Site Safety Inspection Report
Project Name: Date:
Inspection by: Attendees:
Item Location Safety Observation / Condition / Risk * Rectification Required / Comments Action By: Closed Signature
Activity (Name) Out Date (initial)
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*Risk E = Extreme H = High M = Medium L = Low
Action: Rectify/ Correct immediately. Action: Risk not imminent, however must be rectified by Action: Rectify within 24 hours. Action: Requires action before next inspection or
COB. No work to take place in location until rectified. time frame specified.
All items noted above have been rectified (to be signed by Principal Contractor and / or subcontractor): Signed: ………...……………………………… Dated:………...…………………….
Document Name: Version Correct as at: Page No.
[Link] 04 03 Apr 14 2 of 2
Site Safety Inspection Report
Memory Jogger - During the inspection confirm those items checked by indicating or or N/A next to the item below.
= Checked and OK = Checked and needs rectification N/A = Not applicable to or present on this project
Item or Item or
or N/A or N/A
1. Access – Clear / Designated / Signage 27. Manual Handling - Trolleys / mechanical aids
2. Amenities – Clean / Adequate 28. Penetrations - covers secured / barricaded
3. Certificates of competency / Licenses / Tickets 29. Plant – Inspection / Maintenance / Guarding / Log book
4. Confined Space – Training / Entry Permit / Retrieval method 30. PPE - Hard hat / boots / hearing protection / goggles / hi-vis vests, etc.
5. Consultation – Method / frequency / statement 31. WMS – Signed / compliance checks undertaken
6. Dangerous Goods – storage / ventilation / Risk Assessment / MSDS 32. Training of employees - Records
7. Demolition - Licensing / Services / Felling methodology 33. Traffic control - Signage / ticketed controller
8. Drinking water – Locations / Adequate 34. Ventilation - Adequate
9. Electrical equipment - Tagged / Residual Current Device 35. Visitors register – Up to date
10. Temporary DB’s - Secure / lockable lid / RCD / tested and tagged 36. Work Platforms - complete / duty rating
11. Elevated Work Platform - Log book / competency
12. Emergency evacuation plan - Contact numbers / assembly 37. Crane - Logs / Maintenance / Regulatory Authority Registration
13. Explosive power tools - Eye & ear protection / signage 38. Excavation - Services / depth / barricades / shoring / access
14. Falling objects – Overhead protection / hoarding / kickboards 39. Formwork - Catch decks / edge protection / engineer sign-off
15. Fencing - Site security / signage / after hours emergency contact 40. Handrails / midrails / toeboards / edge protection
16. Fire Fighting Equipment – Serviced / tagged / signage / location / access 41. Hoist – Maintenance / Handover Certificate / log book
17. First aid - facilities / location / trained personnel 42. Moving Plant - Spotter / high visibility vest / separation of pedestrians
18. First aid treatment - Recording / monthly reporting 43. Noise levels - testing
19. Hot work - Permit / flashback arresters / FFE / clothing / PPE 44. Plant – Licensed operators / Regulatory Authority Registration
20. Housekeeping - Rubbish removal / clear access 45. Reinforcing - Starters Protected / bar caps
21. Labour Camp/Accommodation – segregation / security / cleanliness 46. Rigging and control of loads - wind / tag line / communications
22. Ladders – Condition / use / tied off / industrial rated 47. Safety harness - Approved anchors / condition / training / rescue plan
23. Lasers - Warning signage 48. Scaffolding - Complete / handover certificate / bracing / ladder access
24. Lift penetrations caged 49. Tilt-up or precast-bracing / engineering certification
25. Lighting – Adequate / Emergency back-up (if required) 50. UV – Sunscreen / Clothing
26. Lock out/Tag out Procedures – Electrical / Mechanical Other
N.B. – indicative list only. Not intended to be an exhaustive list.
Signed: …………………………………………….. Date: ………………………..
Document Name: Version Correct as at: Page No.
[Link] 04 03 Apr 14 2 of 2
