Project / Site Name
Foreman / Crew Leader at time of this inspection
- Clear Sky
- Snow / Hail
Describe weather conditions on site today
- CCTV & Clean
- CIPP Relining
- Civil (Excavation Works)
- Civil (Non Excavation Works)
- DiaFit Relining
- EX Relining
- Junction Sealing
- Post CCTV
Describe activities being undertaken on site
Approached and made to sign onto site documentation?
Daily Risk Assement Paperwork correctly filled out?
Clear Path for Pedestrian to safely move through or around site? (including ramps where required)
Safe clearance from Traffic for workers? (Vehicles to be used as barriers where possible)
Traffic set up in accordance to TMP & copy of plan onsite?
Is first aid officer designated on risk assesment & known to workers?
First aid cabinets clearly labelled and easliy accesible?
Are first aid cabinets and contents clean, orderly and in date?
Extinguishers in place, clearly marked for type of fire?
Extinguishers recently serviced? (check punch mark on tabs)
Extinguishers clear of obstructions?
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)
Is PPE in good serviceable condition?
Is the appropriate branding in use?
Is there a designated Tool Set down area?
Are walkways clearly defined and free from unmarked hazards?
Are appropriate measures in place to prevent falls? ie. barriers (preferred) or harnesses? (Potential falls of 2mtr or more)
Is all fall protection equipment is visually inspected prior to use?
Are personnel below protected from falling materials (i.e. tools, bolts, etc.)?
Are site entry and exit points clearly designated?
Is clear signage Warning of Hazards (Excavation, Confined Space, Workers) clearly posted for Public?
Is site perimeter fenced off appropriately with required site public signage posted?
Are all entries and exits closed and locked at night and during weekends?
Are all vehicles on site in good condition and log books filled in?
Details including Plant ID/Rego:
Are all mobile plant on site in good condition and log books filled in?
Details including Plant ID/Rego:
Does operator/driver comply with the training?
Are all ladders Industrial strength? (Non Household rated, check label.)
Are ladders in good condition?
For extension ladders: are ropes, pulleys and treads in a good state of repair?
Are safety switches tested every 6 months and tests recorded?
Has portable equipment been tested and tagged?
There are no broken plugs, sockets, switches or frayed, Damaged leads?
There are no power leads across walkways?
Are portable power tools in good condition?
Is a Hazardous Chemicals Register complete and available?
Have risk assessments been completed for hazardous substances?
Are Material Safety Data Sheets available for all chemicals?
Are all conditions and guidelines for use and storage being followed?
Are spill kits or other clean up arrangements available?
Do all applicable confined space works have adequate permits granted and documented?
Is a confined space emergency plan in place?
Gas Detector in good condition and Bump Tested?
Calibration Due Date:
Are confined spaces being continually monitored?
Are all workers undertaking confined space works trained in confined space entry and activities?
Any further comments or recommendations arising from this inspection?
Have all required corrective actions been added as Actions to this inspection?
Please add any corrective actions to the appropriate questions above before completing this report