Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Inspected by

  • Location

Separation

  • Are separate entries and exits provided for vehicles and pedestrians including visitors?

  • Do the entries and exits protect pedestrians from being struck by vehicles?

  • Does the layout of the workplace effectively separate pedestrians, vehicles and powered mobile plant?

  • Are systems in place to keep pedestrians and moving vehicles or plant apart like physical barriers, exclusion zones and safety zones?

Vehicle routes

  • Are the roads and pathways within the workplace suitable for the types and volumes of traffic?

  • Are loading zones clearly marked?

  • Do vehicle route designs take into account vehicle characteristics under all conditions, for example emergency braking, running out of fuel or adverse weather?

  • Are there enough parking places for vehicles and are they used?

  • Are traffic directions clearly marked and visible?

  • If one way system is provided for vehicle routes within the workplace is it properly designed, signposted and used?

  • Are vehicle routes wide enough to separate vehicles and pedestrians and for the largest vehicle using them?

  • Do vehicle routes have firm and even surfaces?

  • Are vehicle routes kept clear from obstructions and other hazards?

  • Are vehicle routes well maintained?

  • Do vehicle routes avoid sharp or blind corners?

Pedestrian routes

  • Are pedestrian walkways separated from vehicles?

  • Is there a safe pedestrian route which allows visitors to access the site office and facilities?

  • Are pedestrian walkways clearly marked?

  • Are pedestrian walkways well maintained?

Vehicle movement

  • Have drive-through, one-way systems been used to reduce the need for reversing?

  • Are non-essential workers excluded from areas where reversing occurs?

  • Are vehicles slowed to safe speeds, for example speed limiters on mobile plant or chicanes on vehicle routes?

  • Do drivers use the correct routes, drive within the speed limit and follow site rules?

Signs

  • Are there speed limit signs?

  • Are there clear warnings of powered mobile plant hazards?

  • Is there clear signage of pedestrian and powered mobile plant exclusion zones?

  • Is there enough lighting to ensure signs are visible, particularly at night?

Warning devices

  • Are flashing lights, sensors and reversing alarms installed on powered mobile plant?

Information, training and supervision

  • Do powered mobile plant operators have relevant high risk work licences?

  • Are they trained in operating the particular model of plant being used?

  • Have workers received site specific training and information on traffic hazards, speed limits, parking and loading areas?

  • Is information and instruction about safe movement around the workplace provided to visitors and external delivery drivers?

  • Is the level of supervision sufficient to check traffic movement and ensure safety of pedestrians and drivers?

Personal Protective Equipment

  • Is PPE like high visibility clothing provided and used where necessary?

Vehicle safety

  • Have vehicles and powered mobile plant been selected which are suitable for the tasks to be done?

  • Do vehicles have direct visibility or devices for improving vision like external and side mirrors and reversing sensors?

  • Are vehicles fitted with effective service and parking brakes?

  • Do vehicles and powered mobile plant have seatbelts where necessary?

  • Is there a regular maintenance program for all vehicles and powered mobile plant?

  • Is there a system for reporting faults on all vehicles and powered mobile plant?

  • Do drivers carry out basic safety checks before using vehicles?

  • Are there any other control measures that should be implemented to manage risks at your workplace?

Completion

  • Recommendations

  • Full Name and Signature of the Inspector

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