Template

Preventing Falls Surveillance Checklist (H3)

by Steve Clark, from the Community

10+

Use this H3 surveillance checklist to reduce fall risks during construction work at height. It guides inspectors through SWMS verification, risk assessments for people above and below the work area, anchorage load requirements, scaffold erection and handover, ladder selection and setup, rescue procedures, and scheduled inspections. Includes compliance tracking and follow-up fields for NCRs, CARs, and closeout.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions .

Template

Construction Site Surveillance

Construction Site Surveillance Template is used for daily surveillance of construction sites and or project work sites

by Owen Thompson, from the Community

40+

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Template

Working at Heights Safety Checklist

This working at heights checklist helps teams assess fall protection controls and site safety. It covers tie-off policies, anchor points, free‑fall distances, lifelines, quarterly and pre‑use equipment inspections, exclusion zones, floor and stair openings, and protection from falling objects. It also includes checks for rescue planning and communication, elevated work platforms, ladder selection and use, and scaffold erection and tagging. Use it to standardize audits, verify compliance, and reduce risk during tasks at height, including transport unloading and access at height.

by Surmont 2 HSE, from the Community

20+

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Template

RMS H4 Confined Spaces Surveillance Checklist

This RMS H4 Confined Spaces Surveillance Checklist supports safe work in confined spaces on civil infrastructure projects such as bridge construction. It guides supervisors and safety officers to confirm risk assessments and SWMS address access and egress, engulfment, and contaminated atmospheres before, during, and in emergencies. The checklist covers identification and control of hazardous activities, air monitoring and equipment calibration, nationally recognised training, signage and physical barriers, rescue and first aid arrangements, entry permits, and continuous communication with a standby person. It prompts assessment of structural soundness, illumination, required cleaning, and comprehensive site inductions including emergency procedures, lockout, safety equipment use, rescue drills, fire protection, communications, and site hazards. It also includes compliance and follow‑up actions (NCRs, CARs, and close‑out).

by Steve Clark, from the Community

10+

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Template

RMS Electrical Work Surveillance Checklist H7

This checklist supports surveillance of electrical work on construction projects. It covers AS3760 testing and tagging, RCD protection for circuits and generators, earthing, cord management, tagging out defective equipment, electric shock response protocols, use of SWMS for electrical tasks, adequate signage and switch identification, safety observers for live work, and clear, accessible isolation points. Use it to record compliance status, note nonconformances, assign follow-up actions, and close out items with references to NCRs, CARs, and memos.

by Steve Clark, from the Community

10+

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Template

RMS H13 Lead Work Surveillance Checklist

Use this RMS H13 Lead Work Surveillance Checklist to verify compliance for lead risk work on civil and construction projects. The checklist covers WorkCover notification timelines, risk assessment and SWMS creation and review, and the selection of work methods to minimise exposure, such as avoiding dry sweeping and using vacuum‑shrouded tools. It includes training requirements on handling, ventilation and PPE, refresher training intervals, biological monitoring of blood lead levels, emergency response readiness, and environmental emissions monitoring. It also checks restricted lead process area controls, decontamination and laundering procedures, hygiene protocols, record‑keeping, and compliance close‑out actions including NCRs and CARs.

by Steve Clark, from the Community

10+

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Template

Work at Heights Risk Review Checklist

Use this work at heights risk review checklist to assess and control hazards before starting elevated tasks. The template guides supervisors and workers through confirming training and competencies, reviewing a risk assessment and the hierarchy of controls, establishing a rescue plan, and verifying suitable anchorage points. It prompts inspection of work platforms and scaffolds, fall prevention and arrest equipment, tool lanyards and barricades for overhead work, ladder setup and condition, and controls for fragile roofs and skylights. Adapt this example to your specific site, equipment, and local regulations.

by Damian Kondoyiannis, from the Community

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