Title Page

  • Conducted on

  • Prepared by

  • Nature of the works

  • Location
  • Client / Principal contractor

Behaviour. When you arrive on site, what do you see?

  • People adjusting PPE

  • People changing their position

  • Supervisors stopping the job

  • People altering machinery / equipment

Work Environment - Are people at risk of:

  • Striking against objects

  • Being caught between objects

  • Exposure to extreme temperatures

  • Exposure to hazardous substances

  • Being struck by objects including vehicles and plant

  • Falling from heights / slipping, tripping

  • Contact with electricity

  • Injury due to lifting, pushing or pulling

procedures and housekeeping

  • Are procedures clear

  • Is the work area tidy

  • Are materials stored suitably

  • Are safety critical staff clearly identifiable

  • Are there first aid provisions

  • Are procedures being followed

  • Do methodologies and SSOW cover the work undertaken

  • Is suitable waste management in place

  • Are instructions clearly given

  • Do staff have the relevant Competencies for the task

  • Are staff up to date on the latest toolbox talks / safety briefings

Tools and equipment - Do you see:

  • Wrong tools being used

  • Exposure to vibrating equipment

  • Adequate lighting for the task

  • People working too close to plant

  • Damaged tools in use

  • People exposed to excessive noise

  • Spill kits available

  • Calibrated tools and equipment within test due date

Continued

Personal Protective Equipment

  • Being Worn

  • Suitable for the task

  • In good condition

  • Is a contingency supply available

  • If staff wear contacts do they carry spectacles in case of emergency

  • Is task specific PPE required. If so, please specifiy

Site welfare facilities

  • Adequate

  • Clean condition

  • Clean soap and water available

  • Are facilities close enough for the site staff

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.