Site Safety Visit Report

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Paperwork Completed

• Daily Team Briefs

  Yes

  No

  N/A

• RAMS

  Yes

  No

  N/A

Permits

• Breaking Ground - Photos Taken

  Yes

  No

  N/A

• Confined Space

  Yes

  No

  N/A

• Disk Cutter

  Yes

  No

  N/A

• Overheads

  Yes

  No

  N/A

Site Set Up

• Access and Egress

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Welfare Facilities

  Yes

  No

  N/A

• Bucket Change Area Established

  Yes

  No

  N/A

Plant

• Plant Clean and Tidy

  Yes

  No

  N/A

• Plant Operator Trained

  Yes

  No

  N/A

• Plant Pre-Check Complete

  Yes

  No

  N/A

• Dumper Weekly Briefing Completed

  Yes

  No

  N/A

Traffic Management

• Walkways Maintained

  Yes

  No

  N/A

• Shed Segregation

  Yes

  No

  N/A

• Traffic Management Plan Displayed

  Yes

  No

  N/A

Equipment

• HAV Tags in Use

  Yes

  No

  N/A

• Safety Features Used

  Yes

  No

  N/A

• Items Calibrated

  Yes

  No

  N/A

• Operatives Trained

  Yes

  No

  N/A

Work Hazards

• Confined Space Work

  Yes

  No

  N/A

• Working at Height Edge Protection

  Yes

  No

  N/A

• Manual Handling

  Yes

  No

  N/A

Lifting Operations

• LOLER Inspections

  Yes

  No

  N/A

• Accessories Tagged

  Yes

  No

  N/A

• Accessories Storage

  Yes

  No

  N/A

• Lift Plan Completed

  Yes

  No

  N/A

Services

• Buried Services Identified

  Yes

  No

  N/A

• Overhead Services Identified

  Yes

  No

  N/A

• Service Drawings

  Yes

  No

  N/A

• Hand Dig Practice

  Yes

  No

  N/A

Excavation Safety

• Excavation Adequately Supported

  Yes

  No

  N/A

• Safe Access/Egress

  Yes

  No

  N/A

• Materials Kept Clear of Excavation

  Yes

  No

  N/A

• Barriers in Place

  Yes

  No

  N/A

Storage Area

• Good Access

  Yes

  No

  N/A

• Materials Storage

  Yes

  No

  N/A

• Material Segregation

  Yes

  No

  N/A

• Stock Piles

  Yes

  No

  N/A

Hazardous Substances

• Fuel/AdBlue/Chemical Storage

  Yes

  No

  N/A

• Drip Trays

  Yes

  No

  N/A

• Cement Washout Area

  Yes

  No

  N/A

PPE

• Correct PPE Worn

  Yes

  No

  N/A

• Condition of PPE

  Yes

  No

  N/A

Water

• Surface Water Drains Protected

  Yes

  No

  N/A

• Watercourses Protected

  Yes

  No

  N/A

Ecology

• Tree Protection

  Yes

  No

  N/A

• Species Identified

  Yes

  No

  N/A

• Invasive Species

  Yes

  No

  N/A

Statutory Nuisance

• Noise Creation Controlled

  Yes

  No

  N/A

• Dust Creation Controlled

  Yes

  No

  N/A

• Odour Creation Controlled

  Yes

  No

  N/A

Exceptional Works

• Exceptional Works

Occupational Wellbeing

• Positive Site Morale

  Yes

  No

  N/A

• Site Supervisor Mental Health First Aid Trained

  Yes

  No

  N/A

• Are Wellbeing Concerns Being Raised

  Yes

  No

  N/A