SITE SAFETY OBSERVATION RECORD

• Conducted on

  Date

• Prepared by

• Location
  Address

Project

• Project Description

• Principal Contractor

• Date

  Date

• Contractor Representative Name

• Position

  Yes

  No

  N/A

• Signature

  Sign

WORK ENVIRONMENT/CONDITONS

• Environmental Controls

  Safe

  At Risk

  N/A

• Housekeeping, layout & amenities and emergency plan

  Safe

  At Risk

  N/A

• Fall prevention

  Safe

  At Risk

  N/A

• Traffic Control & signage

  Safe

  At Risk

  N/A

SYSTEMS/STANDARDS/PROCEDURES

• SWMS available

  Safe

  At Risk

  N/A

• Work permits

  Safe

  At Risk

  N/A

PEOPLE/BEHAVIOUR

POSITIONS

• Yes

  No

  N/A

• In. on or between

  Safe

  At Risk

  N/A

• In the line of fire

  Safe

  At Risk

  N/A

ACTIONS

• Yes

  No

  N/A

• Exerting or rushing

  Safe

  At Risk

  N/A

• Ascending or descending

  Safe

  At Risk

  N/A

• Loading, lifting, handling

  Safe

  At Risk

  N/A

• Working at heights

  Safe

  At Risk

  N/A

• Communication

  Safe

  At Risk

  N/A

PROTECTION

• Use of PPE

  Safe

  At Risk

  N/A

• Electrical Hazards

  Safe

  At Risk

  N/A

• Hazardous Substances

  Safe

  At Risk

  N/A

• Vehicles

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

TOOLS/EQUIPMENT/MACHINERY

• Tools and Equipment

  Safe

  At Risk

  N/A

• Vehicles

  Safe

  At Risk

  N/A

ASSESSMENT NOTES - Notes for each section when completing the assessment

• Future Actions should be documented in a Site Instruction and issued to the Principal Contractor by the Authorised Person

• WORK ENVIRONMENT/CONDITONS

• HOUSEKEEPING, LAYOUT & AMENITIES AND EMERGENCY PLAN - Is site well-maintained with clear paths/access, electric leads off the ground, no trip hazards, good waste management, clean amenities and accessible emergency plan

• FALL PREVENTION - Are there controls in place to prevent the risk of falls: (e.g. physical barriers to prevent falls from height or into excavations)

• TRAFFIC CONTROL & SIGNAGE - Are appropriate barricades, signage, traffic control and warning systems in place)

• ENVIRONMENTAL CONTROLS - Are erosion and sediment controls in place, dust levels controls, spill kits available?

• SYSTEMS/STANDARDS/PROCEDURES

• SWMS AVAILABLE - Are SWMS recorded in a Register? Are SWMS available and signed by site workers? (i.e., ask to see one SWMS of a subcontractor on site)

• WORK PERMITS - Are the correct work permits in place? (e.g. working at heights, confined spaces, electrical, hot work, excavation)

• PEOPLE/BEHAVIOUR

• CAUGHT IN, ON OR BETWEEN - Are workers positioned between machinery or have the potential to be caught up, or in- between?

• IN THE LINE OF FIRE - Are workers in the way of moving plant, working under lifting operations or below other site workers?

• ACTIONS

• EXERTING OR RUSHING - Are workers running, rushing or using unnecessary force?

• ASCENDING OR DESCENDING - Are workers operating vehicles, mobile plant maintaining three (3) points of contact when moving in and out of the vehicle / plant?

• WORKING AT HEIGHTS - Are workers working at height protected from falls from height?

• LOADING LIFTING, HANDLING OBJECTS - Are workers lifting, carrying, pushing or restraining loads correctly?

• COMMUNICATION - Are site managers / supervisors communicating with site workers and subcontractors workers? (e.g. Ask site worker about, Toolbox talks, pre-starts, SWMS, site induction)

• PROTECTION

• USE OF PPE -Are workers wearing required PPE? (e.g. minimum PPE: safety boots, helmets, vest, and other PPE necessary of the work activity, such as, eye protection and hearing protection, gloves

• PROTECTION AGAINST ELECTRICAL HAZARDS - Are workers protected against electrical hazards? (e.g. no live work, switchboards protected by RCD’s & circuit breakers, electrical items with current inspection and test tags)

• PROTECTION AGAINST HAZARDOUS SUBSTANCES - Are workers protected against exposure to hazardous substances? ( e.g. breathing in, skin absorption, splash in eye / mouth)

• PROTECTION AGAINST OTHER ENERGY SOURCES - Are workers protected against other sources of energy? ( heat, UV, cold),

• USE OF TOOLS, EQUIPMENT AND MACHINERY

• USE OF TOOLS AND EQUIPMENT - Are workers using tools & equipment appropriately? (e.g. right tool for the job)

• OPERATING MACHINERY - Are workers operating vehicles & machinery appropriately? (.e.g., driving speed, operating to condition, flashing lights, reversing alarms)