• Activity / Inspection of:

  • Address

  • Conducted on

  • Manager/supervisor of the Site

  • Department Manager

  • Inspected by:

  • Signature of inspector

  • Document No.

Risk assessments

  • Is there evidence of RA or SSOW for the activity being carried out?

  • Does the RA cover the hazards observed?

Site / Area Supervision

  • Is there suitable site supervision?

Access and Egress provisions

  • Is there a safe way to access and egress the site?

  • Are there security restrictions in place to prevent unauthorised access?

Emergency Arrangements

  • Are emergency arrangements communicated to staff on site?<br>

First Aid

  • Are first aid supplies available for staff in case of a first aid emergency?

Welfare Facilities

  • Is there access to or arrangements in place to facilitate access to toilet and wash room facilities?


  • Is the site/area/compound kept in a reasonably tidy state?

Working at Height

  • Is there any working at height?

  • Is there a RA for working at height?

  • Have appropriate control measures been implemented for the work at height?


  • Is there any working at height?

  • Are there valid scaffold inspection tags displayed?


  • Is there any excavation activity?

  • Is there a SSOW?

  • Is there a CAT & Genny for locating buried services?

  • Is there shoring of trenches?


  • Are plant/tools/machinery in good working order?

  • Is there evidence of inspection and maintenance?


  • Are chemicals or other hazardous substances being used?

  • Are COSHH assessments available?

Manual Handling

  • Are operatives trained in MH?

  • Are safe lifting techniques being carried out?


  • Are operatives trained to carry out the work activity?


  • Is PPE required for the activity?

  • Is PPE being utilised if required?

  • Are operatives using PPE as directed?

Working Practices of Staff

  • Has any poor working practice been observed?

  • Site supervisor signature

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.