Title Page

  • Project

  • Location
  • Inspection Date

  • Inspected By

  • Activity / Task

  • Workers / Subcontractors inspected

  • Signature

  • Job / Ticket Number

Safety 1. General


  • Field Workforce Information Pack is readily accessible on site and up to date with information (E.g. alerts)?

  • Have risk assessments been completed (SHEWMS, Pre-start JSEA, Start Card, etc) and are they available on site?

  • Have all workers signed on to the SHEWMS, Pre-start JSEA and been inducted to site?

  • Are workers wearing the appropriate personal protective equipment (PPE) as specified by the SHEWMS?

  • Specialist PPE is being used appropriately and according to hazardous task and SHEWMS (I.e. exposure to asbestos, fall arrest equipment)?

  • Is PPE fit-for-purpose and in good condition?

  • Are all workers trained on how to use the PPE?

  • Are materials in vehicles stored adequately?

  • Are site and/or pathways clear of slip / trip hazards?

  • Are warning signs displayed on the worksite where required (E.g. construction site signage, PPE requirements, after hour emergency contact, etc.)?

Safety 2. Hazardous Substances

Hazardous Substances

  • Is storage for hazardous substances secure and in accordance with the appropriate Safety Data Sheets (SDS)?

  • Is there a hazardous substance register on-site and does this reflect the substances being used and stored?

  • Is the hard copy SDS available and readily accessible on-site for each substance in use?

  • Are all containers labelled clearly?

  • Are storage containers adequately ventilated?

  • Are gas bottles stored upright and secured?

Safety 3. Induction Training / Certificates

Induction Training / Certificates

  • Have all persons on-site undertaken the appropriate induction training?

  • Are all workers carrying induction cards?

  • Are personnel appropriately licensed / certified to undertake work where applicable? (E.g. excavators, riggers, crane drivers, etc.)

Safety 4. Electrical Works / Equipment

Electrical Works / Equipment

  • No live work is being completed (or if there is live work it has been approved in writing by a General Manager)?

  • Electrical work is only being completed by certified and competent personnel?

  • A test for positive isolation is being completed where required?

  • Isolation tags along with both master and individual locks are provided and used for all electrical isolations?

  • Isolations permits have been completed and signed by all workers?

  • Electrical leads are kept off ground surface and are supported on portable stands

  • Are electrical plant, tools, equipment and electrical cords inspected, in good condition, tagged and within test dates, including Residual Current Devices (RCDs)?

  • Is there a completed register for electrical equipment?

  • Portable Generators on site are fully serviceable and properly maintained?

  • Are temporary supply switchboards locked, secured and each supply output clearly marked?

  • Earth Leakage Protection (ELP) is fitted to all tools and equipment?

Safety 5. Tools


  • Are tools / plant being used in a safe manner with the required guarding on-site?

  • Is there a completed register for plant and equipment?

  • Are tools & plant stored securely?

Safety 6. Site Security & Public Protection

Site Security & Public Protection

  • Is the site secure from entry by unauthorised persons, particularly after hours? (Consider both safety and security, remembering that children may try to enter to the site.)

  • Are movements of people on and off site controlled?

  • Is night lighting sufficient?

  • Do pedestrians have safe passage?

Safety 7. Working at Heights

Working at Heights

  • Are all fall hazards identified and controls in place?

  • Is there an up to date working at height permit for any work over 5 metres?

  • Is equipment in good working order and fit-for-purpose?

  • Are guard rails / barriers in place (where applicable)?

  • Are all personnel required to work at heights trained and competent to do so?

  • Is there a rescue plan in place and adequate rescue equipment (height or tower rescue kit) readily accessible on site?

  • Are there exclusion zones established around any work at height and is that zone clearly signed, barricaded and controlled?

  • For pole work, has the pole been tested?

  • Harnesses, lanyards and other fall arrest equipment have been inspected prior to use in accordance with AS1891.4?

  • Is there a completed register for fall arrest equipment available on site?

  • Are all tools and equipment secured when working at heights (i.e. tool lanyards used, tool and bolt bags in good condition)?

Safety 8. Ladders


  • Are ladders inspected and in good condition?

  • Are ladders properly secured top and bottom?

  • Are side rails on fixed ladders extend above top landing?

  • Are step ladders fully open when in use?

  • Are built up ladders extend above top landing?

  • Are non conductive ladders in use?

Safety 9. Trenching, Excavation, and Drilling

Trenching, Excavation, and Drilling

  • Is there an Excavation / Drill Permit completed and available on site for any drilling or excavation works?

  • Are there overlay plans available on site?

  • Have all utility services been located using a locating device as per plans?

  • Have all utility services been marked up and positively identified via non-destructive means as per permit?

  • Are there are appropriate forms of access and egress (E.g. ramps, ladders, etc.) in trenches deeper than one metre?

  • Are adequate physical barricades and signage in place for trenches or excavations deeper than 2m?

  • Are there appropriate barricades, shoring, and screens in place?

  • Is the appropriate signage in place?

  • Is spoil being kept a minimum of 1.5m from edge of trench / excavation?

  • Are ladders founded on a firm footing and are they tied off at the top?

  • Are holes filled at end of shift or adequately covered / protected?

Safety 10. Emergency Management

Emergency Management

  • Are telephone numbers and locations of nearby physicians / hospitals are available and known (I.e. documented on the Daily Pre-start Meeting Form?

  • Are people able to quote the site address in the case of phoning for emergency services?

  • Is evacuation point is established, documented on the Daily Pre-start JSEA Meeting Form, in a safe location and known to workers?

  • Are there a sufficient number of trained first-aid staff on-site in accordance with First Aid Risk Assessment?

  • Are a sufficient number of first aid kits available, accessible and are they properly stocked?

  • Are there applicable Emergency Response Plans on site and have workers been taken through the details of this plan?

  • Is there a fully stocked spill kit on site if workers are storing and using chemicals which have the potential to pollute the environment?

Safety 11. Plant, Lifting, Cranes, and Elevated Work Platforms

Plant, Lifting, Cranes, and Elevated Work Platforms

  • Are cables and sheaves regularly inspected?

  • Are slings, chains, hooks, and eyes are certified and regularly inspected?

  • Are all heavy lifts (all lifts above 75 per cent SWL) and all multiple crane lifts are risk assessed via a SHEWMS and a documented lift plan is available and completed by a competent person?

  • Are all outriggers are packed / supported as per manufacturers’ and/ or engineer’s recommendations and are protected from traffic / disturbance by physical barriers?

  • Are power lines de-activated, removed or at a safe distance?

  • Is there proper loading for capacity at lifting radius?

  • Are load charts fitted and correctly used?

  • Is all equipment properly lubricated and maintained?

  • Are signalmen used where required?

  • Are signals understood and observed?

  • Are inspection maintenance logs maintained?

  • Are back up signals provided?

  • Are the applicable permits are available and correctly completed (Lift Plan, Work Box Permit, etc.)?

  • Are rotating amber beacons fitted and operational on plant?

  • Are reversing alarms fitted and operational on all mobile plant?

  • Are certified ROPS / FOPs fitted to plant?

  • Are plant risk assessments completed by the plant owner/operator and operator manuals available for the specific plant?

  • Are all plant inspected and accepted prior to use on site?

  • Are the operators completing daily pre-start checklists and are these specific to the type of plant?

  • Are seat belts fitted to plant and are operators wearing seat belts?

  • Are spotters authorised to enter no go zones?

  • Have all plant operators been verified as competent as required?

  • Are logbooks and inspection check sheets containing full service and repair history of plant available?

  • Is the correct PPE provided and worn by those in and around plant?

  • Licensed drivers and dogmen are available to operate lifting equipment?

Safety 12. Storage and Handling of Materials

Storage and Handling of Materials

  • Neat storage area, clear passage ways observed?

  • Materials neatly stacked?

  • Stacks on firm footings and not too high?

  • Appropriate materials protected from heat and moisture?

  • Dust protection in place?

  • Is material handling equipment available?

  • Are employees lifting loads correctly?

Safety 13. Fire Prevention

Fire Prevention

  • Is portable Fire Fighting Equipment available in site offices or sheds?

  • Is operating plant fitted with fire extinguishers?

  • Are fire extinguishers tested and tagged every six months and are securely stored in an upright position away from potential damage?

  • Are there staff on site that are trained in the use of fire extinguishers where there is a fire risk?

Safety 14. Motor Vehicles

Motor Vehicles

  • Regular inspections and maintenance carried out?

  • All personnel are appropriately licensed?

  • Brakes, lights and warning devices operative?

  • Weight limits and load sizes controlled?

  • Glass in good condition?

  • Are vehicles parked appropriately?

  • Are vehicles secured when parked? (I.e. keys out)

Safety 15. Asbestos Management

Asbestos Management

  • Is there is respiratory protection equipment (RPE), gloves and coveralls available and being used for any suspected asbestos related works?

  • Are non lace up boots being worn? (Rubber or leather for easy cleaning – mesh/fabric not permitted)

  • Scoring and breaking of pits and removal process is being wetted down at all times to suppress dust?

  • Heavy duty (200 micron) asbestos disposal bags are being used and all asbestos pieces/debris removed from site?

  • No compressed air or high pressure water is being used on suspected asbestos containing materials?

  • Workers conducting asbestos related works have completed approved asbestos removalist / supervisor training?

  • Contractors are appropriately licensed if they are conducting any asbestos removal work?

  • Asbestos disposal bags are being stored in approved lockable and labelled consolidation bins and not stockpiled?

  • Is there is appropriate warning signage displayed around worksite and barriers up to prevent unauthorised entry to worksite when asbestos-related work is taking place?

  • When removing pits suspected of containing asbestos, 50mm of soil around the pit is also removed and bagged with the asbestos waste?

  • Asbestos removal checklist has been completed?

Safety 16. Traffic Management

Traffic Management

  • Traffic management signs, including speed restriction and advanced warning signage is legible and positioned in accordance with plans and Regulations?

  • Are traffic control measures maintained by an accredited traffic controller when necessary?

  • Are spotters / safety observers present to control traffic movement?

  • Traffic management company is accredited with the relevant authority?

  • Traffic management measures comply with plans and traffic management handbook?

  • Traffic management controls offer adequate protection to workers and the public?

Safety 17. Manual Handling

Manual Handling

  • Manual handling risk has been identified, assessed and managed using an established risk assessment tool (SHEWMS, Start Card, etc)?

  • Manhole key in use?

  • Mechanical aids are used where available?

  • Workers are not in awkward postures for long periods?

  • Workers are not lifting heavy items frequently?

  • Are workers free of restricted / modified duty constraints?

Safety 18. Working in the Heat

Working in Heat

  • Is there adequate drinking water on site? (5lt/person / day for remote)

  • Are electrolyte replacement drinks available where required?

  • Workers have the appropriate PPE including sun visor, sunscreen, loose fitting long sleeved shirt, long pants, and shaded safety glasses?

  • Is there adequate shade available?

  • Are work / rest ratios adequate to allow workers to recuperate in extreme heat?

Safety 19. Working in the Cold

Working in the Cold

  • Is there is adequate clothing available for the conditions?

  • Is there availability of shelter with adequate heating?

Safety 20. Gas Detection / Confined Space

Gas Detection / Confined Space

  • Is there an available type 4 gas detector on site?

  • Is the gas detector calibrated, charged and working properly?

  • Is the gas detector on the latest calibration register?

  • The gas detector is being used correctly in manholes or confined spaces?

  • Are workers trained and competent in the use of the gas detector?

  • Are workers trained and competent to enter confined spaces?

  • Has a permit has been issued for any confined space entry?

  • Is there a designated spotter / standby person in place when people are in the confined space?

Safety 21. Radiofrequency (RF) Radiation

Radiofrequency (RF) Radiation

  • Are radiation risks identified, assessed and controlled via an established risk assessment tool (SHEWMS, JSA)?

  • Are workers working in the vicinity of RF radiation appropriately trained?

  • Are workers working in the vicinity of RF radiation wearing a monitor on (RadHaz Badges, RF dose meters) or there is an RF Hazard Monitor in the designated RF area?

  • Are workers on site authorised to work in the vicinity of RF radiation sources?

  • Have danger/isolation tags been used to isolate de-energised plant?

  • Is power switched off and securely isolated for any un-terminated transmitters?

  • Is there appropriate Client-supplied information and site specific documentation on site to identify RF hazards exist?

Safety 22. Isolated Locations

Isolated Locations

  • Is there adequate communication available on site (E.g. satellite phone)?

  • Remote first aid kit on site and adequately stocked?

  • EPIRB / Spot Tracker or equivalent on site?

  • Is there is five litres of water per person per day available?

  • Is a call in / call out procedure in place?

  • Has a travel Management Plan been completed?

Environment 23. Noise and Dust

Noise and Dust

  • Are dust suppression techniques effective at reducing dust generation to a minimum?

  • Are working hour restrictions are in place and being adhered to in residential areas?

  • Are measures in place to control noise levels to as low as possible?

  • Are workers using adequate hearing protection around noisy operations?

  • Are bystanders / pedestrians kept at a safe distance from noise sources?

  • Are stockpiles protected adequately from weather conditions (i.e. wind, rain etc.)

Environment 24. Water Pollution and Sediment Control

Water Pollution and Sediment Control

  • Has vegetation clearance been kept to a minimum near waterways?

  • Is directional boring near waterways, wetlands and tidal areas in accordance with construction drawings and construction environmental management plan?

  • Is spoil and discharge from drilling operations being collected and not being discharged into waterways or storm water drains?

  • Are refuelling activities located no less than 100m from the top bank of the watercourse?

  • If discharge to waterways is occurring, has written approval has been given by the relevant authorities?

  • Have the activities been free of significant disturbance of marine vegetation?

  • Is there an appropriate spill kit on site for the type and quantity of chemicals / substances being stored and used?

  • Are stored substances stored on appropriately bunded stillages?

  • Is run off being appropriately controlled?

Environment 25. Flora and Fauna

Flora and Fauna

  • Is disturbance of vegetation or identified fauna kept within approved boundaries as per the environmental management plan?

  • Identified species or habitats of conservation significance have not been disturbed as stated on construction drawings?

  • Is site free of unapproved access tracks through remnant vegetation?

  • Has vegetation clearance been kept to a minimum and where unavoidable, the root system has been kept intact?

  • Isolated trees or clumps of trees have been avoided through slight deviations in cable alignment?

  • Site free of disturbance to trees with hollows, trees with a trunk diameter of greater than 20cm, dead trees standing greater than 3m in height and trees with birds nests?

  • Have stockpiles been established in approved locations and away from drip lines of trees?

  • Hazardous flora/fauna (including trees) have been identified and avoided/controlled?

Environment 26. Cultural & Heritage

Cultural & Heritage

  • Have construction activities remained at least 2m away from identified heritage buildings and culturally significant sites?

  • Have heritage buildings and culturally significant sites are clearly demarcated and known to all on site?

Environment 27. Waste Management

Waste Management

  • Are bins available for work site waste, recycled material, scrap, etc.?

  • Are drop sheets are being used in jointing operations, to minimise site contamination?

  • Are all site areas are kept tidy with litter removed from site and disposed of appropriately?

  • Prescribed waste (asbestos, contaminated water/soil, sharps), oils and greases and associated containers are being disposed of and tracked appropriately?

Environment 28. Weed Management

Weed Management

  • Has equipment & machinery cleaned before entering and before leaving sites?

  • Are all vehicles entering, moving & exiting on approved defined tracks?

  • Are signs posted on entry & exit to infested areas?

  • Are there approved designated wash down points for vehicles, and is run off contained within this area?

Other 29. Additional


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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.