Site Inspection Checklist – Generic SSSP Form 5

Write location
     

Write the name of the inspector

     

Time Date
          /     /        

1 Site Control 4 Personal Safety Equipment

☐ a. Hazard board and signage up-to-date ☐ a. Signage displayed and legible

☐ b. Environmental plan – issues ☐ b. Hardhats being worn

☐ c. Toolbox talk last date ☐ c. Correct footwear being worn

    /     /         ☐ d. Glasses/ear muffs/vests/masks used

☐ d. Safety inductions for all on site 5 First Aid/Fire Prevention

☐ e. Safety notice board current ☐ a. First aid box available

2 Site Facilities ☐ b. Accident register available

☐ a. Offices clean, adequate & good lighting ☐ c. Fire extinguishers available

Current (12mth)
☐ b. Smoko sheds – clean, potable water Sufficient number

☐ c. Toilets – clean, washing water ☐ d. Evacuation procedure current

All emergencies included
☐ d. Tool/equipment sheds adequate
6 Cranes/Hoist/Lifting Equipment
3 General Site Tidiness & Access Ways
☐ a. Proper lift assessment plan done
☐ a. Clear, safe access to work areas
☐ b. Crane certification current
☐ b. Stairways and access ways clear
☐ c. Slings/chains certified
☐ c. Hoardings/fence and gates secure
☐ d. Operator procedures in place
☐ d. Loose materials secure from wind
☐ e. Inspections being done

☐ f. Man cage available

☐ g. Emergency plan in place

SITE INSPECTION CHECKLIST – GENERIC V1.0 SSSP FORM 5 PAGE 1 OF

Site Inspection Checklist – Generic SSSP Form 5

7 Compressed Air Equipment 13 Scaffolding

☐ a. In good condition ☐ a. Notifiable weekly Scaftag/current

☐ b. Appropriate guards fitted ☐ b. Handrails/mid-rails

☐ c. Trained user ☐ c. Toe boards

8 Excavations ☐ d. Platforms

☐ a. Correctly shored and secured ☐ e. Ladders/stairs

☐ f. Base sound
9 Welding/Gas Cutting
☐ g. Work platforms clear
☐ a. Hot work permits being issued
☐ h. Platforms trip free
☐ b. Fire extinguishers on hand
☐ i. Planks tied down
☐ c. Operators using PPE
☐ j. Headroom clear
10 Electrical Equipment
☐ k. Ties/bracing adequate

☐ a. Main board lockable/weatherproof

14 Ladders
☐ b. Current tagged and damage-free leads
☐ a. Good condition
☐ c. Current tagged plant
☐ b. Secured top and bottom
☐ d. Current tagged lifeguards
☐ c. Stays to step ladders
☐ e. Leads safely placed
☐ d. Working 2 steps down
☐ f. Equipment in good condition
15 Fall Hazards
☐ g. Appropriate guards on equipment
☐ a. Floor edges / openings
☐ h. Adequate temporary lighting
☐ b. Lift shafts / stairs
11 Chemicals
☐ a. Correctly stored

☐ b. Safety Data Sheet (SDS) available

☐ c. Operators using PPE

12 Tools
☐ a. PAT tool WoF current and secure

☐ b. Staff trained in tool use (SWPS)

☐ c. PAT signage on site

SITE INSPECTION CHECKLIST – GENERIC V1.0 SSSP FORM 5 PAGE 2 OF

Site Inspection Checklist - Remedial Action Required SSSP Form 5

Item Comments/action description Person to action Complete

                       

                       

                       

                       

                       

                       

                       

SITE INSPECTION CHECKLIST V1.0 SSSP FORM 5 PAGE 3 OF 5

Site Inspection Checklist - Remedial Action Required (cont.) SSSP Form 5
Item Comments/action description Person to action Complete
                       

                       

                       

                       

                       

                       

                       

SITE INSPECTION CHECKLIST V1.0 SSSP FORM 5 PAGE 4 OF 5

Site Inspection Checklist - Remedial Action Required (cont.) SSSP Form 5
Item Comments/action description Person to action Complete
                       

                       

                       

                       

                       

                       

                       

SITE INSPECTION CHECKLIST V1.0 SSSP FORM 5 PAGE 5 OF 5