OFFICIAL WHS INSPECTION CHECKLIST Site name Date [Click/tap to enter details] [Click/tap to select date] Project or job name Job or contract number (if applicable) [Click/tap to enter details] [Click/tap to enter details] Person carrying out site inspection (name and position) [Click/tap to enter details] Contractor (if applicable) [Click/tap to enter details] Contractor’s Site Supervisor Contact number [Click/tap to enter details] [Click/tap to enter details] All non-conformances must be rectified immediately, or date set for completion, and actions documented. Documents Inspection item Yes No N/A Is there a WHS Management Plan covering this job, if required? ☐ ☐ ☐ Are safe work method statements (SWMS) available for all high risk site activities currently being undertaken? ☐ ☐ ☐ Does the SWMS identify site specific hazards and controls related to the work being carried out? ☐ ☐ ☐ Are workers on site working in accordance with their SWMS? ☐ ☐ ☐ Yes No N/A ☐ ☐ ☐ Comments or actions [Where are SWMSs kept?] Induction Inspection item Have all workers undergone site specific induction training prior to starting work on site? RBH: Updated: 26-11-2023 Comments or actions [White card sighted?] page 1 | 10 OFFICIAL OFFICIAL Consultation Inspection item Yes No N/A ☐ ☐ ☐ Yes No N/A Site security: Is the site securely fenced or barricaded to protect occupants and outside pedestrians, and to prevent unauthorised access? ☐ ☐ ☐ Are all materials stored within the secured work site, site shed or vehicles? ☐ ☐ ☐ Are there designated entry and exit points with ID checks? ☐ ☐ ☐ Signage: Are site safety rules available and displayed on site? ☐ ☐ ☐ When fencing is erected, is there a clearly visible sign with the name and phone number, (including an after-hours emergency telephone number) of the Principal Contractor with appropriate construction and PPE signage displayed? ☐ ☐ ☐ Traffic control: Is vehicle and pedestrian traffic adjacent to the site directed and controlled using signage, fencing and controllers? ☐ ☐ ☐ If required is a Traffic Management Plan in place? ☐ ☐ ☐ Yes No N/A ☐ ☐ ☐ Are toolbox talks held prior to site works commencing, and then weekly, or more frequently as required? Comments or actions Work adjacent to traffic corridor Inspection item Comments or actions Emergencies Inspection item Where is the nearest phone in case of an emergency? RBH: Updated: 26-11-2023 Comments or actions [Click/tap to enter location] page 2 | 10 OFFICIAL OFFICIAL Inspection item Yes No N/A Is an emergency or incident procedure displayed on site and are workers aware of the procedure? ☐ ☐ ☐ Are there suitable fire extinguishers on site (for example, hot work minimum 4.5 kg) and have fire extinguishers been serviced in last six months and tag stamped? ☐ ☐ ☐ Is there an adequately stocked first aid kit on site? (Equivalent to Type B kit plus items identified as required from carrying out a risk assessment.) ☐ ☐ ☐ Is there a qualified first aid person on site? One first aid person for up to 25 workers for high risk work. ☐ ☐ ☐ Is there an accident or injury book or register on site? ☐ ☐ ☐ Yes No N/A Are there washing facilities, adequate fresh cool drinking water, clean toilet, lunch and change rooms and bins available? (For example, one toilet per 20 workers.) ☐ ☐ ☐ Is rubbish and waste containers on site? ☐ ☐ ☐ Is the site area clear of rubbish or scattered materials? ☐ ☐ ☐ Is documentation available for any waste or hazardous material disposed of offsite? For example, tip docket. ☐ ☐ ☐ Comments or actions [Click/tap to enter name/s] Site amenities Inspection item RBH: Updated: 26-11-2023 Comments or actions page 3 | 10 OFFICIAL OFFICIAL Working at heights Inspection item Yes No N/A Prevention of falls if work area is above 2 metres and within 2 metres of the edge. Are guard rails or scaffolding or harness being used? ☐ ☐ ☐ Is area below (fall zone) fenced or barricaded with warning signage, or spotter below? ☐ ☐ ☐ Are tools secured? ☐ ☐ ☐ If team has installed roof safety mesh, has a Roof Safety Mesh Handover Certificate been completed and copy left with site owner? (CoP Safe Work on Roofs Part 1) ☐ ☐ ☐ Ladders: Are ladders in good condition, industrial rated with a visible rating sticker, secured top or bottom, extended at least 1 metre above top platform and are timber or fibreglass when working near electrical equipment? ☐ ☐ ☐ Scaffolding: If the scaffold is under erection, has a safety barrier been set up near the scaffolding base? ☐ ☐ ☐ Is proper ladder access provided to scaffold working decks (fixed top/bottom)? ☐ ☐ ☐ Is scaffolding secured against tipping? ☐ ☐ ☐ Are the planks secure and platforms fully decked? ☐ ☐ ☐ Does scaffolding of 4 metres or more have a relevant scaff tag or handover certificate? ☐ ☐ ☐ Are handrails, midrails and toe boards in place along the full length of working deck of the scaffold? ☐ ☐ ☐ Mobile scaffolds: Do mobile scaffolds have lockable wheels and are the wheels locked? ☐ ☐ ☐ Is safe internal ladder access available above 2 metres? ☐ ☐ ☐ RBH: Updated: 26-11-2023 Comments or actions [Monthly certification on site?] page 4 | 10 OFFICIAL OFFICIAL Inspection item Yes No N/A Is the height less than 3 times the width of the base? ☐ ☐ ☐ Do outriggers have to be used? ☐ ☐ ☐ Have overhead electrical hazards been considered? ☐ ☐ ☐ Yes No N/A Documentation: Do plant operators have appropriate licences for the work? ☐ ☐ ☐ Does all machinery have registration and permits? ☐ ☐ ☐ Are Safety Check logbooks for machinery being completed? ☐ ☐ ☐ Specific plant: Is traffic control in place if required? ☐ ☐ ☐ Do backhoes, excavators, bobcats, cranes, boom pumps, EWP’s have appropriate signs? ☐ ☐ ☐ Is plant in good order (visual inspection – no oil leaks, hydraulic hoses okay, etc)? ☐ ☐ ☐ Is the Safe Working Load indicated on the boom of all cranes, EWP, lifts? (Division 1) ☐ ☐ ☐ Are licensed persons involved with mobile crane movements and are slings and cranes in good order, and is there evidence of inspections of these? ☐ ☐ ☐ Do vehicles have reverse alarms and rotating orange lights where necessary? ☐ ☐ ☐ Are workers wearing high visibility clothing in the vicinity of traffic/mobile plant? ☐ ☐ ☐ Are operators of EWP that can exceed 11 metres, licenced? (Division 1) ☐ ☐ ☐ Comments or actions Mobile plant and equipment Inspection item RBH: Updated: 26-11-2023 Comments or actions [Licences verified?] [Licences verified?] page 5 | 10 OFFICIAL OFFICIAL Inspection item Yes No N/A ☐ ☐ ☐ Yes No N/A Are barricades, fences, or signage along and around trenches? ☐ ☐ ☐ Are excavations greater than 1.5 metres benched, battered, shored or certified by a Geotechnical Engineer to prevent collapse and is safe ladder access provided? ☐ ☐ ☐ Is spoil deposited on downhill side of trench or excavation? ☐ ☐ ☐ Yes No N/A Have existing services been verified and are workers aware of safe practices or regulations if working close to power lines and/or underground or hidden services? (For example, Dial Before You Dig.) ☐ ☐ ☐ Have gas, electricity and other services been located and isolated or disconnected? ☐ ☐ ☐ Are stockpiled materials covered to prevent erosion by wind and rain, or dampened with water to reduce windblown dust? ☐ ☐ ☐ If dust is a problem, does the fence installed around the site have a cloth barrier to act as a windbreak? ☐ ☐ ☐ Is plant not in use switched off and key removed? Comments or actions Excavation and trenching work Inspection item Comments or actions Demolition work Inspection item RBH: Updated: 26-11-2023 Comments or actions page 6 | 10 OFFICIAL OFFICIAL Personal protective equipment (PPE) Inspection item Yes No N/A Are safety helmets, boots and high visibility vests being worn by all persons on the work site? ☐ ☐ ☐ Are site workers wearing PPE whilst doing tasks that require it to be worn (for example, dust masks, gloves, eye and/or ear protection)? ☐ ☐ ☐ Are supervisors and site workers wearing UV protective equipment, clothing, sunscreen? ☐ ☐ ☐ Yes No N/A General: Are workers aware that they need to contact their manager or supervisor immediately if there is any incident including one that may affect the environment? ☐ ☐ ☐ Is excess water from cleaning tools and equipment and waste contained and not washed into drains or waterways? ☐ ☐ ☐ Are excess materials recycled where possible? ☐ ☐ ☐ Are trees protected during site works? ☐ ☐ ☐ Are heritage items identified and protected during works? ☐ ☐ ☐ Are site vehicles parked where they will not unduly impact local use of a street or grounds? ☐ ☐ ☐ Is vehicle access restricted to one stable entry and exit point to reduce damage to ground or grassed areas. ☐ ☐ ☐ Is noise minimised where possible? ☐ ☐ ☐ Are dust and other particles contained? ☐ ☐ ☐ Comments or actions Environmental management Inspection item RBH: Updated: 26-11-2023 Comments or actions page 7 | 10 OFFICIAL OFFICIAL Inspection item Yes No N/A Is waste disposed of appropriately and in accordance with regulations or local authority requirements? ☐ ☐ ☐ Use of hazardous substances – painting or cleaning: Are washings contained and not disposed of down drain or near drains/waterways? ☐ ☐ ☐ Are paints and chemicals stored in a lockable area that has an impervious floor and ventilation? ☐ ☐ ☐ Are waste solvents, cleaners and paints sealed and disposed of in accordance with guidelines (refer local council)? ☐ ☐ ☐ Excavation or trenching: Are silt fences and other sediment control measures in place and functional, if required? ☐ ☐ ☐ Are trenches filled in as soon as work is completed to minimise erosion? ☐ ☐ ☐ Is any surcharge on ground removed? ☐ ☐ ☐ Yes No N/A SDS: Is there a Hazardous Chemicals or Substances Register? ☐ ☐ ☐ Are copies of safety data sheets (SDS) available on site for all substances used or stored on site? ☐ ☐ ☐ Labelling: Are all containers of chemicals adequately labelled (including decanted materials that haven’t been decanted for immediate use)? ☐ ☐ ☐ Training: Have site workers read SDS and controls listed in SWMS? ☐ ☐ ☐ Comments or actions Hazardous chemicals or substances Inspection item RBH: Updated: 26-11-2023 Comments or actions page 8 | 10 OFFICIAL OFFICIAL Inspection item Yes No N/A Ventilation: Is adequate ventilation provided when chemicals/gas bottles are stored in vehicles or in use? ☐ ☐ ☐ Are appropriate control measures in place for removal of lead-based paint? ☐ ☐ ☐ Are appropriate control measures in place for asbestos removal, and work carried out by licensed person? ☐ ☐ ☐ Yes No N/A Guards: Do machines or /tools on site have guards or handles fitted as per manufacturer’s recommendations? for example, grinder, circular saw ☐ ☐ ☐ Electrical: Are electrical leads, plugs and power tools in good condition and are they tested and tagged 3-monthly? ☐ ☐ ☐ Are extension leads off the ground? ☐ ☐ ☐ Are all power supply outlets protected by earth leakage devices or RCD’s? ☐ ☐ ☐ Sheds/builder’s board tested on installation and then 6-monthly? ☐ ☐ ☐ Comments or actions Tools or electrical Inspection item Comments or actions Use of explosive powered tools: When explosive powered tools are being used, are warning signs displayed? Non-conformance issue(s) Items that can be rectified on the day of the inspection are to be listed on this form. For all other nonconformances, a Site Instruction is to be issued. Target action date Non-conformance issue(s) Sign off when completed 1. RBH: Updated: 26-11-2023 page 9 | 10 OFFICIAL OFFICIAL Target action date Non-conformance issue(s) Sign off when completed 2. 3. 4. Inspecting person's name Signature [Click/tap to enter details] RBH: Updated: 26-11-2023 page 10 | 10 OFFICIAL