1. Identification and induction

  • 1.0 Do all workers have USQ induction/sign in identification?

  • 1.2 Do all workers have induction white card (construction industry general induction)?

2. Working at Heights

  • 2.1 Fall risks of 2m or more? (including voids, pits, and trenches), edge protection etc?

3. Plant and Equipment

  • 3.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)

  • 3.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)

  • 3.3 Do operators have appropriate licences?

4.0 Scaffolds

  • 4.1. Does the site have scaffolding above 4m? (If yes then use full inspection report)

5. Lifting Equipment

  • 5.1. Is lifting equipment appropriate? Test and inspection? SWL displayed? Loads lifted over personnel? Head protection worn?

6. Harness and Equipment

  • 6.1. Unsafe or damaged harness or equipment? Correctly labelled? Tested?

7. Ladders

  • 7.1. Unsafe or damaged ladders? Domestic ladders? Unsafe position? Secured? Appropriate for task?

8. Hazardous Chemical (including fuel and oil)

  • 8.1. Safety Data Sheets available? Storage quantity and container appropriate?

9. Personal Protective Equipment (PPE)

  • 9.1. Lack of, or inadequate PPE (including sun protection), training, storage?

10. Electrical Hazards

  • 10.1 Unsafe electrical leads? (damaged, out of test date or untested)

  • 10.2. Lack of RCD protection?

  • 10.3. Leads placed on ground or on metal structures?

11. Administrative Procedures

  • 11.1 Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  • 11.2 Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Safety inspector's signature

  • Select date

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