This Slideshare presentation is a partial preview of the full business document. To view and download the full document, please go here: http://flevy.com/browse/business-document/form-007-hse-weekly-inspection-346 All mature organisations will have a sound process for monitoring performance against set standards. This simple yet effective HSE weekly inspection form provides line managers with a tool to do that. This tool will allow personnel to conduct inspection, record results, allocate corrective actions and follow through to completion. The Form 007 is provided in word so it can be customised to your organisation and supports the Health, Safety and Environmental Plan 001 which can be found on this site.

1. (Insert Co. Name)
Date:
Participants:
Form 007 HSE Weekly Inspection Rev 00
Location:
Activity:
The following symbols shall be used to complete this form: Satisfactory () Unsatisfactory () Not Applicable (N)
1.
Items checked
(Delete items not checked)
Site Documentation / Paperwork
Satisfactory?
Yes No
Items checked
(Delete items not checked)
5. Tipping Safety
1.01 Induction Completed for all persons
5.01 Edge protection in place.
1.02 Pre Start Meeting held and documented
5.02 Tipping on stable level ground
1.03 SH&EWMS in place for all activities
5.03 Positive communications
1.04 Hazard Identification undertaken
1.05 Emergency Controls in place
5.04 Safe distance from powerlines
6. Construction Checks
1.06 Site Notice Board in place and used
6.01 Scaffold – scafftag in place and current
1.07 Permits e.g. Hot Works, Excavation, Lifting.
6.02 Ladders and Access Equipment
1.08 Plant Records (Inspection / Pre-start checks)
6.03 Protection from falling materials
1.09
6.04 Welding – Screens, Permit in place
1.10
Satisfactory?
Yes No
6.05 Flash Back Arrestors fitted reg. end
2.
Construction Safety
6.06 Small Tools (Condition and Suitability)
2.01 Radio Communication in place and working
6.07 Site Safety Signage
2.02 Hazards identified and clearly mark
6.08 Site Signage removed when not required
2.03 Edge Protection, Excavations
6.09 Formwork assembly and stripping
2.04 Heavy Plant movements monitored
6.10 Concrete pump set up correctly
2.05 Mobile Plant / Vehicles movements monitored
6.11 Workshop area functional and clean
2.06 Plant Operators ticketed and competent
6.12 Public disturbance monitored
2.07 Lifting Operations, Crane and Equipment
6.13 Other
2.08 Over Head Power Lines identified
7. Personnel Protective Equipment
2.09 Hazardous Substances store correctly SDS
7.01 Compliance with Hi-Vis Clothing
2.10 Electrical Plant (Earthing/RCD/Condition)
7.02 Compliance with Safety Helmets
2.11 Portable Electrical Equipment Test & Tagged
7.03 Compliance with Safety Eye Protection
2.12 Traffic Control personnel and Signage in place
7.04 Compliance with Long Sleeve Shirt/Pants
3. General Site Issues
7.05 Compliance with Hearing Protection
3.01 Toilets available on site and clean
7.06 Compliance with Gloves
3.02 First Aid kits identified and accessible
7.07 Compliance with High lace up Boots
3.03 Fire Protection equipment in place and tagged
7.08 Other
3.04 Manual Handling correctly undertaken
8.
3.05 Lighting (adequate and angled correctly)
8.01
3.06 Access Route & Walkways
8.02
3.07 Security, Access Gates, Boundary Fencing
8.03
3.08 Site Tidiness Storage / Housekeeping
8.04
3.09 Clean Drinking Water on site
8.05
4. Environment
8.06
4.01 Noise monitored and controlled
8.07
4.02 Dust monitored and controlled
8.08
4.03 Sediment controls installed and maintained
8.09
4.04 Work areas clear of accumulated waste
4.05 Stockpiles 2.5 m or under
8.10
8.11
4.06 Other
8.12
(Insert Co. Name)
Form 007 HSE Inspection Rev 00
Other Arrangements
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