Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

  • Time Started

  • Time Finished

Inspection Team members

  • undefined

Attitude

  • Angry

  • Preoccupied

  • Quick Tempered

  • Focused/Quality work

  • Looking after a mate

  • Co-operative

  • Taking the initiative

  • Day dreaming

  • Other:

PPE Condition and Compliance

  • Glasses

  • Ear Protection

  • Boots

  • Overalls (Jacket and Trousers)

  • Versaflo RPE

  • Dust Mask

  • Face shield

Working at Height

  • Scaffolding

  • Edge Protection

  • Scaftag and signage

  • Ladder tied to platform

  • Area around scaffold taped or barriered off

  • Mobile Elevating Work Platform (MEWP)

  • Harness worn by those in the platform cage

  • Area taped or barriered off

Electricity

  • Access to electrical cabinets and sub stations clear

  • Trailing Electrical leads are clear of walkways

  • Electrical leads in good condition (no bare wires or damaged insulation)

  • Sufficient plugs with switches for equipment being used

  • Are RCD,s (Residual Current Devices) in use

  • Portable Appliance Test (PAT) in date

Position Of People

  • Manual Handling

  • Fighting Stance (Strong Safe Position)

  • Green Zone (Weight between their feet)

  • Lift with their Big Muscles (Push the ground down. using their legs)

  • Moving their feet to turn (No Twisting)

  • Repetitive movements

  • Stepping up or down

  • Risk of striking against

  • Are they Pulling a load or equipment

  • Are they Pushing a load or equipment

  • Restricted Space or pinch points

Equipment and Plant

  • Guards Fitted and working

  • Gas Cylinders. Stored (Inside) upright and chained in a cylinder trolley or frame. (Outside) in a locked cylinder cage.

  • Storage. Materials and Equipment have a safe place to be stored.

  • Pre-start checks for Cranes, FLT, Bobcat and manipulators have been carried out

  • Cranes, FLT, Bobcat and Manipulators are being operated safely

  • FLT has a working warning beacon and reversing alarm

  • Powered Hand tools in a good state of repair with no signs of damage

  • Hand tools have no damage or excessive wear

Environment and Housekeeping

  • Safe Access and Egress

  • Housekeeping

  • Hoses and cables

  • Erosion, wear and tear or damage to the building or the grounds

  • Flora and Fauna (Weeds, Rodents and Birds)

  • Noise

  • Dust

  • Sediment

  • Spillages

  • Bunding and chemical storage

  • Odours and fumes

Work Practices

  • JSA (Job Safety Analysis)

  • CoSHH (Control of Substances Hazardous to Health)

  • Material Safety Data Sheet available

  • Cupboard to place CoSHH materials into

  • Permits (Hot Work, Working at Height or Electrical)

  • Isolations/Correct use of Locks (Lock Out Tag Out)

  • Barricades

  • Signage/Labels (Missing damaged or worn)

  • Confined Space Working

  • Is there an Observer

  • Are Tag Lines in use

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.