Tainui Waikato Construction Site Inspection Form 2022

• Site Name/Client Name

• Location
  Address

• Conducted on

  Date

• Inspected by

Site access clear

• Access to work areas clear and safe

  Yes

  No

  N/A

• Safety fences secure

  Yes

  No

  N/A

• Site facilities clean and hygienic

  Yes

  No

  N/A

• *Safety signage displayed clearly and up to date

  Yes

  No

  N/A

• Under ground and overhead services clearly marked

  Yes

  No

  N/A

• Work areas tidy, organised, clutter/rubbish free

  Yes

  No

  N/A

• Slip, trip and fall hazards minimised

  Yes

  No

  N/A

• Loose materials secured

  Yes

  No

  N/A

• Waste disposed of correctly

  Yes

  No

  N/A

• *Signage includes entry, exit, hazard boards, hazardous substances, PPE requirements, restricted areas, danger and warning, directional, traffic

  Yes

  No

  N/A

Personnel Onsite

• All personnel onsite have completed an Induction

  Yes

  No

  N/A

• All personnel onsite have signed in

  Yes

  No

  N/A

• *All personnel are wearing required and appropriate PPE

  Yes

  No

  N/A

• All personnel are appropriately trained, and Competency register is up to date

  Yes

  No

  N/A

• **Safety meetings held regularly

  Yes

  No

  N/A

• *PPE must be clean and hygienic, fit for purpose, current, and worn correctly

  Yes

  No

  N/A

• **Minutes of meetings sighted

  Yes

  No

  N/A

Plant, Equipment and Vehicles

• SOP/JSA/Permit to Work approved (where applicable)

  Yes

  No

  N/A

• Vehicles, equipment, and tools correct for the task and being used safely

  Yes

  No

  N/A

• Vehicles, equipment, and tools onsite all well maintained and in good condition

  Yes

  No

  N/A

• Certifications, registrations, warrants, and servicing requirements current

  Yes

  No

  N/A

• Vehicle checks completed

  Yes

  No

  N/A

• All equipment and tools visually checked before use

  Yes

  No

  N/A

• Guards in place and in good condition

  Yes

  No

  N/A

• Equipment, and tools all stored correctly when not in use

  Yes

  No

  N/A

Electrical

• Hidden cables located and marked

  Yes

  No

  N/A

• Minimum approach distances (4m) maintained from power lines

  Yes

  No

  N/A

• All electrical leads tested with current tag, and checked before use

  Yes

  No

  N/A

• Damaged leads removed from site

  Yes

  No

  N/A

• Leads not presenting trip hazard

  Yes

  No

  N/A

• RCD used when required

  Yes

  No

  N/A

Height Work

• JSA completed and approved by site management (including identification of overhead services)

  Yes

  No

  N/A

• Notifiable work reported to WorkSafe and Emergency Response Plan in place

  Yes

  No

  N/A

• Personnel trained and competent to work at height

  Yes

  No

  N/A

• Fall protection or scaffold in place

  Yes

  No

  N/A

• Scaff - Temporary and fixed scaffolding safe for use, has current tag and is regularly checked

  Yes

  No

  N/A

• Scaff - Handrails, mid railing, gates, and kick boards in place

  Yes

  No

  N/A

• Scaff - Platforms safe (min 3 planks wide secured) and kept clear of trip hazards

  Yes

  No

  N/A

• *Scaff - Ladder access adequate and well secured

  Yes

  No

  N/A

• Safety nets in place, installed by competent person, safe, tagged and regularly checked

  Yes

  No

  N/A

• Exclusion zones in place

  Yes

  No

  N/A

• Harnesses checked and serviced to legal requirements, and checked prior to use

  Yes

  No

  N/A

• *Ladders (industrial, rated to 150kg only) in good condition, secured and stays used, operator minimum of 2 steps down

  Yes

  No

  N/A

• *Extension ladders ratio against structure (4:1) and at least 1 metre past platform level

  Yes

  No

  N/A

Cranes and Lifting Equipment

• JSA/lift plan completed and approved by site management (including identification of overhead services)

  Yes

  No

  N/A

• Notifiable work reported to WorkSafe and Emergency Response Plan in place

  Yes

  No

  N/A

• Personnel trained and competent

  Yes

  No

  N/A

• Cranes, MEWP, Hiab’s set up on stable ground and prestart checks completed

  Yes

  No

  N/A

• Exclusion zones and safety observer (dogman) in place

  Yes

  No

  N/A

• Crane/sling/chain/MEWP certification current and available

  Yes

  No

  N/A

• Lifting equipment in good condition

  Yes

  No

  N/A

Excavation

• JSA and permit to dig completed and approved by site management (including identification of underground services)

  Yes

  No

  N/A

• Notifiable work reported to WorkSafe and Emergency Response Plan in place

  Yes

  No

  N/A

• Excavations shored/benched/battered

  Yes

  No

  N/A

• Loads (including soil, equipment and vehicles) held at an adequate distance from the edge

  Yes

  No

  N/A

• Excavations fenced/barriered to prevent access and falls

  Yes

  No

  N/A

• Safe access and egress routes available

  Yes

  No

  N/A

Hazardous Substances

• Inventory and Safety Data Sheets readily available

  Yes

  No

  N/A

• Substances stored and labelled correctly

  Yes

  No

  N/A

• Fuel sources and combustibles removed from hot work areas

  Yes

  No

  N/A

• Signage displayed onsite

  Yes

  No

  N/A

• Only trained operators to access

  Yes

  No

  N/A

Emergencies

• Site emergency procedures up to date and displayed

  Yes

  No

  N/A

• First aid kits and fire extinguisher available in all vehicles onsite

  Yes

  No

  N/A

• First aid kits checked, current and fully stocked

  Yes

  No

  N/A

• First aiders onsite

  Yes

  No

  N/A

• Fire extinguishers serviced and within certification date

  Yes

  No

  N/A

• Incident register and investigations up to date

  Yes

  No

  N/A

Sign-off

• Inspector:

• Signed:

  Sign