Information
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Client / Site / Project
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Description of worksite inspected
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Inspection Date/Time
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Can work be carried out safely
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If NO, who was informed
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Details of action taken
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Inspected By
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Position
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Signature
Risk Assessment
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Is the surface clear of plant, spoil heap and materials, etc for at least 2m from the edge of the excavation
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Are spoil heaps being properly controlled and prevented from erosion run off during wet weather
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Are danger zones clear of personnel while foundation boring is being conducted
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Is the space between the trench and the spoil heap clear of pipes, bricks, stones, tools, etc.
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Is the work properly fenced off, signposted and appropriately lit
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Is the access/egress to/from/across the excavation adequate
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Are approved ladders installed at a maximum of 9m apart for access/egress
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Is the work being performed in accordance with the SWMS
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Are there controls in place to prevent exposure to and Ingres of exhaust gases from machines working in proximity
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Have all underground and overhead services been identified and outlined in the SWMS
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Are the workers excavating and shoring this trench trained and competent
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Is there any movement or deterioration of the ground that may put adjacent services, roads or services at risk
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Is there any increased risk of collapse from moving plant or vehicles near to the sides of the excavation
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Is there any blasting or heavy vibration from machinery in the area that may affect the integrity of the excavation
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Is there a possibility of ground water influx into the excavation
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Is there a possibility of ground shrinkage during hot conditions which may affect the stability of the excavation
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Are there proper sumps established to deal with an influx of water
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Has excavation support been installed in accordance with Australian Standards? Is it adequate for the job
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Are unsupported sides of the excavation safe, with no sign of peeling away
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If applicable, has the excavation support system been installed as per the temporary works design specification or as stated in the excavation permit
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Has there been sign of movement or deflation in the excavation support system since last inspection
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Are there safe systems of work in place for safe insertion and extraction of excavation support equipment
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Are stops provided for mobile plant and vehicles to prevent access within 2m from the edge of the excavation
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Is visibility adequate in trench between the spotter and excavator or drilling operator
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Is there suitable edge protection around the excavation to prevent falls from person or object
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Is the excavation being constantly assessed for the possibility of becoming a confined space