Waikato Vacant Safety Inspection

• Document No.

• Location
  Address

• Contractor:

• Personnel onsite:

• Conducted on

  Date

• Prepared by:

1. Site Control - H&S Compliance

• 1.2 Have all contractors signed in on the SSSP?

  Yes

  No

  N/A

• Photo of inducted contractors:

  Media

• 1.3 Have the contractors listed any additional hazards they bring to the site?

  Yes

  No

  N/A

• 1.4 Have the pre-start risk assessments been completed?

  Yes

  No

  N/A

• 1.5 Are there hazard boards displayed?

  Yes

  No

  N/A

• 1.6 Is the area clear of debris and tripping hazards?

  Yes

  No

  N/A

• Photo of site:

  Media

2.0 Personal Safety Equipment

• 2.1 All personnel wearing the appropriate PPE?

  Yes

  No

  N/A

• 2.2 Is the PPE in good condition?

  Yes

  No

  N/A

3.0 First Aid/Fire Prevention

• 3.1 First Aid kits onsite?

  Yes

  No

  N/A

• 3.1.1 First Aid kit fully stocked.

  Yes

  No

  N/A

• 3.2 Fire Extinguisher onsite?

  Yes

  No

  N/A

• 3.2.1 Fire Extinguisher compliant.

  Yes

  No

  N/A

4.0 Electrical Equipment

• 4.1 All electrical equipment has a current tag?

  Yes

  No

  N/A

• 4.2 All electrical equipment plugged into RCD's.

  Yes

  No

  N/A

• 4.3 Leads safely placed & in good condition.

  Yes

  No

  N/A

• 4.4 All power tools in good working order.

  Yes

  No

  N/A

• Photo's of non-compliant equipment.

  Media

5.0 Working At Heights

• 5.1 Are all ladders a commercial grade?

  Yes

  No

  N/A

• 5.2 Ladders in a good condition.

  Yes

  No

  N/A

• 5.3 Are the ladders being used in the correct manner?

  Yes

  No

  N/A

• 5.4 Is the appropriate equipment being used for the task?

  Yes

  No

  N/A

• 5.5 Has the appropriate documentation been completed (JSA, T/A etc.)

  Yes

  No

  N/A

• 5.6 Fall arrest equipment in good condition.

  Yes

  No

  N/A

• Photo's of heights work

  Media

6.0 Environmental

• 6.1 Is all waste been disposed of correctly?

  Yes

  No

  N/A

• 6.2 Are the correct environmental procedures in place?

  Yes

  No

  N/A

• 6.3 Details of environmental non-compliance.

• Photo's of environmental issues.

  Media

7.0 Corrective Actions

• Enter any corrective actions that need to be undertaken.

8.0 Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign