Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Has contact been made with client representative confirming crew and required equipment arrive on time?

  • Have third party equipment been inspected for potential damage prior to loading or unloading operations?

  • Has JSA/SWMS been completed and signed by all relevant personnel?

  • Have additional hazards been identified and detailed within JSA/SWMS?

  • Does the JSA/SWMS cover all job steps, hazards and controls?

  • Are work crew members aware of their job role/functions?

  • Are all personnel wearing correct PPE for the task?

  • Is a lift study in place? And is it filled out correctly?

  • Has a pre-site inspection been completed?

  • Are isolations in place? Is the correct process being followed?

  • Is there a job card in place for the scope of work?

  • Has a vehicle pre start inspection been completed and any faults identified?

  • Required detail on docket and the required sign off in place?

  • Are load restraint requirements being complied with?

  • Rigging equipment is up to date with test and tag?

  • Pre-use inspections have been completed for rigging gear?

  • Rigging gear has been set up correctly and fit for purpose?

  • Crane and vehicles are clean - (Windows, cab, storage etc.)?

  • Positive behaviors observed? (Compliance to system(s) of work, use of appropriate PPE, Proactive risk management, working as a team, Liaise with customer) - Detail within notes

  • Opportunities for improvement? - Detail within notes

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.