Information

  • Site conducted

  • Type of work in progress (e.g. land drainage, track work, manege)

  • Client/Site

  • Location
  • Conducted on

  • Prepared by

  • Employees Present on Site

  • First Aider/s on Site

JOB PACK & PLANS

  • Is the job pack, service clearance and proposal plan present on site?

  • Is the nearest hospital address documented on the 'Toolbox Talk'?

  • Has the 'Toolbox Talk' been signed by all employees working on the site?

PPE

  • First aid kits present on site?

  • Hard hats worn?

  • Gloves being worn and adequate for the work activity?

  • Eye protection being worn and adequate for the work activity?

  • Hearing protection?

  • High visible clothing in use?

  • Safety shoes being worn and adequate for the work activity?

PLANT & MACHINERY

  • Which plant/machinery is present on site?

  • Is plant/machinery is good clean condition?

  • Brakes, lights, signals and alarms working adequately?

  • Are seat belts being worn? (unless working close to water)

CONCLUDING COMMENTS

  • Any concerns, observations or recommendations to add?

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.