WPL Consulting Ltd

• Client

  Select

• Client

• Project Name

• Conducted on

  Date

• Prepared by

• Principal Contractor

• Site Manager

• Location
  Address

1. Displayed Items

• F10 Notification

  Yes

  No

  N/A

• Insurances

  Yes

  No

  N/A

• Electrical Certificate

  Yes

  No

  N/A

• First Aider

  Yes

  No

  N/A

• Fire Plan

  Yes

  No

  N/A

• Signing In Sheet

  Yes

  No

  N/A

• H&S at Work Act Poster

  Yes

  No

  N/A

• Emergency Details

  Yes

  No

  N/A

• Eye Wash Station

  Yes

  No

  N/A

2. Inspections (Statutory)

• Scaffold Inspection?

  Yes

  No

  N/A

• Excavation Inspection?

  Yes

  No

  N/A

• H&S Audit Carried Out

  Yes

  No

  N/A

3. Documentation

• Construction Phase Plan

  Yes

  No

  N/A

• Toolbox Talks

  Yes

  No

  N/A

• Accident Book

  Yes

  No

  N/A

• Lifting Plan

  Yes

  No

  N/A

• RAMS

  Yes

  No

  N/A

• Site Induction

  Yes

  No

  N/A

• Permits

  Yes

  No

  N/A

• Asbestos

  Yes

  No

  N/A

• Preconstruction Information Plan

  Yes

  No

  N/A

• Site Induction Records

  Yes

  No

  N/A

• Operative Training Information

  Yes

  No

  N/A

• Scaffold Handover Certificate

  Yes

  No

  N/A

4. Site Set Up

• Welfare Area

  Compliant

  Non-Compliant

  N/A

• Drying Room

  Compliant

  Non-Compliant

  N/A

• Notice Board

  Yes

  No

  N/A

• Security

  Yes

  No

  N/A

• Fire Extinguishersxtinguishers

  Compliant

  Non-Compliant

  N/A

• 110v

  Yes

  No

  N/A

• Toilets

  Compliant

  Non-Compliant

  N/A

• First Aid Box

  Yes

  No

  N/A

• Hot/Cold Water

  Yes

  No

  N/A

5. Site Safety Observations

• Site Safety Observation 1

  Good

  Fair

  Poor

  N/A

• Site Safety Observation 2

  Good

  Fair

  Poor

  N/A

• Site Safety Observation 3

  Good

  Fair

  Poor

  N/A

• Site Safety Observation 4

  Good

  Fair

  Poor

  N/A

• Site Safety Observation 5

  Good

  Fair

  Poor

  N/A

6. General Comments/ Positive Observations

• Positive Observations/Feedback 1

  Good

  Fair

  Poor

  N/A

• Positive Observations/Feedback 2

  Good

  Fair

  Poor

  N/A

• Positive Observations/Feedback 3

  Good

  Fair

  Poor

  N/A

• Positive Observations/Feedback 4

  Good

  Fair

  Poor

  N/A

• Positive Observations/Feedback 5

  Good

  Fair

  Poor

  N/A

7. Summary And Conclusion

• Summary & Conclusion

  Compliant

  Non-Compliant

  N/A