SRS - SITE SAFETY INSPECTION REPORT

• Project name / job number:

• Client / Site:

• Site address:
  Address

• Team Leader / CR 8(1):

• Conducted on:

  Date

• Audit performed by:

SITE SAFETY FILE COMPLIANCE

• Notification of construction work sent to DoL and copy thereof kept within file?

  YES

  NO

• Proof of company registrations and updated letter of good standing in file?

  YES

  NO

• Proof of public liability insurance in file:

  YES

  NO

• All company policies communicated to employees and proof thereof kept in file?

  YES

  NO

• Client health and safety specification provided and copy thereof kept in file?

  YES

  NO

• Client 37.2 mandatory agreement provided, signed and copy thereof kept in file?

  YES

  NO

• Letter of contractor appointment provided by client and copy thereof kept in file?

  YES

  NO

• Site specific safety plan communicated to all company employees on work site and proof thereof kept in file?

  YES

  NO

• Site specific fall protection plan communicated to all company employees on work site and proof thereof kept in file?

  YES

  NO

• Fall protection plan reviewed and updated regularly according to performed scope of works on work site?

  YES

  NO

• All work site designations and appointment letters signed by appointees and management and copies thereof kept in file?

  YES

  NO

• All inspection registers and checklist required for work site are updated by designated employees?

  YES

  NO

• Site specific risk assessments communicated to all company employees and proof thereof kept in file?

  YES

  NO

• Safe work method statements and / or safe work procedures in line with site specific risk assessments are communicated to company employees and proof thereof kept in file?

  YES

  NO

• Incident / accident register completed and updated with required documentation after an incident / accident has occurred on work site?

  YES

  NO

• Copies of identity books and occupational medicals of all company employees on work site kept in file?

  YES

  NO

• Copies of required competency certificates of all company employees on work site kept in file?

  YES

  NO

• Copies of health and safety meeting minutes performed on work site kept in file?

  YES

  NO

• Toolbox talks communicated to company employees on work site and proof thereof kept in file?

  YES

  NO

• Copy of OHS Act 85 of 1993 and applicable Regulations kept in file?

  YES

  NO

DAILY SITE ADMINISTRATION

• DSTI's completed and communicated to company employees before the start of working shift?

  YES

  NO

• Work permit provided by client and communicated to all company employees?

  Yes

  No

  N/A

• Hot work permit provided by client / company management and communicated to all company employees?

  Yes

  No

  N/A

• Site attendance / visitor register provided by company updated regularly when required?

  Yes

  No

  N/A

WORK SITE AREA / CONDITION

• Are all access / walkways on site clear of all hazardous and waste materials?

  Safe

  At Risk

  N/A

• Are roofing / cladding sheets stacked safely on ground and barricaded with a suitable safety barrier for work site?

  Yes

  No

  N/A

• Are hazardous chemicals properly stored on work site according to product MSDS?

  Yes

  No

  N/A

• Is there warning and information signage posted around work site according to company's scope of works' on site?

  Yes

  No

  N/A

• Where hot works are performed on site are fire extinguishers present and serviceable for use?

  Yes

  No

  N/A

• Is there a fully stocked first aid box provided by company available on site and near access points / work area?

  Yes

  No

  N/A

• Is there a serviceable toilet and ablution area provided for company employees to use during their working shift?

  Yes

  No

  N/A

• Is housekeeping practices performed regularly and old materials disposed of in provided waste bins / skips?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT - PPE

• Are coveralls / safety clothing provided by company properly worn and in good condition?

  YES

  NO

• Are hard hats with chin straps properly worn on work site?

  YES

  NO

• Are safety glasses properly utilized as required?

  Yes

  No

  N/A

• Are suitable safety gloves properly worn and in good condition for specific works on site?

  YES

  NO

• Are safety boots worn by all company employees on work site and in good condition?

  YES

  NO

• Are air respirators / dust mask properly utilized according to asbestos work / product MSDS?

  Yes

  No

  N/A

• Is hearing protection utilized where excessive noise is present on work site?

  Yes

  No

  N/A

• Are reflective bibs / jackets worn according to work site requirements and in good condition?

  Yes

  No

  N/A

• Are safety harnesses provided by company in a serviceable condition for scope of works on site?

  YES

  NO

ELECTRICAL EQUIPMENT AND HAND TOOLS

• Is all angle grinders utilised on site fitted with the necessary machine guarding?

  Yes

  No

  N/A

• Is all portable electric hand drills utilized for work on site safe?

  Yes

  No

  N/A

• Is all extension leads and plugs utilized for work on site safe?

  Yes

  No

  N/A

• Are all hand tools utilized on work site rated safe and suitable for task conducted?

  Yes

  No

  N/A

LADDERS

• All ladders utilized on work site complies to SANS1304 and serviceable condition?

  Yes

  No

  N/A

• Extension ladders used for access to work area / rooftop are properly secured to building structure?

  Yes

  No

  N/A

• Access ladder extended with a minimum of 4 rungs above eave landing?

  Yes

  No

  N/A

• Ladders are placed on a level surface, away from public access ways, doors and high traffic areas?

  Yes

  No

  N/A

• Ladders are properly stored on work site when not used?

  Yes

  No

  N/A

SCAFFOLDING

• Was the scaffold erected and inspected by competent employees - scaffold tag?

  Yes

  No

  N/A

• Scaffolding on work site complies to SANS10085 requirements?

  Yes

  No

  N/A

• Scaffolding inspected according to legislative requirements and findings recorded on the provided inspection registers in site file?

  Yes

  No

  N/A

• Are safety harnesses worn by scaffold users correctly secured to self identified points?

  Yes

  No

  N/A

MOBILE ELEVATING WORK PLATFORM - MEWP (Cherry Pickers, Scissor Lifts)

• Are MEWP operators competent and carry License To Operate card / competency with them?

  Yes

  No

  N/A

• Updated logbook and service history available for each MEWP on work site?

  Yes

  No

  N/A

• Is the MEWP inspected before use with the provided pre use inspection checklist by the competent MEWP operator?

  Yes

  No

  N/A

• Is there a suitable safety barrier erected around MEWP work area with warning signage displayed?

  Yes

  No

  N/A

• Are employee safety harnesses connected to identified anchor points within MEWP basket?

  Yes

  No

  N/A

• Is the cage floor within MEWP basket clear of any tripping materials?

  Yes

  No

  N/A

• Portable tools are correctly secured in a suitable container when not in use during MEWP operations.

  Yes

  No

  N/A

• Is the MEWP operator complying to MEWP safe working procedures on work site?

  Yes

  No

  N/A

• Are MEWP lock out procedures executed at the end of each working shift?

  Yes

  No

  N/A

FALL ARREST / PREVENTION EQUIPMENT AND LIFELINE SYSTEMS

• Safety harnesses worn by company employees comply to SANS50361?

  Yes

  No

  N/A

• Safety harnesses correctly worn by company employees?

  Yes

  No

  N/A

• Safety harnesses are connected to installed fall arrest / lifeline systems where a fall risk can occur?

  Yes

  No

  N/A

• Are safety harnesses correctly stored when not in use?

  Yes

  No

  N/A

• Is the correct static rope (kernmantle 11mm) or steel wire rope utilized as temporary lifelines on work site?

  Yes

  No

  N/A

• Ropes utilized for lifelines in a good / serviceable condition?

  Yes

  No

  N/A

• Are steel wire rope anchors properly secured to building structure for lifeline / fall arrest systems?

  Yes

  No

  N/A

• All steel wire rope anchors in a good / serviceable condition?

  Yes

  No

  N/A

• Are karabiners utilized for anchor points and lifeline systems in a good / serviceable condition?

  Yes

  No

  N/A

• Is lifeline / fall arrest systems properly stored on work site when not in use?

  Yes

  No

  N/A

ASBESTOS WORK

• Asbestos work plan, compiled by a registered AIA, communicated to all work site employees with proof thereof in site safety file?

  Yes

  No

  N/A

• Company employees trained in asbestos awareness with proof thereof in site safety file?

  Yes

  No

  N/A

• Asbestos work signage and safety barriers erected around asbestos work areas and exclusion zones on work site?

  Yes

  No

  N/A

• Abestos waste skips positioned near exclusion zones / lowering points on work site?

  Yes

  No

  N/A

• Asbestos waste materials and cement sheets secured and covered with micron plastic as indicated on site asbestos work plan?

  Yes

  No

  N/A

• Is PPE for asbestos work worn by company employees during asbestos work?

  Yes

  No

  N/A

• Worn PPE used by company employees for asbestos work is disposed of according to asbestos work plan?

  Yes

  No

  N/A

• Is suitable decontamination units / areas provided for company employees engaged in asbestos work on site?

  Yes

  No

  N/A

• Are suitable walk boards provided and utilized on asbestos roofing?

  Yes

  No

  N/A

• Walk boards on work site in a good / serviceable condition?

  Yes

  No

  N/A

AUDITOR FINDINGS AND RECOMMENDATIONS

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  Media

• Auditor signature:

  Sign