Supervisor Field Inspection

• Document No.

General Field Inspection

• Client / Site

• Conducted on

  Date

• Conducted by

• Location
  Address

• Crew members

• Have site hazards been identified, recorded on risk assessment and controls in place?

  Yes

  No

  N/A

• Is the appropriate PPE for site/ task worn correctly?

  Safe

  At Risk

  N/A

• Have underground services in work zone been identified and marked?

  Yes

  No

  N/A

• Is the scope of work clearly understood by work crew?

  Yes

  No

  N/A

• Are relevant permits in place?

  Yes

  No

  N/A

• Have all team members signed onto SWMS?

  Yes

  No

  N/A

• Do plant operators hold the appropriate licence, ticket and or VOC?

  Yes

  No

  N/A

• Is good housekeeping maintained in the work area?

  Yes

  No

  N/A

• Have plant prestart inspections been completed and returned to supervisor for review?

  Yes

  No

  N/A

• Take photo of site as evidence.

  Media

• Signature of person completing inspection

  Sign