Site safety inspection form checklist
Form :: checklist v. 4.0 published: sep 2014
What does this form include?
This form contains 7 sections:
Please complete site inspection accurately:
- 1. All workers are carrying current Tas Gas Networks ID, a Construction Induction “White” card and relevant competency cards.
- 2. The crew leader / site controller holds a Cert 111 in Gas Industry Operations or greater and is on site during the works.
- 3. All workers, including visitors, are inducted to site and signed on to the current Tas Gas Pre-start Hazard Identification Checklist and workers are signed onto a relevant JSEA held on site.
- 4. The Pre-start is correctly completed (including progressive recording of air monitoring results).
- 5. Permits are in place and noted on pre-start as required.
- 6. Safety Data Sheets are available for paints, solvents, chemicals, concrete additives, fuels, etc. Any Hazardous Substances introduced to site have been risk assessed and personnel trained in use?
- 7. Any other risk related documents relevant to the job are available and on site where required, e.g. NPRA’s, DBYD’s, TMP’s, major equipment Operators Manuals e.g. HDD Operations.
- 8. The Works Manual folder containing current documents is on site.
- 9. Traffic management is set up as per plan, documented as required.
- 10. A Spotter is appointed for work involving excavation and / or o/head power lines.
- 11. Clearance from power lines is maintained.
- 12. Trenches & excavations are barricaded. Trench rescue is in place. Other notices and safety controls are in place to assist pedestrians.
- 13. There is evidence that all underground assets have been marked out and / or physically located.
- 14. Harness and line are available and harness is within inspection date.
- 15. Live gas equipment is available and operational, e.g. signage, 2 fire extinguishers within test date, fire retardant overalls.
- 16. Mandatory PPE is worn. Other PPE is identified and available when required (hearing protection, sunblock, gloves, respirator ABE1P2, etc.)
- 17. Manual Handling risks assessed and controlled / Heavy lifts identified (lifting aids available e.g. barrows, hoists).
- 18. Air monitoring equipment is available, operational and worn / used on site as required (check calibration).
- 19. Slings are in good working order and within inspection date.
- 20. Compressed air hoses in good condition and safety clips available and used when required.
- 22. Power tools and leads have been tested/ tagged (within 3 months).
- 23. Equipment calibrations are current, e.g. electro fusion or butt welder, pressure gauges.
- 24. Spill kit available at site and environmental contamination assessed / controlled.
- 25. Clear access around worksite maintained, footpaths and private driveways kept clear.
- 26. Rubbish removed from site, no loose litter.
- 27. Site is safeguarded for public and after hours (e.g. locked plant, barricaded trenches, road plates secured).
- 28. Smoking is controlled on site, e.g. not within work zone or vehicles.
- 29. If working on or within 1 metre of strategic steel - a standover has been requested and they are on site (note exceptions).
- 30. Risks have been assessed and documented for all work activities carried out on site.
- 31. The appropriate controls have been put into place for identified risks / hazards:
- 32. A First Aider is nominated for the site and holds current certification.
- 33. Location of the First Aid kit known, and a contact list for emergencies is available.
- 34. Emergency procedures for the site, including designated safe zone, are known by all workers and communicated to visitors.
Comments:
NB: If any actions are required, please discuss with the site crew leader or person in charge, and if
Inspected By:
Signature:
Acknowledged by:
NB: Acknowledgement is required by the crew leader / supervisor / manager of the site being inspected
Use this template