Worksite OHS Inspection Form

• Date

  Date
• Location
  Address

• Inspected by

• Name of crew

• Team/Crew Leader

• Details of Works

  Select AIM uplifting Tree removals Tree work in parks and kindergartens Tree establishment (maintenance works) Tree establishment (watering) Other Tree pruning

  • AIM uplifting
  • Tree removals
  • Tree work in parks and kindergartens
  • Tree establishment (maintenance works)
  • Tree establishment (watering)
  • Other
  • Tree pruning

• Plant number & registration

Personal Protective Equipment

• 1) Are employees wearing appropriate footwear?

  Yes

  No

  N/A

• 2) Are protective long sleeve shirts/long pants being worn?

  Yes

  No

  N/A

• 3) Is high visibility clothing worn and clean?

  Yes

  No

  N/A

• 4) Is eye, hand & hearing protection being worn? (if required)

  Yes

  No

  N/A

• 5) Has sunscreen lotion been issued/applied? (Sept. to April)

  Yes

  No

  N/A

Vehicles/Plant

• 6) Has the pre-start defect book entry been completed today?

  Yes

  No

  N/A

• 7) Are all lights and indicators working?

  Yes

  No

  N/A

• 8) Has the driver log book been completed daily?

  Yes

  No

  N/A

• 9) Is the vehicle clean and presentable inside and out?

  Yes

  No

  N/A

• 10) Are the vehicles / plant safety decals readable?

  Yes

  No

  N/A

• 11) Is a fire extinguisher present and has it been tagged/tested?

  Yes

  No

  N/A

• 12) Are carried loads secure / contained?

  Yes

  No

  N/A

Safe Work Procedures / JSA's & safe systems of work?

• 13) Is correct traffic management in place? (if required)

  Yes

  No

  N/A

• 14) SWP's/JSA's/emergency info folder within the vehicle?

  Yes

  No

  N/A

• 15) Are all staff aware of the SWP's for their task?

  Yes

  No

  N/A

• 16) Is the task being performed as per the SWP?

  Yes

  No

  N/A

• 17) Are correct manual handling techniques being used?

  Yes

  No

  N/A

• 18) Are all traffic control devices visible?

  Yes

  No

  N/A

• 19) Is there a sharps disposal unit available in the vehicle?

  Yes

  No

  N/A

• 20) Are all required tools on board to undertake tasks?

  Yes

  No

  N/A

• 21) Is equipment working and used properly?

  Yes

  No

  N/A

• 22) Are chemicals properly stored/used and SDS available?

  Yes

  No

  N/A

• 23) Mobile phones charged / 2 way working correctly?

  Yes

  No

  N/A

First Aid Provision

• 24) Is the employees First Aid training up to date?

  Yes

  No

  N/A

• 25) Is there a First Aid Kit present?

  Yes

  No

  N/A

• 26) Is the First Aid Kit in good condition and stocked?

  Yes

  No

  N/A

• 27) Is there adequate cool drinking water available?

  Yes

  No

  N/A

EWP Audit (optional)

• Is the EWP's electrical testing certification clearly visible and the date compliant?

  Yes

  No

  N/A

• Is the tower rebuild certification in date?

  Yes

  No

  N/A

• Are all fall arrest harnesses in date?

  Yes

  No

  N/A

• Is the earth chain in good working condition?

  Yes

  No

  N/A

• What are the corrective actions to be taken?

• Who is the responsible person?

• When is the due date for any corrective action(s)?

  Date

Signatures

• Supervisor signature

  Sign

• Staff signature

  Sign

• Staff signature

  Sign

• Staff signature

  Sign

• Staff signature

  Sign

• Staff signature

  Sign

• Staff signature

  Sign

• Staff signature

  Sign