Information

  • Conducted on

  • Job No.

  • Site address

  • Site manager

  • Auditor

1.0 Site control

  • 1.1 Hazard board is visible form the road and is up to date

  • 1.2 Hoardings / fences and gates are secure and adequate.

  • 1.3 Signage is displayed and legible where required. HNZ board visible

  • 1.4 Stop sign, visitors induction and nearest medical centre is attached to the front door

  • 1.5 HNZ ID is available from all contractors onsite

  • Comments

2.0 Site tidiness and access ways.

  • 2.1 The site has clear, safe access to your work areas.

  • 2.2 Stairways and access ways are clear.

  • 2.3 Loose materials are secured for any wind gusts.

  • 2.4 furniture, surfaces and carpet are protected as required

  • Comments

3.0 Personal protective equipment. (PPE)

  • 3.1 Hardhats are being worn where required by your employees if required

  • 3.2 Check inside of Hardhats for expiry dates (2 yearly) and ensure Hardhats are current.

  • 3.3 Steel cap boots are being worn by your employees.

  • 3.4 Hi-Visibility clothing is being worn by your employees.

  • 3.5 Safety glasses, earmuffs, dust masks, respirators are being worn by your employees where necessary.

4.0 First Aid / Fire Protection

  • 4.1 First aid kit is available in the contractors vehicles

  • 4.2 Fire extinguishers are available in contractors vehicles

  • Comments

5.0 SSSP Documentation

  • 5.1 Sign in register is available and is being used

  • 5.2 SSSP checklist has been signed and is specific to the work site

  • 5.3 Evacuation/Emergency plan is specific to site, the nearest medical centre is labeled on a map

  • 5.4 Induction forms have been completed by all contractors on site and signed where required

  • 5.5 hazard register is site specific and current hazards have been updated

  • 5.6 Task analysis has been completed before commencing dangerous work I.e under floor work, roof cavity work (restricted space) or working at heights

  • 5.7 Main contractor self safety inspection has been completed once every week, corrective actions have been followed up and completed

  • 5.8 Internal accident/incident register or report has been completed when required

  • 5.9 MSDS are available

  • 5.10 Tool box talks are on site and signed by contractors including any new safety alerts issued for HNZ

6.0 Electrical Equipment

  • 6.1 Current 3 month tag and damage free leads.

  • 6.2 All contractors plant onsite is tagged and current (3 months)

  • 6.3 Leads used safely, Knot free, Free from sheathing, etc.

  • 6.4 Equipment is in good condition.

  • 6.5 No domestic multiboards on site I.e plugboss

  • 6.6 All equipment designed to have guards are installed.

  • 6.7 Adequate temporary lighting where necessary.

  • 6.8 Current decant property has the power isolated and a RCD fitted to the range circuit

  • 6.9 Non decant has a localised RCD fitted or contractor has run power tools through his own RCD I.e HPM

  • Comments.

7.0 Scaffolding including mobile scaffolding

  • 7.1 Weekly Scaftag/Register current and signed off.

  • 7.2 Handrails/Midrails where required

  • 7.3 Toeboards adequate where required.

  • 7.4 Platforms adequate (minimum 3 planks wide)

  • 7.5 Ladders/Stairs adequate.

  • 7.6 Baseplates adequate.

  • 7.7 Work platforms clear.

  • 7.8 Platforms trip free.

  • 7.9 Planks tied down.

  • 7.10 Headroom clear.

  • 7.11 Ties/Bracing adequate.

  • Comments.

8.0 Ladders

  • 8.1 Trade ladders (rated to 150kgs)

  • 8.2 Good condition.

  • 8.3 Extension ladders secured at the top and or bottom.

  • 8.4 Stays used on A framed ladders.

  • 8.5 Operators working minimum two steps down.

  • 8.6 Extension ladder 4:1 against the structure

  • 8.7 Extension ladder extends at least 1 meter past the platform level.

  • Comments.

9.0 Fall Hazards

  • 9.1 Check floor edges.

  • 9.2 Check floor openings

  • 9.3 Check stairs.

  • 9.4 Check excavations.

  • Comments.

Overview

  • Comments

  • Signature.

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.