TASK OBSERVATION FORM

• Site conducted

  Select

• Conducted on

  Date

• Contractor

• Stockland Representative

• Name of SWMS

Items to be inspected

• Yes

  No

  N/A

• Have all the contractor’s employees been inducted, with induction evidence available?

  Yes

  No

  N/A

• Is the contractor Cm3 Pre-qualified (as applicable)?

  Yes

  No

  N/A

• Is a site & task specific Safe Work Method Statement (SWMS) available for the work being undertaken?

  Yes

  No

  N/A

• Are licencing requirements outlined in the SWMS?

  Yes

  No

  N/A

• Licences (e.g. electrical, building, plumbing)

• Permits (e.g. hot work, heights, confined space)

• Have the risk controls outlined in the SWMS and permits been implemented?

  Yes

  No

  N/A

• Is PPE as specified in the contractor’s SWMS being worn?

  Yes

  No

  N/A

• Are barricading and signage outlined in the SWMS installed where necessary to provide an exclusion zone to the public?

  Yes

  No

  N/A

• Are relevant Safety Data Sheets (SDSs) outlined in the SWMS, available for all chemicals used and/or stored on site by the contractor and within five years from the date of issue?

  Yes

  No

  N/A

• Have the workers maintained good housekeeping standards and ensured walkways/paths clear of equipment & leads?

  Yes

  No

  N/A

• Have the workers left the workplace & surrounding areas clean & secure for staff & customers/residents upon completion of works?

  Yes

  No

  N/A

Checklist Completed

• Completed by

  Sign

• Select date

  Date