  N/A

• Is respiratory protection worn where dust, mist or fumes are present?

  Yes

  No

  N/A

• Is footwear in good condition and of correct type?<br>

  Yes

  No

• Are high-vis vests or clothing worn at all times outside the office?

  Yes

  No

• Is a GDU been used and in test?

  Yes

  No

  Not Required

• Number of days left on calibration?

• Add photo of days left.

  Media

General Site Safety

• General site safety to be inspected in this audit?

  Yes

• Are entry and walkways to customer houses kept clear and accessible?

  Yes

  No

• Can the gang produce in date service prints of adquate quality?

  Yes

  No

  Not Required

• Are pedestrian walkways adequate and clearly marked?

  Yes

  No

• Are barriers in good condition and linked?

  Yes

  No

• Is the correct signing and guarding in place including sand bags?

  Yes

  No

• Have courtesy boards been displayed?

  Yes

  No

• Is the correct permit number displayed on site?

  Yes

  No

  Not Required

• What is the permit number?

Machinery, Plant and Equipment

• General Machinery, Plants and Equipment to be inspected in this audit?

  Yes

• Have risk assessments been completed for machinery where appropriate?

  Yes

  No

  Not Required

• Are machines kept clean?

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

• Are machine, equipment and plant operators trained/inducted to be competent in safe and correct operation?

  Yes

  No

  N/A

• Do operators comply with the training?

  Yes

  No

  N/A

• Gang have Cat & Genny and it is within calibration?

  Yes

  No

  Not Required

• Cat calibration expiry date:

  Date

• Genny Calibration Expiry date:

  Date

• Please take photo of Calibration stickers

  Media

General Comments

• Any further comments or recommendations arising from this inspection?

• Add relevant site photos (please include SLG and overall site view)

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  Not Required

• Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

• Name of MS3 Supervisor

• Name of Site Supervisor / Foreman