Watertech Weekly Safety Inspection

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Project / Site Name

• Foreman / Crew Leader at time of this inspection

• Select site weather conditions at time of this inspection (select all that apply)

  Select Clear Sky Cloudy Raining Windy Hazy Snow / Hail OTHER

  • Clear Sky
  • Cloudy
  • Raining
  • Windy
  • Hazy
  • Snow / Hail
  • OTHER

• Describe weather conditions on site today

• Current activities being undertaken on site (select all that apply)

  Select CCTV & Clean CIPP Relining Civil (Excavation Works) Civil (Non Excavation Works) DiaFit Relining EX Relining Junction Sealing Post CCTV Other

  • CCTV & Clean
  • CIPP Relining
  • Civil (Excavation Works)
  • Civil (Non Excavation Works)
  • DiaFit Relining
  • EX Relining
  • Junction Sealing
  • Post CCTV
  • Other

• Describe activities being undertaken on site

Site Safety Inspection

• Approached and made to sign onto site documentation?

  Yes

  No

  N/A

• Daily Risk Assement Paperwork correctly filled out?

  Yes

  No

  N/A

Traffic & Pedestrian Management

• Picture of Traffic & Pedestrian Management Set up.

  Media

• Clear Path for Pedestrian to safely move through or around site? (including ramps where required)

  Yes

  No

  N/A

• Safe clearance from Traffic for workers? (Vehicles to be used as barriers where possible)

  Yes

  No

  N/A

• Traffic set up in accordance to TMP & copy of plan onsite?

  Yes

  No

  N/A

• Picture of TMP

  Media

First Aid Facilities

• Is first aid officer designated on risk assesment & known to workers?

  Yes

  No

  N/A

• First aid cabinets clearly labelled and easliy accesible?

  Yes

  No

  N/A

• Are first aid cabinets and contents clean, orderly and in date?

  Yes

  No

  N/A

• Picture of signage, location & Condition of First Aid

  Media

Fire Extinguishers

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers recently serviced? (check punch mark on tabs)

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Picture of Fire Extinguisher showing Test date

  Media

Personal Protective Equipment (PPE)

• Are all personell on site wearing the appropriate PPE for the task? (Safety Boots, Hard Hats, Gloves, Hearing protection, Hi-Vis clothing, Coveralls and Safety Glasses)

  Yes

  No

  N/A

• Is PPE in good serviceable condition?

  Yes

  No

  N/A

• Is the appropriate branding in use?

  Yes

  No

  N/A

• Add media

  Media

Housekeeping

Trip and Fall Safety

• Is there a designated Tool Set down area?

  Yes

  No

  N/A

• Are walkways clearly defined and free from unmarked hazards?

  Yes

  No

  N/A

• Are appropriate measures in place to prevent falls? ie. barriers (preferred) or harnesses? (Potential falls of 2mtr or more)

  Yes

  No

  N/A

• Is all fall protection equipment is visually inspected prior to use?

  Yes

  No

  N/A

• PIctures of Fall protection Equipment including any Harness, Tie downs, Anchors, barriers or Tripods.

  Media

• Are personnel below protected from falling materials (i.e. tools, bolts, etc.)?

  Yes

  No

  N/A

Site Security

• Are site entry and exit points clearly designated?

  Yes

  No

  N/A

• Is clear signage Warning of Hazards (Excavation, Confined Space, Workers) clearly posted for Public?

  Yes

  No

  N/A

• Is site perimeter fenced off appropriately with required site public signage posted?

  Yes

  No

  N/A

• Are all entries and exits closed and locked at night and during weekends?

  Yes

  No

  N/A

General Machinery, Plants and Equipment

• Are all vehicles on site in good condition and log books filled in?

  Yes

  No

  N/A

• Details including Plant ID/Rego:

• Are all mobile plant on site in good condition and log books filled in?

  Yes

  No

  N/A

• Details including Plant ID/Rego:

• Does operator/driver comply with the training?

  Yes

  No

  N/A

• Copy of relevant licenses and or Log book

  Media

Ladders

• Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• For extension ladders: are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

• Picture of Ladders

  Media

Electrical Safety

• Are safety switches tested every 6 months and tests recorded?

  Yes

  No

  N/A

• Has portable equipment been tested and tagged?

  Yes

  No

  N/A

• There are no broken plugs, sockets, switches or frayed, Damaged leads?

  Yes

  No

  N/A

• There are no power leads across walkways?

  Yes

  No

  N/A

• Are portable power tools in good condition?

  Yes

  No

  N/A

• Picutre of electrical Equipment

  Media

Chemical Safety

• Is a Hazardous Chemicals Register complete and available?

  Yes

  No

  N/A

• Have risk assessments been completed for hazardous substances?

  Yes

  No

  N/A

• Are Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• Are all conditions and guidelines for use and storage being followed?

  Yes

  No

  N/A

• Are spill kits or other clean up arrangements available?

  Yes

  No

  N/A

• Pictures of an Chemical and storage

  Media

Confined Spaces

• Do all applicable confined space works have adequate permits granted and documented?

  Yes

  No

  N/A

• Is a confined space emergency plan in place?

  Yes

  No

  N/A

• Gas Detector in good condition and Bump Tested?

  Yes

  No

  N/A

• Serial Number:

• Calibration Due Date:

• Picture of Gas detector inc Serial #:

  Media

• Are confined spaces being continually monitored?

  Yes

  No

  N/A

• Are all workers undertaking confined space works trained in confined space entry and activities?

  Yes

  No

  N/A

• Picture of CSE Tickets

  Media

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign