Information

  • Document No.

  • Date and Time of Inspection

  • Specify works type

  • Client Name

  • Prepared by

  • Site Number

  • GPS Location (Please allow - Automatic)
  • RTS Personnel on site

  • Are there Sub-contractor/other personnel on site

  • Name, role and employing company of sub-contractor/other personnel on site.

PRE-START

  • Was a pre-start briefing conducted, the attendance register completed and signed by all personnel on site (n/a if lone worker)

  • Is there evidence that site visitors/contractors have been inducted onto the site?

  • Were relevant permits and approvals obtained prior to works commencing (e.g. client approval, Penlink/City Link) - Take Photo

  • Was SMWS correctly reviewed and signed off before works commenced?

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SAFE WORK METHOD STATEMENTS

  • Was the correct SWMS used , reviewed and signed off by relevant personnel (including sub-contractors working under a Redflex SMWS) prior to works commencing?

  • Have appropriate control methods been listed on the SWMS and implemented?

  • Has appropriate plant been listed for the works?

  • Has appropriate warning signage (outside of any TMP) been listed for the works?

  • Has appropriate PPE been listed for the works?

  • Are works equipment been placed in a safe location on site from public, traffic, drip lines of trees and to avoid environmental damage (e.g. vehicles parked on or over flora)?

  • Have works vehicles/plant and equipment been parked/placed in a safe location taking onto account safe access, the TMP/traffic and pedestrians?

  • Tap to add comments

  • Tap to Add Photos

SUB-CONTRACTORS

  • Are any sub-contractor companies on site and under RTS control, on the RTS approved contractor list?

  • Are all sub-contractor employees on site and under RTS control suitably qualified for the tasks they are performing.

  • Have all sub-contractor employees on site and under RTS control completed the RTS Redflex safety induction (and if required PenLink/City Link or other required third party inductions) and been approved to work on RTS sites?

  • Where required (e.g. earthworks, loop/cable installation) sub-contractors have developed and implemented a SWMS that is reviewed and signed off by relevant personnel prior to works commencing?

  • Tap to add comments

  • Tap to Add Photos

TRAFFIC MANAGEMENT

  • Is any required traffic management in place ?

  • Is the implemented TMP Plan the correct one for the location, works and and time?

  • Does TMP adequately manage pedestrians access?

  • Are personnel implementing the TMP suitably qualified?

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  • Tap to Add Photos

ENVIRONMENTAL

  • All waste/rubbish generated by work taken from site at completion and appropriately disposed of?

  • Were any environmental issues and controls identified and implemented before works commenced?

  • Are catch pit/drain protection measures in place?

  • Are silt control measures in place (if required)?

  • Are controls in place to manage flooding during the works (if required)?

  • Have control measures been put in place to prevent discharge or run off from works entering storm water drains/catch pits or fresh water or marine areas?

  • Where the site is empty or idle, has the site been secured against environmental discharges (e.g. has exposed ground been stabilised)?

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PPE

  • Is the correct PPE and safety equipment being used/worn in accordance with SWMS/Safety Data Sheet Requirements by all personnel?

  • Is PPE worn/fitted correctly and are personnel able to demonstrate correct fitting/use?

  • Is PPE in good, clean, serviceable condition and in date (if applicable/e.g. Hard Hats, respirator filters)?

  • Tap to add comments/feedback

  • Tap to Add Photos

EMERGENCY EQUIPMENT AND AMENITIES

  • First aid kit is available on site?

  • First aid kit is fully stocked and no with expired items?

  • First aid training is up to date?

  • First Aider is known?

  • Fire extinguisher(s) is available, easily accessible, not being used to hang items and location known to personnel?

  • Fire extinguisher is in serviceable condition with test current label?

  • Tap to add comments/feedback

  • Tap to Add Photos

PANDEMIC/EPIDEMIC COMPLIANCE - APPLIES TO ALL VMS AND SUBCONTRACTOR EMPLOYEES ON SITE

  • Are sufficient supplies of PPE for pandemic/epidemic (hand wash/masks/gloves etc) issued/available to staff on site

  • Staff on site are healthy and do not complain of or exhibit COVID-19 or cold/flu like symptoms such as:  fever  sore throat  cough  tiredness  difficulty breathing.

  • Staff and are aware of requirement NOT to attend work if unwell (e.g. cough/runny nose), to advise their manger and not to attend work until wee/symptom free?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.