Worksite Inspection Form

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Date

Inspection By

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1. Have all employees read & signed the SWMSYesNoN/A

Date to be fixed

Responsibility

2. Have all subcontractors/visitors read & signed the SWMSYesNoN/A

Date to be fixed

Responsibility

3. Is signage clearly visibleYesNoN/A

Date to be fixed

Responsibility

4. Are barricades/temporary fencing in placeYesNoN/A

Date to be fixed

Responsibility

5. Are fire extinguishers (& hoses) in place, clearly marked for type of fire and within service date (6 months)YesNoN/A

Date to be fixed

Responsibility

6. Are there adequate direction notices for fire exitsYesNoN/A

Date to be fixed

Responsibility

7. Is there clear access to exits & fire protection equipmentYesNoN/A

Date to be fixed

Responsibility

8. Are workers aware of emergency muster pointsYesNoN/A

Date to be fixed

Responsibility

9. Are there any broken plugs, sockets or switchesYesNoN/A

Date to be fixed

Responsibility

10. Are there any frayed or damaged electrical leadsYesNoN/A

Date to be fixed

Responsibility

11. Is electrical equipment tested & tagged, are residual current devices usedYesNoN/A

Date to be fixed

Responsibility

12. Is there adequate lighting for the various tasksYesNoN/A

Date to be fixed

Responsibility

13. Are entries & walkways clear & unobstructedYesNoN/A

Date to be fixed

Responsibility

14. Are there any electrical leads crossing walkwaysYesNoN/A

Date to be fixed

Responsibility

15. Are walkways adequately & clearly markedYesNoN/A

Date to be fixed

Responsibility

16. Are work areas clear of rubbishYesNoN/A

Date to be fixed

Responsibility

Layout manual Responsibilty

17. Is there a dedicated area for storage of wasteYesNoN/A

Date to be fixed

Responsibility

18. Is there adequate space around equipment & other work areasYesNoN/A

Date to be fixed

Responsibility

19. Are items stored correctly & neatlyYesNoN/A

Date to be fixed

Responsibility

20. Are first aid stocks available & accessibleYesNoN/A

Date to be fixed

Responsibility

21. Are employees aware of the location of the first aid boxYesNoN/A

Date to be fixed

Responsibility

22. Are emergency phone numbers & first aider names displayedYesNoN/A

Date to be fixed

Responsibility

23. Are trained first aiders availableYesNoN/A

Date to be fixed

Responsibility

24. Has unnecessary manual handling been eliminatedYesNoN/A

Date to be fixed

Responsibility

25. Is lifting equipment used when necessary, are team lifts usedYesNoN/A

Date to be fixed

Responsibility

26. Are work heights suitableYesNoN/A

Date to be fixed

Responsibility

27. Is appropriate footwear worn (e.g. safety shoes, covered footwear with appropriate soles)YesNoN/A

Date to be fixed

Responsibility

28. Is all PPE being used and worn in accordance with site safety requirements and compliant with relevant standardsYesNoN/A

Date to be fixed

Responsibility

29. Is all PPE in good conditionYesNoN/A

Date to be fixed

Responsibility

30. Are SWMS available for required operational areas, all workers have been trained in their use and training is recordedYesNoN/A

Date to be fixed

Responsibility

31. Has the daily pre-start hazard check been conducted, with any new hazards added to SWMS and risks assessed/controlledYesNoN/A

Date to be fixed

Responsibility

32. Have the daily and routine checks been completed on all plant & equipmentYesNoN/A

Date to be fixed

Responsibility

33. Are hazardous substances labelled & stored correctlyYesNoN/A

Date to be fixed

Responsibility

34. Are SDS (MSDS) available for all hazardous substancesYesNoN/A

Date to be fixed

Responsibility

35. Is access available to required registersYesNoN/A

Date to be fixed

Responsibility

36. Are policies available electronically or displayedYesNoN/A

Date to be fixed

Responsibility

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Date to be fixed

Item, Comments, Responsibilty

Date to be fixed

Item, Comments, Responsibilty

Date to be fixed

Item, Comments, Responsibilty

Date to be fixed

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