Focus Worksite Verification Report

Date & Time: Company:

Locations:

Y/N
# 24. Safe Access, Egress, Place of Work
(N/A)

1 Tidiness/ Non-obstruction underfoot (gangways) platforms, etc.

2 Control of slippery substances (mud, wet, etc.)

3 Stairs (handrails, conditions of threads, etc.)

4 Intended walkways marked/ barriered off

5 Condition and use of ladders/ step ladders (including footing/lashing/angle)

6 Condition and use of other mobile/ portable access equipment

7 Fencing of edges and openings (including covers marked ‘warning hole below’)

8 Scaffolding

9 Ground base support (use of sole plates, etc.)

10 Structural soundness (bracing, outriggers, tying in, etc.)

Adequacy and close boarding of platforms with no excessive gaps, gangways, runs,
11 etc.

12 Condition and support of scaffold boards – do they feel secure when walked on

13 Provision and use of guardrails and toe boards

14 Condition and use of mobile tower scaffolds (outriggers, height/base ratio, etc.)

15 Use of warning notices/ ‘scafftag’ system

16 Is the ladder in good condition and clear of obstructions

17 Is the scaffold blocking access to any safety equipment

18 Is the scaffold suitable for the work in hand

19 Upkeep of register

20 Fragile roofs etc. precautions (use of ladders/crawling boards)

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 Focus Worksite Verification Report
21
Other (specify)

Code
Sign as Date
List of Deficiencies (see Person Responsible
Complete Completed
below)
1

A = Immediate action B = 24 Hours C = 48 Hours D = One Week

Inspection Team

PRINT SIGNATURE

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