Venture Developments

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Scaffolding

• Is scaffolding being used on site?

  Yes

  No

• Safe tags in place?

  Yes

  No

  N/A

• Decking in place?

  Yes

  No

  N/A

• Hand rails/Fencing in place?

  Yes

  No

  N/A

• Access ladders and trap doors installed and used/ closed correctly?

  Yes

  No

  N/A

• Kick Boards in place?

  Yes

  No

  N/A

• Ties/Bracing in-place correctly?

  Yes

  No

  N/A

• Foundations in place correctly?

  Yes

  No

  N/A

• Is the edge protection compliant

  Yes

  No

  N/A

Site Cleanliness

• Are walk ways clear of material

  Yes

  No

  N/A

• Is material stacked in a tidy and safe manner?

  Yes

  No

  N/A

• Has excess material been cleared?

  Yes

  No

  N/A

If any of the following areas are not being managed appropriately then work at the site should be halted until the area (s) of concern are addressed.

• Plant and equipment

  Safe

  At Risk

  N/A

• Residents, public and pedestrian safety

  Yes

  No

  N/A

Agreement

• Required corrective actions

  Yes

  No

• Agreed date for completion of corrective actions.

  Date

• Signature assessor

  Sign

• Company

• Select date

  Date