Title Page
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Contractor
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Conducted on
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Prepared by
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Personnel Involved
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Completed On
Contractor Safety Standard Audit Checklist
Safety Performance: data showing a positive trend has been provided and the contractor has an effective means of analysing trends and keeping management informed.
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Has the contractor or subcontractor provided documented history of their previous three (3) years work injury record that demonstrates continuous improvement?
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Has the contractor provided examples of how they analyse incidents and resulting incident cost trends and keep management informed of their safety performance?
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Has contractor’s management “championed” the process and remained fully engaged?
Safety Plan: Produced specifically for the job, outlining how the safety aspects of the particular job will be managed.
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Has the contractor or subcontractor provided a copy of their environment, health, and safety management plan?
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Has the contractor submitted work procedures for issues identified in Attachment A?
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Has the plan been reviewed and accepted by (KGM) site safety staff?
Safety Policy: Clear statement indicating responsibilities signed and dated by the Chief Executive.
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Has the contractor or subcontractor provided a copy of safety policies and responsibilities that has been signed by their senior executive?
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Has the policy been reviewed by (KGM) site safety staff?
Safety Manual/Procedures: Clear procedures and systems, updated at least annually.
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Has the contractor or subcontractor provided copies of their work permits and standards? Do they match with the hazards identified in Attachment A?
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Has the contractor provided procedures for storing and handling hazardous substances?
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Has the contractor provided documentation that the information has been given to all employees?
Safety Professionals: An outline of how the safety advisors are involved.
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Does the contractor or subcontractor have a designated safety contact for the contract?
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If the contract involves more than 50 employees or high risk does the contractor have a designated full-time safety person?
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Has the contractor provided a written document outlining the safety contact’s duties and responsibilities sufficient for the scope of work? It must be the Supervisor’s responsibility to ensure the safety of his crew.
Training: Supervisor and employee training plans and documentation.
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Have contractor or subcontractor employees received induction and standard work procedures training? Documentation must be provided to show who has attended.
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Has the contractor or subcontractor provided safety leadership training to supervisors?
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Is there documentation showing all employees have been trained in first aid?
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Have all employees been trained in Field Level Risk Assessment? Writing or using JSA or JHA’s?
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Has the contractor provided documentation showing all other specific training employees have received appropriate to the work being performed?
Audit System: Formal method of checking up on adherence to standards, housekeeping, etc.
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Does the contractor or subcontractor conduct formal safety inspections?
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Do the contractor’s management / supervisors lead the inspections and make themselves accountable for correcting deficiencies arising from the audit?
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Has the contractor supplied a copy of a standard workplace inspection checklist?
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Does the contractor have a method for evaluating daily worksite conditions (such as 5point, Field Level Risk assessment, safety contact sheet, stop cards, etc.) Are examples provided?
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Does the contractor or subcontractor conduct formal audits of the safety program with team members from other facilities and departments no less than annually?
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Has an example of the audit protocol been provided?
Health Surveillance: Pre-placement health evaluations take place and routine health surveillance were indicated, (e.g. Medicals for drivers, medical pre-screening for altitude, dust, and noise surveys, etc.).
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Has the contractor or subcontractor provided a copy of a written health surveillance program?
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Does the contractor maintain health records for employees after their termination?
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Does the contractor have access to an industrial hygienist?
Incident Management and Investigation: All incidents are reported according to a company procedure and there is line responsibility for investigation and follow-up.
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Has the contractor or subcontractor provided a documented procedure for reporting, investigating, and following up on all incidents including medical, property damage, loss to process, environmental incidents, near miss incidents?
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Does the contractor convert these incidents and/or near misses into its ongoing safety awareness and training meetings?
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Has the contractor provided a copy of an incident report form?
Risk Management: Appropriate techniques are used to assess risk and implement any changes needed (i.e. Job Safety analysis, HAZOP, Field Level Risk Assessment, Formal Risk Assessment).
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Has the contractor or subcontractor provided a documented formal risk assessment process and procedure that includes all levels of risk assessment?
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Does the contractor have a Take 5 or similar Assessment process that is used by all employees?
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Is there a process or procedure for employees to report safety issues, including follow-up and closure?
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Has the contractor provided documented risk assessments addressing at a minimum the hazards identified in Attachment A for the specific contract?
Rosters: Works schedules in place that minimize fatigue.
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Do work schedules provide sufficient rest periods between night and day rotations?
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Do work schedules provide no more than, for example, 6 x 10-12-hour days in a row and not more than, for example, 10 x 7-hour days in a row without break? (Individual work schedules will need to be established by region, mine, and construction project)
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Does the contractor provide adequate housing, food, and support for remote site locations to facilitate maximum rest?
Fitness for Work: policies and procedures in place to ensure employees are not impaired by drugs, alcohol, poor health, or fatigue.
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Has the contractor provided a copy of a drug and alcohol policy that matches or exceeds the site policy?
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Are there defined steps for supervisors to take if an employee is suspected of not being fit for duty, with consequences?
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Is screening for drugs a part of the initial medical screen for work?
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Does the contractor have a fitness for work policy that includes fatigue and health issues?
Formal Documentation
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Review of Hazards document completed and approved by the KGM representiative?
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Contractor Safety Assessment Checklist completed and approved by the KGM representiative and Contractor representiative?
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Pre Qualification Summary completed and approved by the KGM representiative OHS department and Contractor representiative?
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Does the OHS department have a copy of the contractors approved safety file including copies of the Review of Hazards document, Contractor Safety Assessment Checklist and Pre Qualification Summary.
Review
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Name & Signature of person conducting Audit:
