Title Page
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Conducted on
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Prepared by
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Location
MEETINGS AND CONTACTS
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Safety meetings attended
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Toolbox meeting attended
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Safety conversation held with onsite worker(s)
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Hazard card completed
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Critical control observation (CCO)
GENERAL
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Job safety and health information posted
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Project and safety documents available
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Communication and emergency numbers
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Is there adequate lighting at all work areas
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Are the JSA/SWMS for the tasks onsite and is the JSA/SWMS suitable for the task or does it require review
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First aid information available
HOUSEKEEPING & FACILITIES
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Work area neat, debris picked up and free of trip hazards
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Passageways and walkways clear. Can people reach their work area safely
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Drinking water available
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Adequate toilet facilities
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Rubbish containers provided and disposed regularly
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Aisles and work areas neat and orderly
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Materials stored properly
PERSONAL PROTECTIVE EQUIPMENT
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Eye protection being used and adequate
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Head protection utilised as needed
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Gloves being used when needed
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Proper clothing being worn
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Hearing protection available and used when required
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All PPE kept in sanitary and reliable condition
FALL PROTECTION
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Guardrails protecting open - sided floors, holes/openings, scaffolds, runways, ect
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Barricades provided to protect trenches and holes and warn of other hazards
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Ladders and scaffolds properly constructed
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Ladders extended above landing and tied off
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Employees exposed to fall hazards are protected from falls
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Employees below protected from falling objects
HAND & POWER TOOLS
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Proper tools being used for the job
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Tools being maintained in a safe condition
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Mechanical guards in place
ELECTRICAL
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Electrical cords in good condition and grounded and tagged
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Cords and leads off the floor
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Overhead powerlines managed (isolated, guarded, signs)
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Have underground cables been identified and marked
EXCAVATIONS & TRENCHING
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Properly supervised by a person who has completed "competent person" training
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Proper shoring and/or slopes of excavations. Correct angle of batters
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Adequate ladders or ramps provided for exit from excavations
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Proper utility services identification and locations made
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Materials and equipment stored at least 2m from edge
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Are appropriate barricades in place
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Is excavation affecting the stability of adjacent areas or buildings
WELDING & BURNING
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Are fire bans being adhered too
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Gas cylinders stored upright, securely and in good condition
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Proper separation between fuels and oxygen
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Burning/welding/cutting goggles or shields are used
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Fire extinguishers are nearby
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Hoses are in good condition
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Do workers know what to do in the event of a fire? Training provided?
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Hot work permit in use?
CRANES
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Dogman appointed
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Crane operator and dogman established load weights and following lifting charts and has the lift been assessed by a competent person. For complsx lifts has a formal lift plan been developed
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Crane has "Crane Safe" sticker
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Crane operator and dogman competent
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Outrigger extended and swing radius barricade in place
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Load charts are available on site
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Hand signal charts are in crane
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Crane operators' logs are up to date
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Employees are kept from under suspended loads
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Tag lines are used to guide loads
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Chains and slings inspected and tagged as required
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Permits to work in use
CONCRETE & FORMWORK
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Employees are protected from cement dust
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Exposed skin is covered
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Ramps and runways are adequate
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Are rebar and stake caps in place
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Material kept away from excavation, if applicable
TRAFFIC MANAGEMENT
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Access controlled
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Vehicles parked correctly
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Traffic management plan and controls in place
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Vehicles design and specifications meet site requirement
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Vehicle log book and prestart completed
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Pedestrian areas segregated
CHEMICAL SAFETY
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Safety data sheets available
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Dangerous goods segregated and secured
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Safety wash stations available if appropriate (eye wash/showers)
RAIL SAFETY
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Personnel not working within 5m of rail line unless authorised and trained
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Is there a nominated safe place
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What test was conducted to ensure staff had sufficient warning time to react and access a place of safety for 10 seconds prior to rail traffic reaching the worksite
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Is there a lookout in place
SECURITY
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Site access controlled (fences, gates, guards, all locked)
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Personnel have correct security ID
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Sign in/out process accurate
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Security signs in place and visible
EMERGENCY MANAGEMENT
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Muster points established and sign posted
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Muster point access clear
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Site evacuation plan in place and visible (poster)
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Emergency equipment in place (first aid kits/extinguishers)
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ERT established and on site (check roster)
LADDERS/SCAFFOLDING & WORKING AT HEIGHTS
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Are ladders properly positioned
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Are the ladders in use appropriate for the tasks being carried out
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Should an EWP or scaffold be used
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Are all personnel working at heights using appropriate PPE and harnesses
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Are appropriate permits in place
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Has any scaffolding been erected by a competent person and does it have a Scaff-Safe Tag in place and up to date
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Is the work area around the working at heights barricaded
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Is there a suitable process in place to avoid falling objects
