Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

1. Site Control

  • a) Hazard Board & Signage up to date

  • b) Contract Management Plan - Issues

  • c) Toolbox talk last date

  • d) Safety inductions for all on site

  • e) Safety notice board current

2. Site Facilities

  • a) Offices clean, adequate & sufficient/good lighting

  • b) Smoko sheds - clean, potable water

  • c) Toilets - Clean, washing water

  • d) Tool/equipment sheds adequate

3. General site tidiness & access ways

  • a) Clear, safe access to works areas

  • b) Stairways & access ways clear

  • c) Hoarding/fences & gates secure

  • d) Loose materials secure from wind

4. Personal Safety Equipment

  • a) Signage displayed & legible

  • b) Hard being worn

  • c) correct footwear being worn

  • d) Glasses/ear muffs/vests/masks used

5. First Aid/Fire Prevention

  • a) First aid box available

  • b) Accident register avaialble

  • c) Fire Extinguishers available & tested (12 months) & sufficient number

  • d) Evacuation procedure current All emergencies included

6. Cranes/Hoists/Lifting Equipment

  • a) Proper lift assessment plan done

  • b) Crane certification current

  • c) Slings/chains certified

  • d) Operator procedures in place

  • e) Inspections being done - Last tested

  • f) Emergency plan in place

7. Excavations

  • a) Areas isolated, fenced or barriered off

  • b) Correctly shored, benched & secured

8. Welding/Gas Cutting

  • a) Hot work permits being used

  • b) Fire Extinguishers on hand

  • c) Operator using correct PPE

  • d) Area isolated and welding screens used

9. Electrical Equipment

  • a) Current tagged & damage free leads

  • b) Current tagged plant

  • c) Power supply lockable/weatherproof

  • d) Leads safely placed and stored correctly

  • e) Appropriate guards on equipment & tools

  • f) Equipment in good condition

10. Chemicals & Hazardous Substances

  • a) Hazardous & chemical register updated and available

  • b) Correctly stored & secure

  • c) Safety Data Sheets (MSDS) available

11. Plant & Tools

  • a) Staff trained and competent to use

  • b) Staff hold current licenses & certificates

  • c) WOF & COF current and up to date

  • d) Plant pre-starts being carried out and inspections completed daily.

  • e) Flashing beacons & reversing beeps fitted to all moving plan & machinery

12. Ladders

  • a) Good condition & rated

  • b) Secured top & bottom

13. Trip or Fall Hazards

  • a) Trip hazards identified and removed, capped or isolated

  • b) Floor edges/openings protected/isolated

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.