generalsitessafetyinspection

Job No *

Site Address *

Supervisor Name *

Date / Time *

Date

Time

SITE SAFETY INSPECTION

Site signage prominently displayed, including Lot No, Supervisor name & Phone number *

Yes
No

Photo Upload Signs

Photo front of Property, ensure the Construction Site sign & safety Danger sign are in the picture.

Comments/Action Required *

Public footpaths clear of materials and hazards (if not possible, has safe passage been provided). *

Safe
Not Safe

Comments/Action Required *

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Site/Temporary Fence is in place and providing site security with a suitable lock. *

Yes
No

Comments/Action Required *

Toilet is clean, in working order and positioned on level ground. *

Yes
No

Comments/Action Required *

Rubbish Bin/Cage in good condition and being used appropriately *

Yes
No

Site is kept clean and clear of trip hazards

Comments/Action Required *

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Is there any trenching, pier holes or Excavation works *

Yes
No

Trenching, pier holes and Excavation works adequately barricaded & protected? *

Yes
No

Comments/Action Required *

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Switchboard in good condition, tested and tagged. *

Yes
No

Residual current device safety switch (RCD) Monthly trip test by Supervisor & 3 Monthly tagged by Electrician

Comments/Action Required *

Is Scaffolding erected on site? *

Yes
No

Is handover certificate on display at entry point to scaffold, current within 30 days *

Yes
No

If not, ensure scaffolding company completes an inspection and up dates sign off tag. Scaffold 4m or greater in height require inspection every 30 days.

Comments/Action Required *

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Is fall protection required *

Yes
No

To prevent falls of people & tools above 2m

Has Fall Guard protection been installed *

Yes
No

Including toe boards, complete & secure where required.

Comments/Action Required *

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Is Sediment control in position and undamaged. *

Yes
No

Comments/Action Required *

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Driveway gravel in place and spread evenly. *

Yes
No
Driveway concrete complete

Make sure it is clear of any built of sediment.

Comments/Action Required *

Photo Upload

Non compliant photo

Are Temporary Down Pipes connected? *

Yes
No
Down Pipes Connected

Comments/Action Required *

Are there Contractors/Workers on site? *

Yes
No

Have the Contractors/Workers been made aware of the Perry Homes Safety Management Plan *

Yes
No

Must agree to it & know where to find it.

Comments/Action Required *

Has a Risk Assessment been completed & received from the Contractors/Worker? *

Yes
No

Must be done prior to work commencing.

Contractors Name & date Risk Assessment submitted? *

Comments/Action Required *

Has a Tool Box Talk been completed? *

Yes
No
Already completed previously

Choose one relevant to the job or one that has not been completed yet.
If marked Already completed previously, this maybe checked to confirm.

Comments/Action Required *

Are Safe work at heights practices during all tasks on site being complied with? *

Yes
No
Not Applicable

Comments/Action Required *

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Electrical equipment and leads tested & tagged and in good condition. *

Yes
No
No electrical equipment on site

Comments/Action Required *

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Other Hazards/breaches found during Site Inspection *

Yes
No

If Yes list below

Comments/Action Required *

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

Photo Upload

Non compliant photo

General Photos of site, side 1 *

Photos of all 4 sides of site. Make sure to select large.

General Photos of site, side 2 *

Photos of all 4 sides of site. Make sure to select large.

General Photos of site, side 3 *

Photos of all 4 sides of site. Make sure to select large.

General Photos of site, side 4 *

Photos of all 4 sides of site. Make sure to select large.

Supervisor Signature

Clear Signature