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Pre-Start Inspection Form

Site Address *

Conducted Date *

Conducted By *

Please provide a description of the work:

Is this work notifiable to WorkSafe?

YesNo

Approximate Start Date

Have contractors been selected?

Please email your programme and names of contractors to Nicole Bignell

Does this site have good access (wide driveway, parking for deliveries and contractors away from public walkways)?

YesNo

Have all existing underground services been identified?

N/AYesNo

Do we have underground service plans available?

N/AYesNo

Are there any overhead powerlines on site?

N/AYesNo

Is traffic management required?

YesNo

Method of exclusion zone:

Permanent FencingTemporary FencingRoad Cones and Tape/Bee Sticks

Is there stormwater close to the site?

YesNo

Is there known asbestos on site?

YesNo

High Critical Risk Activities

Is there working at heights?

YesNo

Are there deep excavation work to be completed?

YesNo

Does this work involve any concrete breaking?

YesNo

Is this work going to create dust?

YesNo

Does this work involve a confined space?

YesNo

Are there any unusual works being undertaken?

Please describe:

Please take photos of the full site including the access way (Please choose all files at once):

Upload files

Supported Formats: (mp4, jpg, png, jpeg, gif, jfif)