Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Site Safety Inspection
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Number of personnel on site
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Team Leader
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Mate 1
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Mate 2
Qualifications
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Are operatives qualifications available on site?
NRSWA
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NRSWA qualified operative on site?
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Name of NRSWA qualified operative
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Is chapter 8 signing, lighting and guarding compliant and complete?
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Is the entire site guarded correctly?
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Are pedestrian walkways in place where required?
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Are temporary traffic signals in use?
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Traffic management operative on site?
PPE
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Are all operatives wearing the correct PPE?
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Is the PPE in good condition and fit for purpose?
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Are all operatives wearing PAM's correctly?
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Breathing apparatus out and ready for use?
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Are hoses, mask and filters in good condition?
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Is blower within test date, plugged in and filter clean?
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Fire suits available?
Emergency equipment (first aid / fire)
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Are there sufficient trained first aiders on site?
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First aid kits available and the contents in date?
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Eyewash available at the welfare and on site?
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Sufficient fire extinguishers available for use? Welfare and on site
Welfare
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Has a welfare unit been provided?
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Is it sufficient for the number of personnel on site?
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Is the interior clean and not used for storage?
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Does the unit power up with no issues?
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Is hot water available in both the welfare and toilet sections?
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Is drinking water clearly marked?
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Is the unit sufficiently barriered off using Heras fencing?
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Is the unit sufficiently segregated from storage and materials areas?
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Have all visitors to site been inducted and signed the site register?
Vehicle
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Are vehicles parked so as not to cause an obstruction?
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Are front and rear sections tidy and free from trip hazards?
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Have vehicle checks been carried out?
Excavations
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Are CAT4 and Genny available for use and in date?
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Is there evidence that services have been located and marked up?
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Are they also marked in the sides of excavations?
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Have all excavations been barriered off?
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Have deep excavations been identified and a risk assessment completed?
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Has a permit to work been issued for deep excavations?
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Have conditions of the permit been met?
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Are support systems sufficient and is there safe access and egress to the excavation?
Equipment
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Is all equipment stored safely and within the barriers?
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All items requiring calibration within test date?
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All items requiring PAT tests within test date?
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Are all items of equipment in good visual order?
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Have the team completed monthly plant checks?
Risk assessment
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Have risk assessments been completed and reviewed daily?
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Do risk assessments identify all hazards associated with the work?
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Have the findings of the risk assessments been briefed to all operatives and visitors to site?
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Are there any issues that have not been identified by the risk assessments that require action?
Environmental
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Are fuels, oils and chemicals stored correctly?
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Are they contained with a bund to catch any leakage?
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Is a spill kit available?
Items identified for improvement
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List items for improvement
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List actions required and by whom