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Site Safety Inspection
13
Questions
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1
Name of Person Completing the Inspection
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First Name
Last Name
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2
Date
*
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Date
Day
Month
Year
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3
Building Site Address
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4
Ground Area
Yes
No
Action Required
NA to site
Are there any trip hazards present?
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Are ramps supported and stabilised?
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Is the ground free or debris and rubbish?
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Are trenches barricaded?
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Are there any trip hazards present?
Are ramps supported and stabilised?
Is the ground free or debris and rubbish?
Are trenches barricaded?
Yes
Row 0, Column 0
No
Row 0, Column 1
Action Required
Row 0, Column 2
NA to site
Row 0, Column 3
Yes
Row 1, Column 0
No
Row 1, Column 1
Action Required
Row 1, Column 2
NA to site
Row 1, Column 3
Yes
Row 2, Column 0
No
Row 2, Column 1
Action Required
Row 2, Column 2
NA to site
Row 2, Column 3
Yes
Row 3, Column 0
No
Row 3, Column 1
Action Required
Row 3, Column 2
NA to site
Row 3, Column 3
1
of 4
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5
Delivery and Storage of Materials and Equipment
Yes
No
Action Required
NA to site
Is there a designated storage area for materials?
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Is the storage area orderly?
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Are scaffolds clear of debris and materials?
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Is the site properly lit for work? (Adequate lighting)
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Are the site access and EXIT points clear?
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Is there a designated storage area for materials?
Is the storage area orderly?
Are scaffolds clear of debris and materials?
Is the site properly lit for work? (Adequate lighting)
Are the site access and EXIT points clear?
Yes
Row 0, Column 0
No
Row 0, Column 1
Action Required
Row 0, Column 2
NA to site
Row 0, Column 3
Yes
Row 1, Column 0
No
Row 1, Column 1
Action Required
Row 1, Column 2
NA to site
Row 1, Column 3
Yes
Row 2, Column 0
No
Row 2, Column 1
Action Required
Row 2, Column 2
NA to site
Row 2, Column 3
Yes
Row 3, Column 0
No
Row 3, Column 1
Action Required
Row 3, Column 2
NA to site
Row 3, Column 3
Yes
Row 4, Column 0
No
Row 4, Column 1
Action Required
Row 4, Column 2
NA to site
Row 4, Column 3
1
of 5
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6
Work Areas & Waste Management
Yes
No
Action Required
NA to site
Are work areas kept clean, uncluttered and free of waste?
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Do tradesman "clean as they go"?
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Are there adequate skip bins on site?
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Are the bins/skips regularly emptied?
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Are work areas kept clean, uncluttered and free of waste?
Do tradesman "clean as they go"?
Are there adequate skip bins on site?
Are the bins/skips regularly emptied?
Yes
Row 0, Column 0
No
Row 0, Column 1
Action Required
Row 0, Column 2
NA to site
Row 0, Column 3
Yes
Row 1, Column 0
No
Row 1, Column 1
Action Required
Row 1, Column 2
NA to site
Row 1, Column 3
Yes
Row 2, Column 0
No
Row 2, Column 1
Action Required
Row 2, Column 2
NA to site
Row 2, Column 3
Yes
Row 3, Column 0
No
Row 3, Column 1
Action Required
Row 3, Column 2
NA to site
Row 3, Column 3
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7
Plant & PPE
Yes
No
Action Required
NA to site
Is the footwear worn suitable for the work tasks being carried out?
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Is correct PPE being worn appropriately"?
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Is plant and PPE in good serviceable condition?
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Are workers competent and trained in the use of the equipment on site?
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Is the footwear worn suitable for the work tasks being carried out?
Is correct PPE being worn appropriately"?
Is plant and PPE in good serviceable condition?
Are workers competent and trained in the use of the equipment on site?
Yes
Row 0, Column 0
No
Row 0, Column 1
Action Required
Row 0, Column 2
NA to site
Row 0, Column 3
Yes
Row 1, Column 0
No
Row 1, Column 1
Action Required
Row 1, Column 2
NA to site
Row 1, Column 3
Yes
Row 2, Column 0
No
Row 2, Column 1
Action Required
Row 2, Column 2
NA to site
Row 2, Column 3
Yes
Row 3, Column 0
No
Row 3, Column 1
Action Required
Row 3, Column 2
NA to site
Row 3, Column 3
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8
Electrical
Yes
No
Action Required
NA to site
Have electrical items with power leads been tested and tagged within the last three months?
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Have electrical items with power leads been tested and tagged within the last three months?
Yes
Row 0, Column 0
No
Row 0, Column 1
Action Required
Row 0, Column 2
NA to site
Row 0, Column 3
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9
Site Documents
Yes
No
Action Required
NA to site
Have all workers on site been inducted?
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Have SWMS been prepared and signed?
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Have all workers on site been inducted?
Have SWMS been prepared and signed?
Yes
Row 0, Column 0
No
Row 0, Column 1
Action Required
Row 0, Column 2
NA to site
Row 0, Column 3
Yes
Row 1, Column 0
No
Row 1, Column 1
Action Required
Row 1, Column 2
NA to site
Row 1, Column 3
1
of 2
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10
Vehicle Parking
Yes
No
Action Required
NA to site
Are vehicles parked in an orderly manner?
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Are vehicles overcrowded on the site?
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Does vehicle parking affect access and departure from the site?
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Are vehicles parked in an orderly manner?
Are vehicles overcrowded on the site?
Does vehicle parking affect access and departure from the site?
Yes
Row 0, Column 0
No
Row 0, Column 1
Action Required
Row 0, Column 2
NA to site
Row 0, Column 3
Yes
Row 1, Column 0
No
Row 1, Column 1
Action Required
Row 1, Column 2
NA to site
Row 1, Column 3
Yes
Row 2, Column 0
No
Row 2, Column 1
Action Required
Row 2, Column 2
NA to site
Row 2, Column 3
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11
PHOTO OF ACTION REQUIRED
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12
What actions need to be taken? Who needs to complete these actions?
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13
Signature
*
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