Information

  • Document No.

  • Project

  • Contractor

  • Visit Date

  • Inspection By

  • Report Date

Housekeeping & Sanitation

  • Work area's suitable, neat and tidy

  • Passages & walkways clear

  • Lunchroom clean

  • Toilets clean & serviced

  • Adequate & secure water supply

  • Waste bins on site and covered

Excavation

  • Excavation sides suitable

  • Poles / structures / roads suitable

  • Barriers & signage in place

  • Loads / spoil safe distance from excav.

  • Access to excavation suitable

  • JSA for excavation work developed & used

Barricades

  • Holes / openings covered & marked

  • Roads / footpaths protected

Ladders

  • Ladders in good condition

  • Ladders installed correctly

  • Metal ladders not used near electricity

Scaffolding

  • Qualified scaffolder required & used

  • Scaffold solid, braced, landing - ok.

  • Kickboards in place

  • Scaff-tags in place

Traffic Management & Public Safety

  • Traffic management plan current & on site

  • Competent traffic management personnel

  • Daily diaries on site & current

  • Fencing / signs for public in place

  • Lights / warning signage in place

Mobile Plant, Cranes and Lifting Equipment

  • Mobile plant checklists completed

  • Slings, chains, hooks & eyes tagged

  • Warning devices operative

  • Safe use around powerlines

  • Lifting plant used safely

  • Signals understood & observed

  • Quick hitch pin in use

  • JSA for plant / cranage developed & used

Minor Plant

  • Machines maintained & suitable for task

  • Operator competent & safe

Flammable Gases & Liquids

  • Correct storage

  • Containers clearly identified

Hazardous Substances

  • Material safety data sheets on site

  • Containers labelled & in good condition

  • Substances stored safely

Fire Prevention

  • Fire extinguishers serviced

  • Fuel safety stored

Compressed Air

  • Equipment in good condition

  • Equipment safely used

Motor Vehicles

  • Qualified operators

  • Vehicles in safe condition

OSH Induction

  • Workers inducted

  • Visitors inducted

  • Visitors blue card details recorded

Metal / Plastic Welding & Cutting

  • Hoses / equipment in good condition

  • Fire extinguishers nearby

  • Flammable materials protected

  • Gas cyclinders chained upright

  • JSA / permit for hot works implemented

Personal & Protective Equipment (PPE)

  • Task specific PPE appropriate & in use

  • PPE available on site

  • PPE properly used

  • PPE in good condition

Power Tools

  • Tools in good condition

  • Tools appropriate for use

  • Mechanical guards fitted

  • Electrical test tag current and fixed

  • Electrical circuit breakers in use

  • Extension cords in good condition

Non Powered Tools

  • Tools in good condition

  • Tools appropriate for use

Explosive Power Tools

  • Competent instruction & supervision

Electrical Installation

  • Electrical work by licensed Electrician

  • Wiring & connections insulated

  • O/H wiring supported and protected

  • U/G wiring buried and protected

Emergency Procedures

  • Adequate first aid facilities

  • Emergency contacts displayed

  • Emergency / rescue plans availabel on site

Other

  • Improvements & Action Required from the Contractor

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.