Title Page
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Document No.
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Contractor & Crew (eg. Citywide Backhoe Crew)
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Location
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Conducted on
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Conducted by
Powered and Mobile Plant
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Are Operators properly qualified and or certificated?
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Is the plant properly serviced, maintained and checked daily?
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Is all plant on site registered, if appropriate?
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Is the vehicle clean inside and out?
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Is the vehicle free from damage to the interior and exterior?
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Is the plant fitted with working reversing and/ or flashing lights?
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Does the equipment have seat belts, where appropriate?
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Does the plant and equipment have decals and identification?
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Is the plant fitted with roll over protection bars and/ or other protection devices?
Facilities
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Are toilet and wash up facilities available at the worksite?
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Is there suitable eating areas available at site either in the vehicle or with other facilities?
Site set up
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Is traffic management/ pedestrian plans being used on site?
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Are all traffic signs/ barricades/ witches hats in good condition?
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Is signage required on site and if so, set up correctly?
Material Storage and Chemical Handling
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Is all fuel and chemical containers labelled and stored correctly?
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Are all Chemical MSDS sheets available on site?
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Is there a spill kit available in the vehicle and is it stored correctly?
Personal Protective Equipment
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Is high visibility workwear and safety equipment being worn on site?
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Have PPE equipment requirements been assessed and documented?
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Are the hard hats being worn, if required?
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Is the PPE Gear being carried and stored correctly?
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Does the PPE gear comply with Australian Safety Standards?
Onsite Operations and House Keeping
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Do contract staff have copies of SWMS/ JSAs?
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Is a copy of emergency phone numbers available?
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Has the site been assessed for tripping and other hazards prior to commencement of work?
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Where applicable, have the electrical tools being used been tested and tagged every 6 months?
Emergency response
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Is there a first aid kit available on site and/ or in the vehicle?
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Is there a trained first aid officer on site?
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Is there a fire extinguisher in or on the vehicle that has been tested and tagged at appropriate intervals?
Summary
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Add any notes you wish to make
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Was a contractor representative present for the audit?
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Contractor representative sign off
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Council officer sign off at completion of audit