3.1.C1 - Checklist - Client Risk Evaluation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

CLIENT DETAILS

• This checklist assists us in understanding your company’s Workplace Health Safety systems and processes. We appreciate your time in assisting us to complete the following sections.

• Business Address:
  Address

• Client Contact Name:

• Client Contact Number:

• Date of Assessment:

  Date

• Assessors Name:

• Clients Business Activities:

• Major Employee Classification

• Administration

• Engineering

• Technical

• Trades

• Operators

• Labour

• Other - Please provide details -

• This risk evaluation is to be undertaken by discussion with the potential client, prior to placement of Hartecs Group Personnel and is a prerequisite to acceptance of a client order.

EMPLOYMENT DETAILS

• Number of Personnel on site at Present?

• % of Casual employees used on site at any one time?

• % Turnover of personnel for the last 12 months

ORGANISATIONAL DETAILS

• Company time in business (months / years)?

• Do you have an Organisational chart available for our records?<br>

  Yes

  No

  N/A

WORKERS COMPENSATION HISTORY FOR THE PAST 12 MONTHS

• Number of Claims?

• Claims needing Vocational Rehabilitation Assistance?

PART A - GENERAL OCCUPATIONAL SAFETY

• Does the Client have a formal Safety Management System?<br>

  Yes

  No

  N/A

• Comments (please specify what has been sighted or implemented):

• Do you have a Safety Management Plan?<br><br>

  Yes

  No

  N/A

• Has a copy been supplied for our records?<br>

  Yes

  No

  N/A

• Do you have a dedicated Occupational Health and Safety Advisor?

  Yes

  No

  N/A

• Do you have OSH Procedures?<br>

  Yes

  No

  N/A

• - Safety issue resolution procedure?

  Yes

  No

  N/A

• - Risk assessment of the workplace?<br>

  Yes

  No

  N/A

• - Hazard reporting?

  Yes

  No

  N/A

• Are health hazards identified?

  Yes

  No

  N/A

• Is there a formal emergency response procedure?

  Yes

  No

  N/A

• Are emergency drills carried out? Will Hartecs employees be included in these drills?

  Yes

  No

  N/A

• What are the injury treatment facilities on site?

• - Manned first aid centre

  Yes

  No

  N/A

• - Paramedics available? If YES, how quick to respond in minutes?

  Yes

  No

  N/A

• - Trained first aiders

  Yes

  No

  N/A

• - First Aid boxes in the workplace

  Yes

  No

  N/A

• Time to the nearest medical centre - How many minutes?

• Do you have a formal Incident Investigation process?

  Yes

  No

  N/A

• - Are recommendations followed through?<br>

  Yes

  No

  N/A

• Are Supervisors trained in incident investigations?

  Yes

  No

  N/A

• Do you perform Pre-employment Medicals on all employees?

  Yes

  No

  N/A

• Do you have a Drug and Alcohol Policy?

  Yes

  No

  N/A

• Will Hartecs Group employees receive a site-specific safety induction prior to commencing work?

  Yes

  No

  N/A

• - Who runs the inductions?

• How long does it take?

PART B - SAFETY MANAGEMENT SYSTEMS

• Do the activities or tasks performed by the company involve working in confined spaces?

  Yes

  No

  N/A

• Do the activities or tasks performed by the company involve working with hazardous materials?<br>

  Yes

  No

  N/A

• Is there a chemicals register?

  Yes

  No

  N/A

• - What are the hazardous materials, if any? (Please list on Hazard Register)

• Do the activities or tasks performed by the company involve, working in hazardous processes?

  Yes

  No

  N/A

• What controls are in place to manage these hazards?

• Do the activities or tasks performed by the company involve, working with Asbestos or Fibrous Materials?

  Yes

  No

  N/A

• Comments:

• Is formal Occupational Safety and Health training provided to Supervisors?

  Yes

  No

  N/A

• Is Supervision provided for Hartecs Group employees for the agreed tasks?<br>

  Yes

  No

  N/A

• Does the client have formal Safe Work Procedures available for all tasks?

  Yes

  No

  N/A

• Supervisor names and contact details:
  

• 1.

• 2.

• Do you have any OSH Policies - current and signed by most senior manager?

  Yes

  No

  N/A

• Do you have an Injury Management System?

  Yes

  No

  N/A

• Do you have an Injury Management & Rehabilitation Policy?

  Yes

  No

  N/A

• - Is there a list of suitable alternative duties?

  Yes

  No

  N/A

• - Are these alternative duties available to Hartecs Group emplyees?<br>

  Yes

  No

  N/A

• Do you have a Budget for Saftey?

  Yes

  No

  N/A

• Do you have elected workplace Occupational Safety and Health representatives?

  Yes

  No

  N/A

• Do you have a Safety Committee and regular Safety and Health representatives?<br>

  Yes

  No

  N/A

• Do you conduct Safety performance monitoring and reporting?

  Yes

  No

  N/A

• Do you undertake OSH Training?

  Yes

  No

  N/A

• General Saftey

• Is training competency based?

  Yes

  No

  N/A

• Are trainers qualified?

  Yes

  No

  N/A

• Are training records maintained?

  Yes

  No

  N/A

• Equipment Operation

• Do operators have to be authorised?<br>

  Yes

  No

  N/A

• Correct use of PPE?

  Yes

  No

  N/A

• Do you perform workplace inspections?<br>

  Yes

  No

  N/A

• Are Managers involved?

  Yes

  No

  N/A

• Are results of inspections published?

  Yes

  No

  N/A

• Do you use Job Safety Analysis (JSA / JHA)?<br>

  Yes

  No

  N/A

• Have personnel been trained in Job Safety Analysis?

  Yes

  No

  N/A

• Have position descriptions, including role and duties, been prepared for all in the company?

  Yes

  No

  N/A

• Do you have a preferred medical provider? Please provide details - <br>

  Yes

  No

  N/A

• Is the workplace a construction site?<br>

  Yes

  No

  N/A

• Does the site have a Safety Plan?

  Yes

  No

  N/A

• Is any demolition involved? Please provide details -<br>

  Yes

  No

  N/A

• Are work method statements completed where required?

  Yes

  No

  N/A

• **Discuss with the OSH Coordinator if the site has NO Safety Plan or Method Statements & Safety Work Procedures are not evident**

INJURY STATISTICS

• Injury Statistics for the last 12 months? (LTI & MTI Injuries)

• What is your company Lost Time Injury Frequency Rate (LTIFR)?

PART C - Hartecs Group Internal - Evaluation & Rating

• Workers Compensation History

• Experience of Supervisors in the job

• OSH Training

• Emergency Response Procedures

• Injury Treatment / Facilities & Training

• POINTS: All Divisions A + B + C=

  Select 0-17 HIGH RISK - Do not do business 18-29 CAUTION - Discuss with OSH Coordinator - futher assessment before business 30-40 ACCEPTABLE - Normal business, disucss with OSH Coordinator 41+ LOW RISK - Normal business

  • 0-17 HIGH RISK - Do not do business
  • 18-29 CAUTION - Discuss with OSH Coordinator - futher assessment before business
  • 30-40 ACCEPTABLE - Normal business, disucss with OSH Coordinator
  • 41+ LOW RISK - Normal business

• RISK RANKING:

• Assessment by Hartecs Represenative (Signature):

  Sign

• Date of Endorsement:

  Date

• *Client representative (signature):

  Sign