Matrix health & safety inspection checklist - form 6

Template Information

Health and safety inspection checklist

Category: construction

Template Questions

  • 1. Public Protection
  • 2. Induction
  • 3. Access
  • 4. Environmental weather affects
  • 5. Safe Work Method Statements
  • 6. Amenities
  • 7. First Aid
  • 8. House keeping
  • 9. PPE
  • 10. Electrical
  • 11. Trenching and Excavation
  • 12. Work at heights
  • 13. Barricades
  • 14. Ladders
  • 15. Scaffolds
  • 16. Mobile Scaffolds
  • 17. Formwork
  • 18. Plant and Equipment
  • 19. Hot Works
  • 20. Fire Precautions
  • 21. Scissor / Boom Lifts
  • 22. Forklifts
  • 23. Penetrations
  • 24. Edge Protection
  • 25. Hazardous Manual Tasks
  • 26. Hazardous Chemicals
  • 27. Crane Activities - Including Excavators used for Crane Work
  • 28. Material Storage
  • 29. Lighting
  • 30. Structural Support
  • 31. Other High Risk Activities
  • 32. Health Issues
  • 33. Other
  • Additional comments by Matrix inspecting person
  • Name and Site Role of Matrix person conducting inspection
  • Note: Upload events on to Mango if they cannot be closed out on day of inspection.
  • Note: Consult with both workers and Subcontractor PCBUs
  • Name, Occupation and PCBU name of person consulted during inspection
  • Name, position and signature of PM or SM
  • PM or SM comments
  • Select date Date
  • Close out requirements.