Site Visit Report

• Document No.

• Contractor Name:

• Site Name:

• Date of Inspection

  Date

• Report prepared by:

• Location:
  Address

• Number of employees on site currently?

• Supervisors visible on site?

  Yes

  No

  N/A

• All employees wearing correct PPE?

  Yes

  No

  N/A

• PPE not damaged, worn and teared?

  Yes

  No

  N/A

• All tools checked before use, and proof on file?

  Yes

  No

  N/A

• Ladders checked before use?

• Are ladders used on site?

  Off

  On

• One employee holding ladder whilst another is working from a ladder?

• Are employees working at a height wearing their harness?

• Harnesses checked prior before use and proof on file?

• Are scaffolds used on this site?

  Yes

  No

  N/A

• Scaffolds erected are safe and tags verifying safe for work?

Incidents

• LTI's

• Medical Treatments

• First Aid cases

• Near miss

• Property damages

• Vehicle accident

Planned Task Observations

• How many PTO's was done for the week?

• Are Supervisors doing the PTO's?

Toolbox Talks

• Toolbox talk done for the week? Topic and date?

General Comments:

Photo's and Deviations

• Photo's

  Media

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• Calla Schutzler Assist Safety Consultants 083 4511 841 Wellness Corporate Park Hartbeespoortdam

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