2116 On Site Safety Management Plan Review Checklist

• Conducted on

  Date

• Project

• Principal Contractor

• Contract No.

1. Management Responsibility

• Has the Principal Contractor a copy of the site-specific Safety Management Plan available on site (WHS Reg 313). Evidence of Implementation: Sighted copy of site specific SMP.

  Yes

  No

  N/A

• Does the Principal Contractor have a Covid Safe Plan? Evidence of Implementation: Evidence of compliance to safety plan observed on-site including compliance with current LGA.

  Yes

  No

  N/A

2. Communication & Consultation

• The Principal Contractor has established WHS communication and consultation arrangements for the site (WHS Act Part 5).

  Yes

  No

  N/A

• Evidence of Implementation: <br>▪ WHS Representatives or<br>▪ WHS Committees or<br>▪ Other agreed arrangements

  Yes

  No

  N/A

• Evidence of Implementation: <br>▪ Sighted copies of Toolbox Talk meetings.<br>▪ Sighted name of site WHS Contact displayed

  Yes

  No

  N/A

3. Risk Management - SWMS

• Has Principal Contractor / Sub Contractors provided Safe Work Method Statements (SWMS) for current high-risk activity? (WHS Reg 299)

  Yes

  No

  N/A

• Evidence of Implementation: Sighted SWMS Register.

  Yes

  No

  N/A

• Evidence of Implementation: Sighted Safe Work Method Statements for work activities being carried out on-site at the time of the site visit.

  Yes

  No

  N/A

• Has the Principal Contractor reviewed the<br>SWMS provided by subcontractors? (WHS Reg<br>302). Evidence of implementation: Sighted completed SWMS review checklist

  Yes

  No

  N/A

Preventing unplanned contact with Services

• Has the Principal contractor located services, including underground essential services?

  Yes

  No

  N/A

• Evidence of implementation - Sighted advice from Dial Before You Dig

  Yes

  No

  N/A

• Evidence of implementation - Sighted service locator information

  Yes

  No

  N/A

• Evidence of implementation - Sighted markings on site of locations of services

  Yes

  No

  N/A

• Evidence of implementation - Sighted Master plan with all services marked up

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Evidence of implementation - Sighted evidence that subcontractors are provided with a copy of the Master plan and consulted prior to works

  Yes

  No

  N/A

• Isolation of services prior to commencement. Evidence of implementation - Written evidence that Electrical, Hydraulic services have been isolated

  Yes

  No

  N/A

• Standard precautions

  Yes

  No

  N/A

• Evidence of implementation - Evidence sighted on consultation with owner/user for known history/plans/advise

  Yes

  No

  N/A

• Evidence of implementation - Sighted evidence that Pot hole digging occurred

  Yes

  No

  N/A

• Evidence of implementation - Maintaining a safe working distance

  Yes

  No

  N/A

• Evidence of implementation - Sighted direct supervision of work

  Yes

  No

  N/A

4. At the time of the site visit were any of the following high-risk construction work activities observed? (WHS Reg 291), if yes SWMS are required for that activity (WHS Reg 299). No means no SWMS for the work undertaken. If work is not undertaken, then check N/A

• High-risk construction work that involves a risk of a person falling more than 2 metres. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out on or near chemical, fuel or refrigerant lines. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out on a telecommunication tower. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out on or near energised electrical installations or services. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that involves the demolition of an element of a structure that is load-bearing or otherwise related to the physical integrity of the structure. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out in an area that may have a contaminated or flammable atmosphere. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that involves, or is likely to involve, the disturbance of asbestos. If yes, evidence of SWMS required.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• High-risk construction work that involves tilt-up or precast concrete. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work involves structural alterations or repairs that require temporary support to prevent collapse. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out on, in or adjacent to a road, railway, shipping lane or other traffic corridors that is in use by traffic other than pedestrians. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out in or near a confined space. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out in an area at a workplace in which there is any movement of a powered mobile plant. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out in or near:<br>(i) a shaft or trench with an excavated depth greater than 1·5 metres; or<br>(ii) ) a tunnel; If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out in an area in which there are artificial extremes of temperature. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that involves the use of explosives. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out in or near water or other liquid that involves a risk of drowning. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that is carried out on or near pressurised gas distribution mains or piping. If yes, evidence of SWMS required.

  Yes

  No

  N/A

• High-risk construction work that involves diving work. If yes, evidence of SWMS required.

  Yes

  No

  N/A

5. Are measures in place to manage the risk associated with construction work?

• Control Measure: Asbestos removal is undertaken by a licensed contractor and workers supervised. (WHS Reg458 and 462)(CoP: How to safely remove asbestos)

  Yes

  No

  N/A

• Control Measure: Site securely fenced to prevent unauthorised access (WHS Reg 298)

  Yes

  No

  N/A

• Control Measure: Is any electrical work being done live. (CoP Low Voltage Electrical Work)

  Yes

  No

  N/A

• Control Measure: Signed Confined Space Entry Permits and risk assessments ▪ (WHS Reg 67) (CoP Confined spaces)

  Yes

  No

  N/A

• Control Measure: Scaffolds fully decked, with hand and mid rails in place and kick boards used (COP Managing the risk of falls at workplaces)

  Yes

  No

  N/A

• Control Measure: Edge protection for persons at risk of fall from height.(WHS 78)

  Yes

  No

  N/A

• Control Measure: Excavations benched, battered and/or shored or written advice provided by a geotechnical engineer that all sides of the trench are safe from collapse (WHS Reg 305-306)

  Yes

  No

  N/A

• Control Measure: Scaffold Handover and Inspection Certificates available. (WHS Reg 225)

  Yes

  No

  N/A

• Control Measure: Items of electrical plant being used on site have current inspection and<br>test tags. (AS/NZ 3012:2010)

  Yes

  No

  N/A

• Control Measure: Engineers Inspection Certificates available for formwork (CoP Formwork)

  Yes

  No

  N/A

• Control Measure: High-Risk Construction work is being carried out as described in SWMS. <br>(WHS Reg 300)

  Yes

  No

  N/A

• Control Measure: Site security fence panels not being used are laid on the ground or secured to prevent them from tipping over.

  Yes

  No

  N/A

• Control Measure: Traffic Management Plan available and is it being implemented. (Cop Moving plant on construction sites)

  Yes

  No

  N/A

• Control Measure: Mobile Plant being operated safely, e.g. barricaded areas, plant/people separated, reversing alarms, flashing lights, spotter for work close to overhead / underground power lines/cables (WHS Regs 214 and 215)

  Yes

  No

  N/A

• Control Measure: Name of Principal Contractor and after hours contact details displayed<br>(WHS Reg 308)

  Yes

  No

  N/A

• Control Measure: Signs and barricades in place to prevent unauthorised entry to work areas where explosive powered tools are being used.

  Yes

  No

  N/A

• Control Measure: Personal Flotation Devices worn by persons working near water where there is a risk of drowning.

  Yes

  No

  N/A

6. WHS Training

• Has Principal Contractor verified site workers' WHS General Induction for Construction Work qualification? (WHS Reg 317 & 318). <br>Evidence of implementation: Sighted details of site workers WHS General Induction Training for Construction Work card or certificate recorded.

  Yes

  No

  N/A

• Has the Principal Contractor provided training and instruction to workers? (WHS Reg 39)

  Yes

  No

  N/A

• Evidence of implementation - Site Induction Register

  Yes

  No

  N/A

• Evidence of implementation - Site Induction records, e.g. Site Induction Forms.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Evidence of implementation - Training Registers

  Yes

  No

  N/A

• Evidence of implementation - If none of the above, contractors must demonstrate how training and instruction is provided to workers

  Yes

  No

  N/A

• Have site workers been instructed/trained in the requirements of their PCBU’s site-specific SWMS? (WHS Reg 299)? Evidence of implementation - ▪ Sighted sign-offs’ recording that action was taken to correct the safety issues identified.

  Yes

  No

  N/A

7. Inspection, Testing and Servicing

• Has the Principal Contractor been carrying out documented Site Safety Inspections (SSI)? Evidence of implementation - Sighted completed Site Safety Inspection Reports.

  Yes

  No

  N/A

• Has the Principal Contractor taken action to correct issues identified during the SSI? Evidence of implementation - Sighted sign-offs recording that action was taken to correct the safety issues identified.

  Yes

  No

  N/A

• Has the Principal Contractor available for review records of inspections, testing and<br>servicing?

  Yes

  No

  N/A

• Evidence of implementation - Sighted Electrical Plant Test and Tag Register (WHS Regs 150-151)

  Yes

  No

  N/A

• Evidence of implementation - Sighted Records of Plant (WHS Reg 237)

  Yes

  No

  N/A

• Evidence of implementation - Sighted Site-specif ic Hazardous Chemicals Register and SDS (WHS Reg 346)

  Yes

  No

  N/A

• Evidence of implementation - Sighted Roof Safety Mesh Handover Certificate (CoP Safe Work on Roofs Pt 1)

  Yes

  No

  N/A

8. Observed Safety Breaches

• Have you brought the observed safety breaches to the immediate attention of the Principal Contractors site Management representative?

  Yes

  No

  N/A

• Have you issued a Site Safety Instruction for the observed safety breaches?

  Yes

  No

  N/A

• Yes

  No

  N/A