Information

  • Contract Number

  • Contract Title

  • Contractor

  • Contract Site Supervisor

  • Prepared by

  • Location
  • Date and Time of Inspection

DAILY SITE INFORMATION

  • Site/Weather conditions

  • Plant on site

  • No. of personnel

  • Tasks being performed

COMMENTS/DETAILS

  • General Site Photos

INDUCTION

  • Have all workers been inducted to site (if not why not?)

  • Have all workers been inducted to their JSA ( if not why not ?)

  • Are relevant JSAs being followed

  • Is There a Fully Stocked First Aid Kit

Potential HAZARDS on Site

  • 1. Airborne contaminants (gases, dust, sparks, fumes - ventilation, safety eyewear.)

  • 2. Biological hazards (people, flora & fauna).

  • 3. Chemicals ( MSDS, workers instructed, PPE, storage containment)

  • 4. Dangerous goods ( flammables, prescribed wastes, corrosives - storage, handling)

  • 5. Electricity ( ELCBs, elevated from damage and water - tested and tagged - RGBY)

  • 6. Gravity ( fall prevention - from height, same level, down shafts)

  • 7. Mechanical ( Pre- start checklist, leaks/spills, guarding , etc. )

  • 8. Microbiological ( contact with bacteria - skin, breathing protection)

  • 9.Musculoskeletal ( push, pull, hold, restrain, lift, lower- systems, mech. Assistance )<br>

  • 10. Noise ( plant or process - prefer block at source or pathway, then receiver)

  • 11. Pressure ( hydraulics, pneumatics, springs, leaks/spills).

  • 12. Psychosocial ( harassment, bullying , co-operation, compliance)

  • 13. Radiation ( UV, welding, X- rays - protection for workers and passers-by )

  • 14. Thermal ( excess heat, cold, Fire Fighting Equipment available and maintained)

  • 15. Vibration ( whole or part body )

  • 16. Water Quality ( sediment, discharge, groundwater )

  • 17. Cultural heritage ( EMP, induction, etc ).

EMERGENCY PROCEDURES AND PERMITS

  • Confined Space

  • Working at Height

  • Chemical Spill

  • Overhead or underground power

  • Fire / Explosion

  • Special permits ( e.g. Confined space, hot work, near power or other services) If yes please list permit name.

OTHER

  • Any written confirmations issued? If yes list numbers below.

  • Any infringements issued? If yes list numbers below.

  • Wannon Water Officer name :

  • Wannon Water Officer signature:

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