Site Visit Report - Earthworks

• 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

Excavations

• All excavations deeper than 1.5m sloped or battered to avoid soil collapse?

  Yes

  No

  N/A

• Barricading correct and in the upright position?

  Yes

  No

  N/A

• Ladders checked before use if and when used in excavations for access?

Incidents

• LTI's

• Medical Treatments

• First Aid cases

• Near miss

• Property damages

• Vehicle accident

Mobile Plant

• Are all rotating lights working on mobile plant?

  Yes

  No

  N/A

• All plant have reverse hooters fitted and all in a working condition?

  Yes

  No

  N/A

• Are operators wearing seatbelts whilst operating mobile machines?

  Yes

  No

  N/A

Planned Task Observations

• On a random check, has the pre-shift checklist been completed for the machine before operation?

  Yes

  No

  N/A

• 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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