Title Page

  • Project/ Site:

  • Prepared by:

  • Conducted on:

  • This Site Review is an assessment of the conditions and activities on the worksite(s) at the time of the visit. The assessment points are assessed against agreed expectations between PCBU’s, legislative and regulatory requirements and/or industry best practice.
    ...
    Assessment Criteria:
    ...
    Meets Expectations (ME) = The assessed condition or activity meets current expectations.
    ...
    Opportunity For Improvement (OFI) = The assessed condition or activity does not fully meet current expectations.
    ...
    At Risk (AR) = The assessed condition or activity does not fully meet current expectations and as a result there is an intolerable level of risk of harm to people, the environment and/or the business.
    ...
    Not Checked (NC) = The condition or activity was not checked.
    ...
    Not Applicable (NA) = The condition or activity was not present.

Critical Risks - Are there Critical Risk Activities taking place?

  • 1.0 Working At Heights (Above 1.5m)?<br>*To be checked if there is scaffold erected regardless of any activities taking place*

  • 1.1 Task Risk Assessment (TRA) in place, reviewed by SM and communicated to all workers involved?

  • 1.2 Scaffolding built to standard i.e. full edge protection, self-closing gates, toe boards etc.?

  • 1.3 Scaffolding tagged correctly and weekly inspections maintained?

  • 1.4 Scaffold platforms not overloaded / exceeding load limitations?

  • 1.5 Ladders of commercial grade and used correctly?

  • 1.6 Safety nets installed where required and to standard, hand-over certificate accepted and signed off?

  • 1.7 Hard barriers / edge protection installed where workers are potentially exposed to a fall?

  • 1.8 Housekeeping maintained in elevated work areas i.e. safety nets, scaffold platforms etc.?

  • 2.0 Lifting Operations/Cranage?

  • 2.1 Task Risk Assessment (TRA) in place, reviewed by SM and communicated to all workers involved?

  • 2.2 Lift plan in place & communicated to all involved / affected by the lift?

  • 2.3 Rigging and lifting gear in good condition with current inspection?

  • 2.4 Lifting area barricaded / flagged / coned off?

  • 2.5 No overhead lifting?

  • 2.6 Tag lines used to control the load?

  • 3.0 Excavations?

  • 3.1 Task Risk Assessment (TRA) in place, reviewed by SM and communicated to all workers involved?

  • 3.2 Check for live services been conducted?

  • 3.3 Excavations shored and braced where required?

  • 3.4 Edge protection around open excavations?

  • 3.5 Safe access and egress provided in the excavation?

  • 4.0 Heavy Machinery

  • 4.1 Task Risk Assessment (TRA) in place, reviewed by SM and communicated to all workers involved?

  • 4.2 Spotters used?

  • 4.3 Operators licensed / ticketed to operate equipment?

  • 4.4 Pre-use checks done on machinery?

  • 4.5 Exclusion zones established?

  • 4.6 Service sticker in place and up to date?

  • 5.0 Working Near Live Services?

  • 5.1 Task Risk Assessment (TRA) in place, reviewed by SM and communicated to all workers involved?

  • 5.2 Live services located?

  • 5.3 Supporting evidence of service locations provided?

  • 5.4 Controls in place to prevent contact / damage?

  • 5.5 Services de-energised/isolated where required?

  • 5.6 Minimum Approach Distance (M.A.D) Permit obtained and adhered to?

  • 6.0 Work in Confined Space?

  • 6.1 Task Risk Assessment (TRA) in place, reviewed by SM and communicated to all workers involved?

  • 6.2 Atmosphere tested?

  • 6.3 Safe access and egress?

  • 6.4 Rescue procedure in place and understood by all?

7.0 General Assessment

  • 7.1 Concrete/silica dust controlled at source?

  • 7.2 Nuisance dust controlled within site boundary?

  • 7.3 PPE - used as required?

  • 7.4 Work areas are clean, free of waste & excess material?

  • 7.5 Electrical leads tagged and routed neatly / elevated so as not to cause a tripping hazard?

  • 7.6 Power tools tagged and used as per best practice?

  • 7.7 Users of Powder Actuated Tools (Ramset / Hilti) following C.O.P?

  • 7.8 First aid kit stock levels maintained?

  • 7.9 Waterways protected?

8.0 Other Observations

  • Do you have any other observations to report?

  • Observation Guidance - use the guide below in determining the observation criteria.

  • Just Culture - CG Criteria rev 2.PNG
  • What was your Observation?
    Click on the "+ button" over here ---->--->

  • Observation
  • What was your Worksite Observation?<br>(Select one of the following)

  • GUIDANCE NOTE:
    Recognition for the Individual.
    Assign an action to your PM for consideration of appropriate recognition.

  • GUIDANCE NOTE:
    Verbal acknowledgement to reinforce positive safety behavior.

  • GUIDANCE NOTE:
    Ask questions to understand the 'why'.
    Provide advice and coaching.
    Discuss with individual and their Supervisor.
    If this is a repeat finding - assign an action to your PM for consideration of follow-up with Management (LOE or NCN).

  • GUIDANCE NOTE:
    Stop Work.
    Toolbox Talk with workers involved.
    Record any new Hazard on the Site Safety Board.
    Ensure controls are implemented to reduce risk to ALARP before work starts again.
    Assign an action to your PM for consideration of follow-up with Management (LOE or NCN).

  • GUIDANCE NOTE:
    Stop Work.
    Toolbox Talk with workers involved.
    Notify the Subcontractor Manager immediately.
    Ensure controls are implemented to reduce risk to ALARP before work starts again.
    Assign an action to your PM for consideration of follow-up with Management (LOE or NCN).

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.