1234

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Management Responsibilities

• Has the worksite been inspected previously?

  Yes

  No

  N/A

• Have previous inspection items been auctioned?

  Yes

  No

  N/A

• Is there a safety management plan for this job?

  Yes

  No

  N/A

• Have subcontractors provided Risk Assessment / Job Safety Analysis (JSA) before commencing activities?

  Yes

  No

  N/A

• Is there safe access / egress to and from the site?

  Yes

  No

  N/A

Housekeeping

• Work area clean and tidy (adequate rubbish disposal facilities)?

  Yes

  No

  N/A

• Leads not lying on or draped over walkways or mobile plant access ways?

  Yes

  No

  N/A

• Access ways clear of debris, obstructions and trip hazards?

  Yes

  No

  N/A

• Equipment / material stored safely?

  Yes

  No

  N/A

• Hazardous locations / penetrations covered, sign posted and appropriately fenced?

  Yes

  No

  N/A

• Are all signs on site unobstructed, clean and legible?

  Yes

  No

  N/A

Electrical

• Portable electrical equipment and leads inspected and show current tags?

  Yes

  No

  N/A

• Electrical leads supported above the ground with hooks or stands?

  Yes

  No

  N/A

• Temporary power boards are weatherproof?

  Yes

  No

  N/A

• Electrical testing register maintained on site?

  Yes

  No

  N/A

• Electrical equipment in good condition (no frayed leads, damaged plugs/connections/leads?

  Yes

  No

  N/A

• Are residual current devices / earth leakage protection systems used for all electrical connections, checked and operational?

  Yes

  No

  N/A

• Are personnel undertaking electrical work appropriately trained and qualified?

  Yes

  No

  N/A

• Are isolations completed (lock-out procedures / permits to work in place?

  Yes

  No

  N/A

• Are fiberglass or aluminum ladders used rather than metal ladders?

  Yes

  No

  N/A

Mobile Plant and Equipment

• Plant and equipment is in good working condition?

  Yes

  No

  N/A

• Are roll over protective systems on all earth moving equipment?

  Yes

  No

  N/A

• Where applicable are reverse and visual alarm operating and audible?

  Yes

  No

  N/A

• Are elevated work platforms (EWP) and crane logbooks kept on the mobile plant?

  Yes

  No

  N/A

• Daily inspections completed and recorded?

  Yes

  No

  N/A

• Do only trained and licensed operators operate mobile plant and equipment?

  Yes

  No

  N/A

• Are riggers and dogmen certified and recorded and used for crane operation?

  Yes

  No

  N/A

• Are mobile plant and equipment used on firm level ground?

  Yes

  No

  N/A

• Are all combustible type engines only operated outdoors or with extra ventilation (eg portable welders, generators)?

  Yes

  No

  N/A

• Safe work limit of lifting or carrying equipment displayed, tested and recorded kept?

  Yes

  No

  N/A

• Mobile plant keys removed and kept secure?

  Yes

  No

  N/A

Machinery

• Is machinery clean and free from excess oil and grease?

  Yes

  No

  N/A

• Is machinery guarding in place and operational?

  Yes

  No

  N/A

• Are warning signs or instructions displayed?

  Yes

  No

  N/A

• Are emergency stops clearly identifiable?

  Yes

  No

  N/A

Hazardous Substances

• Are Safety Data Sheets available for all hazardous substances?

  Yes

  No

  N/A

• Is a chemical / hazardous substance register kept on site and complete?

  Yes

  No

  N/A

• Are site personnel aware of and understand SDSs?

  Yes

  No

  N/A

• Is signage erected at storage areas?

  Yes

  No

  N/A

• Are containers labeled and stored appropriately?

  Yes

  No

  N/A

• Are chemical storage areas provided with appropriate containment areas (bunds and spill kits)?

  Yes

  No

  N/A

• Required PPE supplied when using hazardous materials (as specified by SDS)?

  Yes

  No

  N/A

• Emergency / first aid equipment available (showers, eye baths)?

  Yes

  No

  N/A

• Ventilation / exhaust systems installed where necessary?

  Yes

  No

  N/A

Hot Work (includes oxy - acetylene cutting and welding)

• Are personnel trained and competent?

  Yes

  No

  N/A

• Are hot work permits used, signed by supervisors and kept on site?

  Yes

  No

  N/A

• Are bottles secured in an upright position?

  Yes

  No

  N/A

• Fire fighting equipment is located in work area?

  Yes

  No

  N/A

• Are flash back arrestors fitted to both the hand piece and at the bottles?

  Yes

  No

  N/A

• Correct PPE used as per SWMS or Job Safety Analysis?

  Yes

  No

  N/A

• Are welding equipment, hoses and fittings in good condition?

  Yes

  No

  N/A

• Are screens erected and ventilation provided?

  Yes

  No

  N/A

Excavation and Trenching

• Are excavation permits used, signed by supervisors and kept on site?

  Yes

  No

  N/A

• Are new and existing services identified on site and controls implemented to prevent accidental contact?

  Yes

  No

  N/A

• Shoring in place and in sound condition for all trenches more than 1.5m?

  Yes

  No

  N/A

• Is air quality testing carried out for identification of toxic gases?

  Yes

  No

  N/A

• Is signage and barricading installed effectively?

  Yes

  No

  N/A

• Are excavations battered or benched to prevent collapse?

  Yes

  No

  N/A

• Has spoil materials and equipment been stored away from excavation edges?

  Yes

  No

  N/A

• Are dust control measures in place?

  Yes

  No

  N/A

• Are there seperate access and egress points from excavations?

  Yes

  No

  N/A

Working at Height

• Are working at height permits used, signed by supervisors and kept on site?

  Yes

  No

  N/A

• Are personnel trained in working at height?

  Yes

  No

  N/A

• Is safe access and egress provided?

  Yes

  No

  N/A

• Are harnesses inspected and inspection records kept?

  Yes

  No

  N/A

• Are emergency protocols developed for retrieval of a fallen injured person?

  Yes

  No

  N/A

• Are anchor points assessed by a person qualified engineer / competent person?

  Yes

  No

  N/A

• Are barriers, barricades and signs erected to delineate restricted access?

  Yes

  No

  N/A

• Are controls in place to minimise the risk of objects falling from height?

  Yes

  No

  N/A

Stairs, Steps and Landings

• No worn or broken steps, rungs or styles?

  Yes

  No

  N/A

• Handrails in good repair?

  Yes

  No

  N/A

• Non-slip treatments / treads in good condition?

  Yes

  No

  N/A

• Kick plates where required?

  Yes

  No

  N/A

Ladders

• Are ladders in good condition?

  Yes

  No

  N/A

• Are ladders secured?

  Yes

  No

  N/A

• 4:1 Pitch and extended 1 meter above top landing?

  Yes

  No

  N/A

Scaffolding

• Are standards on solid foundations with adequate soul plates?

  Yes

  No

  N/A

• Is there adequate branching and bracing in all directions?

  Yes

  No

  N/A

• Are scaffolds complete, ladders, handrails, kickboards, ties, brackets mesh, hop ups?

  Yes

  No

  N/A

• Are there access to and from all working platforms?

  Yes

  No

  N/A

• Are ladders of an industrial grade?

  Yes

  No

  N/A

• Are ladders secured top and bottom and exceeding platform 1 meter at a 4:1 pitch?

  Yes

  No

  N/A

• Are scaffold boards secured to prevent uplift from winds?

  Yes

  No

  N/A

• Is sign off received for completed scaffolding (scaffolds tagged with a Scaff tag system or similar)?

  Yes

  No

  N/A

• Are signs or barriers erected for incomplete scaffolds?

  Yes

  No

  N/A

• Are scaffolds regularly inspected and records kept of details?

  Yes

  No

  N/A

Personal Protection Equipment (PPE)

• Is mandatory and job specific PPE worn, suitable for task and in good condition?

  Yes

  No

  N/A

• Is PPE readily available?

  Yes

  No

  N/A

• Are regular maintenance checks performed on PPE?

  Yes

  No

  N/A

• Are employees appropriately trained in the use of PPE?

  Yes

  No

  N/A

• Are facilities provided for the maintenance and storage of PPE?

  Yes

  No

  N/A

• Are signs displayed to identify the required PPE?

  Yes

  No

  N/A

Confined Spaces

• Has a risk assessment been undertaken to a) determine if necessary to enter the confined space and b) determine the control measures?

  Yes

  No

  N/A

• Are personnel trained and certified to work in confined spaces?

  Yes

  No

  N/A

• Are confined space entry permits used, signed by supervisors and kept on site?

  Yes

  No

  N/A

• Is a adequate communication system utilised?

  Yes

  No

  N/A

• Is there a need for gas monitoring?

  Yes

  No

  N/A

• Are emergency procedures developed (including rescue plan and equipment)?

  Yes

  No

  N/A

• Is safety equipment in good woking condition?

  Yes

  No

  N/A

• All confined spaces identified and appropriately signposted?

  Yes

  No

  N/A

Traffic Management

• Has a traffic management plan been developed and implemented?

  Yes

  No

  N/A

• Are all road work signs and devices erected in accordance with the plan?

  Yes

  No

  N/A

• Are safety barriers installed to segregate pedestrians?

  Yes

  No

  N/A

• Are traffic controllers trained and qualifications sighted?

  Yes

  No

  N/A

Lasers and non-destructive testing equipment

• Are operators trained and qualified?

  Yes

  No

  N/A

• Is signage displayed to identify equipment?

  Yes

  No

  N/A

Public Protection

• Is access to the site controlled and unauthorised entry restricted?

  Yes

  No

  N/A

• Is a boundary fence / barricades in place and stable in all sections?

  Yes

  No

  N/A

• Is site signage displayed?

  Yes

  No

  N/A

• Are dust and noise controls in place?

  Yes

  No

  N/A

Amenities

• Are amenities hygienic and tidy (washroom, toilet, lockers, meal rooms)?

  Yes

  No

  N/A

• Are there notice boards in crib areas?

  Yes

  No

  N/A

• Is there cool clean drinking water available at appropriate locations?

  Yes

  No

  N/A

First Aid

• Are personnel aware of the first aid kit location and is it clearly identified?

  Yes

  No

  N/A

• Is there a first aid kit located on site and adequately stocked?

  Yes

  No

  N/A

• Is there an adequate number of personnel trained in first aid?

  Yes

  No

  N/A

• Are records of treatment and supplies dispensed completed?

  Yes

  No

  N/A

Lighting

• Is there adequate access and work activity lighting?

  Yes

  No

  N/A

Emergency Response and Fire Control

• Fire extinguishers in place service / tagged and appropriate to the hazards?

  Yes

  No

  N/A

• Are emergency response procedures developed and issued?

  Yes

  No

  N/A

• Are emergency response personnel identified and trained in site emergency procedures?

  Yes

  No

  N/A

• Is emergency evacuation information correct, prominently displayed and included in the induction process?

  Yes

  No

  N/A

• Does the site have an emergency siren and equipment?

  Yes

  No

  N/A

• Have trial evacuations been conducted?

  Yes

  No

  N/A

Training and Consultation

• Is there a site induction?

  Yes

  No

  N/A

• Are training records, certificates of competency and induction records maintained on site?

  Yes

  No

  N/A

• Do supervisors conduct regular pre-work briefs?

  Yes

  No

  N/A

• Are site personnel kept informed on hazards, incidents and committee meeting minutes at pre-work briefs?

  Yes

  No

  N/A

• Do supervisors carry out risk assessments and incident reports?

  Yes

  No

  N/A

• Is there a health and safety committee established on site and meetings held regularly?

  Yes

  No

  N/A

Other Issues and Comments

• Issues

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A