Team Leader - Pre Start Site Assessment

• Team leader name

• Who is responsible for the health and safety on site

• Date Conducted on

  Date
• Site Location
  Address

• Contact details

SITE CONTROL

• Have all hazards been identified and on hazard boards

  Yes

  No

  N/A

• Is all site signage displayed and legible

  Yes

  No

  N/A

• Safety notice board is current

  Yes

  No

  N/A

SITE FACILITIES

• Toilets available

  Yes

  No

  N/A

• Eating and drinking facilities available

  Yes

  No

  N/A

ACCESS WAY

• Identified the restricted access areas on the site/barriers

  Yes

  No

  N/A

• General site tidiness and access ways are clear

  Yes

  No

  N/A

• Fencing and gates secure

  Yes

  No

  N/A

• Public access/protection

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• The required safety equipment for the job

  Yes

  No

  N/A

• Correct footwear being worn

  Yes

  No

  N/A

• Glasses, ear muffs, masks, vests are being worn

  Yes

  No

  N/A

ENVIRONMENT HAZARDS

• Hazardous materials

  Yes

  No

  N/A

• Chemicals

  Yes

  No

  N/A

• Traffic/heavy vehicles

  Yes

  No

  N/A

• Machinery and power tools

  Yes

  No

  N/A

• Mobile plant

  Yes

  No

  N/A

• Working at heights

  Yes

  No

  N/A

• Cranes/hoists/lifting equipment operations

  Yes

  No

  N/A

• Trenches/ confined Space

  Yes

  No

  N/A

• Excavation works

  Yes

  No

  N/A

• Electrical equipment

  Yes

  No

  N/A

• Fall hazards

  Yes

  No

  N/A

EMERGENCIES

• Fire Extinguishers are available

  Yes

  No

  N/A

• First Aid supplies available

  Yes

  No

  N/A

• Evacuation Procedure current and available

  Yes

  No

  N/A

• Assembly area is identified

  Yes

  No

  N/A

INCIDENTS AND INJURIES

• Incident reporting forms available

  Yes

  No

  N/A

INDUCTIONS

• Safety inductions for all workers on site completed

  Yes

  No

  N/A

• Team Leader signature

  Sign