Information

  • Document No.

  • Project name

  • DIS job number

  • Conducted on

  • Client

  • Contractor

  • Personnel

  • Staff

  • Personnel

  • Personnel

  • New Personnel (full name + CSCS + NRSWA)

  • Location
  • Prepared by

  • DIS Supervisor

Site appearance

  • Is the site safe?

  • Is Traffic Management required?

  • TM Provider

  • Is Chapter 8 required?

  • Are signs correct<br><br><br>

  • Are signs secure / sandbagged?

  • Are signs / Cones Clean & Visible?

  • Are Barriers Correct / Secure?

  • Are DRAGON INFO boards in place?

  • Are Pedestrian routes clearly identified?

  • Are Pedestrian routes minimum width? (1m)

  • Are the pedestrian routes clear from obstructions?

  • Are Provisions in place for Disabled / Wheelchairs / Mobility? (Ramps)

  • Is the site clean and tidy?

  • Add media

  • Temporary Traffic Lights?

  • TM Provider

  • PTL control

  • Is traffic flowing correctly? Settings correct?

Materials

  • Are all materials as per Design/DNO spec?

  • Are all materials stored correctly?

  • Have materials been checked with delivery note?

Other Information

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.