Appendix 1 - Site Inspection Checklist
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Conducted on
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Site Address
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Conducted by
Item Inspected
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1. Previous Inspection Items Appropriately Actioned
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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2. All Subcontractors’ Details Contained Within the Subcontractor Register
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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3. All Relevant Subcontractor Work Method Statements Reviewed and Approved
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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4. General Safety Induction Evidence Sighted for all related personnel
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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5. Emergency & Evacuation Info Correct and Prominently Displayed
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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6. Hazardous Substances Register Complete & as per On-Site Substances
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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7. MSDS contained with Hazardous Substances Register
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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8. Site Signage Displayed Prominently and Safely
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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9. Amenities Provided and Well Maintained
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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10. Access Ways are Clear of Tripping Hazards
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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11. Rubbish Skip is Appropriately Positioned and being Regularly Emptied
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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12. Boundary Fence Remains in Place and is Stable in all Sections
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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13. Access to the site is being adequately excluded / Controlled
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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14. Parking & delivery vehicles practices are being done safely & with spotters
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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15. Mandatory PPE being worn
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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16. Activity Specific PPE being worn
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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17. Prescribed Occupation holders only are Undertaking Prescribed Work Activities
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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18. All Underground Service Checks Done
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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19. Safe Trenching & Excavation Practices to Avoid Collapse
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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20. Scaffold Remains in Safe Condition with Adequate Edge Protection.
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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21. Scaffolding Fitted with Adequate Guards and Access Provisions.
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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22. Adequate Guarding of Tools and Equipment
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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23. Safe Hazardous Substance Use, Storage and Clean Up
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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24. Safe Work at Height Practices During All Tasks On-Site
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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25. Controls in place to minimise the risk of Objects falling from heights
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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26. Safe Subcontractor work practices as per Work Method Statements
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
27. Other specific Requirements Identified by Site Supervisor during the Site Inspection:
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Enter New Item
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- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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Comments: (Provide brief Description & Location of the OHS Issues Identified Above)
Follow up on previous inspections
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Date
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Item
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Result
- A Acceptable
- R Rectified during inspection
- 24 Rectification within 24 hrs required
- S Instruction Issued to Personnel
- NA Not Applicable
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Further Action
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Signature