Title Page

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Pre-site checks

Pre-site checks

  • Have you checked the CRIP rating - if the property is tenanted

  • Have you checked the property/surrounds risk information

  • Have you completed a SWP if needed<br>

  • Have you arranged the visit as per established protocols and notified others

Self Assessment

Self assessment and Situational Awareness

  • Is my Secure Locate activated

  • Is it safe to exit my vehicle

  • Is the site secure and safe to enter

  • Am I inducted to this site

  • Am I wearing the correct PPE

Site Assessment - Part 1

Site Assessment Mandatory Section

  • Is fencing installed to prevent access to site

  • Is access control effective, no unauthorised access

  • Is "Sign in and out" system in place

  • Is the Hazard/Risk Register board in place

  • Has the Hazard/Risk Register board been updated today

  • Are the PPE requirements displayed

  • Is signage in place and appropriate for risk (e.g. report to site office, no entry, asbestos, danger)

  • Is induction offered to me

  • Are the risks on site described

  • Do the risks mentioned match the Hazard/Risk Register board

  • Are PPE requirements described

  • Is my induction recorded

Site Assessment - Part 2

Site Assessment Optional Section depending on activities on site/to be targeted

  • Emergency Equipment Section

  • Is a fire extinguisher available

  • Is the first aid kit complete and available

  • Is a spillage kit on site

  • Are risk specific Emergency Response Plans available and easy to access

  • Are emergency numbers available and easy to access

  • Documentation Section

  • Are clearance certificates on site e.g. asbestos, methamphetamine

  • Is a SSSP available on site

  • Are safety meeting minutes added to SSSP

  • Is the SSSP in daily use

  • Is SSSP content known on site

  • Are SDS available and easy to access

  • If asbestos being removed, is an Asbestos Removal Control Plan at site and being followed

  • If a Traffic Management Plan is in place, is it being followed

  • Site housekeeping and facilities Section

  • General site tidy and orderly, free of trip hazards

  • Are materials stacked safely

  • Are materials damaged beyond use (chemical decon only)

  • Are stacking areas demarcated

  • Are hazards demarcated (e.g. trenches)

  • Are waste materials stored in bins

  • Are waste materials sorted for recycling

  • Are bins used for hazardous materials lined

  • Are bins marked correctly

  • Are toilet facilities and running water accessible on site

  • Are exposed reinforcing bars capped

  • Personnel on site Section

  • ID tags carried and current

  • Supervisor or designated backup available on site during visit

  • PPE and manual handling Section

  • Are requirements known on site

  • Are all workers wearing correct PPE

  • Are there clean/contaminated areas for PPE on/off and cleaning

  • Are acceptable manual handling methods being used for tasks observed

  • Working at Height Section

  • Has the most appropriate equipment been chosen for work at height e.g. scaffolding, mobile scaffolding, elevated platform, ladder

  • Confirm no elevated work within 4 m of powerline

  • Scaffolding Section

  • Is edge protection installed effectively

  • Is the tag valid (present, weekly inspection recorded, completed in full)

  • If the scaffolding exceeds 5m in height has WorkSafe been notified<br>

  • If the scaffolding exceeds 5m in height has it been erected by a holder of a current certificate of competence

  • Is scaffolding installed to standard (incl. base boards, platforms, toe boards, stabilising legs, stand offs, gates, ladder attachments)

  • Ladders Section

  • Is the ladder set up at 1:4 ratio (1m horizontal to 4m vertical)

  • Can users maintain 3 points of contact at all times

  • Is the ladder secured at top and base to prevent slipping sideways/out

  • Do all ladders have more than 3 steps

  • Power Supply Section

  • Are safety devices in place

  • If power isolated is a lock out device in place with tag

  • Have power source (e.g. distribution box) leads been tagged

  • Are tags valid

  • Do leads appear to be in good working order

  • Are leads used in a safe manner

  • Electrical Equipment Section

  • Are power tools tagged

  • Are tags valid

  • Do the power tools appear to be in good working order

  • Tools & Machinery Section

  • Are safety devices operable i.e. not tampered with

  • Are the right tools or machinery being used for the job

  • Are all dangerous parts guarded

  • Do all tools and machinery appear to be in good working order

  • Hazardous Substances Section

  • Is dust control in place at source for respirable dust and/or paint particles e.g. timber, silica, lead based paint

  • Are lead test results on site

  • Is plastic sheeting in place for lead based paint removal <br>

  • Is HNZ permitted method used for lead based paint removal (chemical stripping, wet scraping, wet hand sanding, low-temperature heat processes (under 200°c))<br>

  • Pre-line quality inspection section

  • Is building paper installed in accordance with approved plan

  • Is insulation installed in accordance with approved plan

  • Post decontamination & Prestart quality inspection section

  • Is the property secured (e.g. windows and doors closed/boarded)

  • Are all skip bins and refuse removed

  • Is electrical isolation completed appropriately (e.g. as per Completed Works Form)<br>

  • Have wires been cut to length that is reusable (i.e. not too short)<br>

  • Is the condition of timber where paint has been removed acceptable

  • Have all tenant belongings and soft furnishings been removed

  • Have the grounds been maintenance (e.g. length of lawn)

  • Is a copy of an asbestos survey present at site (prestart only)<br>

  • Are any items identified that have not been included in the architects plan i.e. potential variations (prestart only)

  • Is there room at site for bin storage and contractor parking (prestart only)

  • Post-line quality inspection section

  • Is Gib on bracing walls fixed in accordance with bracing plans (include photos of each labelled bracing wall)

Summary

Positive Observations

  • Add media

Opportunities for improvement

  • Add media

Actions completed at site

  • Add media

Agree future/corrective actions

  • Add media

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