Template

HSEQ Site Surveillance and Staff Assurance Checklist

by Dale Thomas, from the Community

This HSEQ site surveillance and staff assurance checklist helps supervisors document briefings, verify competencies and authorities to work, confirm Safe Work Packs, PPE and permits, assess task risk controls and COSHH, and capture environmental, equipment and housekeeping checks. Use it to note unsafe acts, record actions taken, and attach evidence such as photos and maintenance records for rail infrastructure works.

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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
Staff Surveillance Self Assurance Checklist
This self assurance staff surveillance form supports rail site inspections and safety oversight. Use it to confirm thorough briefings by the person in charge, review safe work packs and risk control sheets, and check that permits and permissions are in place. Verify staff competence, PPE condition and use, and that tools and equipment are fit for purpose and stored correctly. Assess controls for hazards such as vibration, dust and fumes, and ensure exposure monitoring where needed. Record immediate observations, note any unsafe acts or conditions, assign actions with owners and dates, and capture final summaries and signatures.
by Daniel James, from the Community
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Template
HSEQ Assurance Inspection Checklist
Use this HSEQ Assurance Inspection checklist to carry out site and contractor surveillance on Amey Infrastructure Wales projects. Verify documentation, permits, PPE, welfare, housekeeping, emergency plans, environmental controls, waste, energy use, lifting equipment, plant, and quality records. Includes rail-specific controls such as Sentinel checks, signaller notification, protection arrangements, traffic management, HAVs, noise and dust monitoring, and ecology measures. Capture findings, assign actions, and complete sign-off to assure compliance and workmanship standards.
by Kevin Aldred, from the Community
Downloads: 10+
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Template
HSEQ Site Inspection Report Template
This HSEQ site inspection report template helps construction teams audit site conditions and compliance. It covers policy and emergency information on display, required permits and notifications, worker inductions and registers, site security and access, trenching and excavation controls, and plant and equipment checks. Use it to record observations, verify SOPs, review SWMS and risk registers, and complete sign-offs by HSEQ advisors and project leaders.
by Jackson Desira, from the Community
Downloads: 10+
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Template
Site Inspection and Staff Surveillance Record
This Site Inspection and Staff Surveillance Record template helps construction teams assess site documentation, monitor safety controls, and track task performance. Sections include emergency contacts, insurance, permits, toolbox talks, competence and induction, PPE compliance, work at height, housekeeping, COSHH, electrical safety, work platforms, noise and vibration, excavations, access and egress, asbestos, manual handling, lifting operations (LOLER), confined spaces, plant and equipment (PUWER), and environmental and ecology practices such as waste management. It also covers management structure, meetings, statutory registers, and completion sign-off with name and signature.
by LIS BURROW, from the Community
Downloads: 0
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Staff Surveillance Self Assurance Checklist

This self assurance staff surveillance form supports rail site inspections and safety oversight. Use it to confirm thorough briefings by the person in charge, review safe work packs and risk control sheets, and check that permits and permissions are in place. Verify staff competence, PPE condition and use, and that tools and equipment are fit for purpose and stored correctly. Assess controls for hazards such as vibration, dust and fumes, and ensure exposure monitoring where needed. Record immediate observations, note any unsafe acts or conditions, assign actions with owners and dates, and capture final summaries and signatures.

by Daniel James, from the Community

Get

Template

HSEQ Assurance Inspection Checklist

Use this HSEQ Assurance Inspection checklist to carry out site and contractor surveillance on Amey Infrastructure Wales projects. Verify documentation, permits, PPE, welfare, housekeeping, emergency plans, environmental controls, waste, energy use, lifting equipment, plant, and quality records. Includes rail-specific controls such as Sentinel checks, signaller notification, protection arrangements, traffic management, HAVs, noise and dust monitoring, and ecology measures. Capture findings, assign actions, and complete sign-off to assure compliance and workmanship standards.

by Kevin Aldred, from the Community

10+

Get

Template

HSEQ Site Inspection Report Template

This HSEQ site inspection report template helps construction teams audit site conditions and compliance. It covers policy and emergency information on display, required permits and notifications, worker inductions and registers, site security and access, trenching and excavation controls, and plant and equipment checks. Use it to record observations, verify SOPs, review SWMS and risk registers, and complete sign-offs by HSEQ advisors and project leaders.

by Jackson Desira, from the Community

10+

Get

Template

Site Inspection and Staff Surveillance Record

This Site Inspection and Staff Surveillance Record template helps construction teams assess site documentation, monitor safety controls, and track task performance. Sections include emergency contacts, insurance, permits, toolbox talks, competence and induction, PPE compliance, work at height, housekeeping, COSHH, electrical safety, work platforms, noise and vibration, excavations, access and egress, asbestos, manual handling, lifting operations (LOLER), confined spaces, plant and equipment (PUWER), and environmental and ecology practices such as waste management. It also covers management structure, meetings, statutory registers, and completion sign-off with name and signature.

by LIS BURROW, from the Community

Get

HSEQ Site Surveillance and Staff Assurance Checklist

About author

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Site Inspection and Staff Surveillance Record

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Staff Surveillance Self Assurance Checklist

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Site Inspection and Staff Surveillance Record