Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel in attendance

1.00 - PC Specific

  • 1.00 - How many operatives on site?

  • 1.01 - Adequate amenities and consumables? (toilets, wash areas, canteen, drying room, etc)

  • Person responsible for ensuring compliance.

  • 1.02 - Suitably trained Supervision/Management on site?

  • Person responsible for ensuring compliance.

  • 1.03 - Adequate housekeeping and levels of cleanliness?

  • 1.04 - Cleaning / Washing products availability.

  • Person responsible for ensuring compliance.

  • Person responsible for ensuring compliance.

  • 1.08 - Fire extinguishers of suitable types available and in date?

  • Person responsible for ensuring compliance.

  • 1.09 - Means of raising alarm?

  • Person responsible for ensuring compliance.

  • 1.10 - Perimeter fencing in place and secure?

  • Person responsible for ensuring compliance.

  • 1.11 - Level of office / welfare presentation.

  • F10

  • Person responsible for ensuring compliance.

  • Law Poster

  • Person responsible for ensuring compliance.

  • Traffic Management Plan

  • Person responsible for ensuring compliance.

  • Public Liability Insurance

  • Person responsible for ensuring compliance.

  • Directions to hospital

  • Person responsible for ensuring compliance.

  • First Aider details

  • Person responsible for ensuring compliance.

  • Policy Statements

  • Person responsible for ensuring compliance.

  • Full copy of current Health & Safety Policy available on site.

  • Person responsible for ensuring compliance.

  • Signing in book

  • Person responsible for ensuring compliance.

2.00 - Administrative Procedures

  • 2.01 - Adequate, induction for workers, contractors, visitors?

  • Person responsible for ensuring compliance.

  • 2.02 - Adequate, supervisory arrangements?

  • Person responsible for ensuring compliance.

  • 2.03 - CPHSP/RAMS readily available on site?

  • Person responsible for ensuring compliance.

  • 2.04 - Document Knowledge Register signed by all relevant persons on site?

  • Person responsible for ensuring compliance.

  • 2.05 - Adequate training, licenses, skills, experience?

  • Person responsible for ensuring compliance.

  • 2.06 - Adequate incident notification procedures?

  • Person responsible for ensuring compliance.

  • 2.07 - Are the duty holders names and contact details in the Contract Particulars correct/current?

  • Person responsible for ensuring compliance.

  • 2.08 - Are all safety test certificates available for all items of plant currently on site?

  • Person responsible for ensuring compliance.

  • 2.09 - Has the site been free from accidents/incidents since last visit?

3.00 - Permits and Registers

  • 3.01 - Supervisors folders (Each Supervisor completing their own file) readily available in the site office?

  • Person responsible for ensuring overall compliance.

  • 3.02 - 7 Day Plant Register up to date?

  • Person responsible for ensuring compliance.

  • 3.03 - 7 Day Small Plant Register up to date?

  • Person responsible for ensuring compliance.

  • 3.04 - 7 Day Bowser check list up to date?

  • Person responsible for ensuring compliance.

  • 3.05 - Excavation register up to date?

  • Person responsible for ensuring compliance.

  • 3.06 - LOLER inspection register up to date?

  • Person responsible for ensuring compliance.

  • 3.07 - Have any of the above registers highlighted defective plant or equipment currently on site?

  • Person responsible for ensuring compliance.

  • 3.08 - Permit to break ground in place for all required work areas and is it in date?

  • Person responsible for ensuring compliance.

  • 3.09 - Are HAVS for all users of vibrating items being recorded?

  • Person responsible for ensuring compliance.

  • 3.10 - Are all service drawings on site and still current?

  • Person responsible for ensuring compliance.

  • 3.11 - Are the clients Permits/Registers being completed as per their required schedule?

  • Person responsible for ensuring compliance.

4.00 - Emergency Response

  • 4.01 - Emergency procedures displayed at site?

  • Person responsible for ensuring compliance.

  • 4.02 - Directions to nearest Accident & Emergency Department on display?

  • Person responsible for ensuring compliance.

  • 4.03 - Adequate first aid kits aid equipment for site?

  • Person responsible for ensuring compliance.

  • 4.04 - Access to formally trained First Aiders for all shifts?

  • Person responsible for ensuring compliance.

  • 4.05 - Name of the First Aider.

  • 4.06 - Fire assembly point detailed and signed?

  • Person responsible for ensuring compliance.

5.00 - Environmental Hazards

  • 5.01 - Are any of our operations likely to cause excessive noise, vibration, dust or odours that could become a nuisance?

  • Which of the following are causing a nuisance?

  • Person responsible for ensuring compliance

  • Person responsible for ensuring compliance

  • Person responsible for ensuring compliance

  • Person responsible for ensuring compliance

  • 5.02 - Dust suppression systems availability for task specific / general site

  • Person responsible for ensuring compliance.

  • 5.03 - Surrounding roads free from mud?

  • Person responsible for ensuring compliance.

  • 5.04 - Road sweeper daily or periodic regime in place?

  • Person responsible for ensuring compliance.

  • 5.05 - Is there a ground water run off plan in place? If so is it being followed?

  • 5.06 - Are measure in place to prevent solids from entering the Surface Water System via gullies?

  • Person responsible for ensuring compliance

  • 5.07 - Is there any type of watercourse near the site? (Canal, river, stream, pond, reservoir etc.)

  • Are measures in place to ensure silty surface water created from our operations isn’t deposited into the watercourse? (If yes, give details)

  • Person responsible for ensuring compliance

  • 5.08 - Are concrete wagons returning to the batching plant to wash out?

  • Is there a designated concrete washout area? (Polythene lined skip, heras fencing and signage)

  • Person responsible for ensuring compliance

  • Is the concrete wash out area situated well away from watercourses and gullies?

  • Person responsible for ensuring compliance

  • 5.09 - Are we currently pumping surface/ground water out of any excavations?

  • Is the surface/ground water being pumped through a settlement tank prior to discharging?

  • Person responsible for ensuring compliance

  • 5.10 - Has the outfall pump out water condition been visually checked during inspection?

  • Photo taken of water (sample)

  • Clear or cloudy?

  • Stop pumping operations and review method of water treatment as a matter of urgency.

  • 5.11 - Are all materials and plant situated away from Tree Protection Orders? (TPO’s)

  • Person responsible for ensuring compliance

  • 5.12 - Are drip trays available on site and being used? (For refuelling, generators, pumps etc.)

  • Person responsible for ensuring compliance

  • Level of Compliance

  • 5.13 - Are mixing areas placed on polythene to prevent contaminating the ground?

  • Person responsible for ensuring compliance

  • 5.14 - Is our waste segregated on site to facilitate it’s re-use, recycling or recovery in a designated area?

  • Person responsible for ensuring compliance

  • 5.15 - Are our waste containers clearly marked with their intended contents?

  • Person responsible for ensuring compliance

6.00 - Traffic Management

  • 6.01 - Traffic Management Plan (TMP) in place?

  • Person responsible for ensuring compliance.

  • 6.02 - Adequate controls for TMP? (physical barriers, signs, bollards, speed limits, flashing lights, spotters, etc)

  • Person responsible for ensuring compliance.

7.00 - Excavations

  • 7.01 - Availability of a calibrated CAT & Genny on site?

  • Person responsible for ensuring compliance.

  • 7.02 - Is there a CAT qualified Operative on site?

  • Person responsible for ensuring compliance.

  • 7.03 - Site been free from any service strikes since the last inspection? If not give details.

  • 7.04 - Excavations fenced off and signed adequately?

  • Person responsible for ensuring compliance.

  • 7.05 - Are there excavations on site requiring support systems?

  • Person responsible for ensuring compliance.

  • 7.06 - Are support systems available on site?

  • Person responsible for ensuring compliance.

  • 7.07 - Are the support systems being used in the correct way?

  • Person responsible for ensuring compliance.

  • 7.08 - Are handrails in place or the top of the box 950mm above ground level?

  • Person responsible for ensuring compliance.

  • 7.09 - Ladder access system being used?

  • Person responsible for ensuring compliance.

  • 7.10 - Are ladders free from defects and fit for purpose?

  • Person responsible for ensuring compliance.

  • 7.11 - Are they positioned and secured correctly?

  • Person responsible for ensuring compliance.

  • 7.12 - Are the excavations a safe distance away from Vehicular routes?

  • Person responsible for ensuring compliance.

8.00 - Working at Heights

  • 8.01 - Are falls from height on site adequately controlled? (including voids, pits, split levels and trenches)

  • Person responsible for ensuring compliance.

9.00 - Lifting Equipment

  • 9.01 - Free from defective lifting plant, equipment or accessories / attachments?

  • Person responsible for ensuring compliance.

  • 9.02- Site free from loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • Person responsible for ensuring compliance.

  • 9.03 - Is all lifting equipment labelled / tagged, with SWL displayed?

  • Person responsible for ensuring compliance.

10.00 - Plant and Equipment

  • 10.01 - Licensed operators?

  • Person responsible for ensuring compliance.

  • 10.02 - Site free from unsafe or damaged plant/equipment? (including missing or damaged guards, mirrors or beacons)

  • Person responsible for ensuring compliance.

  • 10.03 - Correct plant /equipment for job? (e.g. grinding discs for cutting)

  • Person responsible for ensuring compliance.

  • 10.04 - Safe and compatible attachments used with plant/equipment?

  • Person responsible for ensuring compliance.

  • 10.05 - Are bucket exchange areas in place, signed and being used correctly?

  • Person responsible for ensuring compliance.

  • 10.06 - during the inspection was all plant being used in the correct/safe way?

  • Person responsible for ensuring compliance.

11.00 - Confined Space Entry

  • 11.01 - Confined space entry equipment available on site?

  • Person responsible for ensuring compliance.

  • 11.02 - 2 No. Qualified ops in attendance on site?

  • Person responsible for ensuring compliance.

  • 11.03 - Confined Space Permit in place?

  • Person responsible for ensuring compliance.

12.00 - Access Equipment

  • 12.03 - Are access towers or scaffolding required on site?

  • 12.04 - Erected, positioned and secured correctly?

  • Person responsible for ensuring compliance.

  • 12.05 - Are MEWP's being used on site?

  • Person responsible for ensuring compliance.

  • 12.06 - Working area assessments for stability and trained operator in attendance.

  • Person responsible for ensuring compliance.

13.00 - Manual Handling

  • 13.01 - Lifting equipment and plant available on site? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  • Person responsible for ensuring compliance.

  • 13.02 - Materials which require manually handling suitably positioned for task?

  • Person responsible for ensuring compliance.

14.00 - Hazardous Chemical (including fuel and oil)

  • 14.01 - Is there a designated on site fuel storage area?

  • 14.02 - Is the refuelling area presentable?

  • Person responsible for ensuring compliance

  • 14.03 - Is the tank double bunded?

  • Person responsible for ensuring compliance.

  • 14.04 - Is the bund free from excess water/fuel?

  • Person responsible for ensuring compliance.

  • 14.05 - Safe storage location? (e.g. flammables away from ignition sources, spills kits available etc)

  • Person responsible for ensuring compliance.

  • 14.06 - Adequate spill containment equipment?

  • Person responsible for ensuring compliance.

  • 14.07 - Emergency procedures for injury/spills/fire etc?

  • Person responsible for ensuring compliance.

  • 14.08 - Suitable storage containers?

  • Person responsible for ensuring compliance.

  • 14.09 - Other chemicals on site which require specific controls?

15.00 - Personal Protective Equipment (PPE)

  • 15.01 - Adequate PPE supplies available on site including RPE?

  • Person responsible for ensuring compliance.

  • Level of Compliance

  • 15.02 - Do all PPE/RPE items on site conform to the PPE/RPE list issued by the M. Lambe SHE Department?

  • Person responsible for ensuring compliance

  • 15.03 - Is there a requirement to carry out additional Face Fit Testing for RPE?

  • Please provide names of operatives who require face fit testing:

16.00 - Previous issues

  • 16.01 - Have all issues relating to the previous inspection been addressed?

  • Person responsible for ensuring compliance

17.00 - Toolbox Talks

  • 17.01 - Has a toolbox talk been given during the last month

  • 17.02 - Date of last Toolbox talk

  • 17.03 - Subject Covered

  • Where are copies filed?

18.00 - General Good Practice

Corrective Actions

  • Enter any corrective actions that will be undertaken. Where possible agree and state a date when they will be addressed and signed off. The person responsible for the On site Representative for the site will Sign Off acceptance of these duties below.

Sign Off

  • On Site Representative

  • Auditor's signature

3rd Party Works

3rd Party Works

  • Taking place on site?

  • Company Name

  • Are RAMS being followed?

  • Name and Signature of Supervisor for works

  • Additional Contractors?

  • Company Name

  • Are RAMS being followed?

  • Name and Signature of Supervisor for works

  • Additional Contractors?

  • Company Name

  • Are RAMS being followed?

  • Name and Signature of Supervisor for works

  • Additional Contractors?

  • Company Name

  • Are RAMS being followed?

  • Name and Signature of Supervisor for works

  • Additional Contractors?

  • Company Name

  • Are RAMS being followed?

  • Name and Signature of Supervisor for works

Overview

Overview

  • Brief overview of inspection

  • Supporting additional images where applicable.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.