9-4636 Demolition Check Sheet

Demolition Check Sheet

• License Name:

• PCBU Name:

• Registered Business Address:

• ABN:

• PCBU Phone:

• PCBU Supervisor:

• Site Location
  Address

• Conducted on

  Date

• Inspection Conducted by:

• Is the workplace secured from unauthorised access? <br>WHS Regulation 2011, Clause 298.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Is there a demolition plan? COP Demolition Work, states that a demolition plan should be prepared where multiple PCBU’s are involved? WHS Regulation 2011, Clauses 34-38

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• SWMS prepared and readily accessible? WHS Regulation 2011, Clauses 299 - 303.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Has an asbestos clearance certificate been issued before the work area is re-occupied for demolition work? WHS Regulation 2011, Clause 474.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Have hazardous chemicals and materials been identified by a competent person i.e. Asbestos, Lead, PCB's, SMF’s? WHS Regulation 2011, Clause 49.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Are falling objects controlled i.e. chutes, debris drop area, exclusion zones? WHS Regulation 2011, Clauses 54 & 55.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Are control measures in place to isolate the work from the public such as security fencing, OHP structure, & exclusion zones? WHS Regulation 2011, Clauses 34-38.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Are fall risks managed? WHS Regulation 2011, Clause 78.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Have all essential services been located and/or disconnected i.e. electricity, gas, water, sewer, telecoms, gaseous fire suppression systems, fuel, refrigerants? WHS Regulation 2011, Clauses 34-38 & 304.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Is the supervisor onsite and named to SafeWork NSW (check GLS database)? OHS Regulation 2001, Clause 325.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Is dust from demolition activity being controlled I.e. vehicles, plant etc.? WHS Regulation 2011, Clause 35.<br>

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Signage identifying PCBU (if deemed a construction project)? WHS Regulation 2011, Clauses 292, 293 & 308.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Does the PCBU have the correct licence type i.e. DE1 or DE2? WHS Regulation 2011, Clause 143.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Is plant inspected on a regular basis? WHS Regulation 2011, Clause 213.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Is an adequate first aid kit available? WHS Regulation 2011, Clause 42(1)<br>

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Is a worker onsite trained in first aid (Basic first aid as a minimum)? WHS Regulation 2011, Clause 42(2)<br>

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Are adequate facilities available for workers i.e. toilets, drinking water? WHS Regulation 2011, Clause 41.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Is the work required to be notified to SafeWork NSW i.e. structure >6m in height? WHS Regulation 2011, Clause 142.<br>

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments

• Have workers been trained i.e. GIT, site specific, high risk work licence? WHS Regulation 2011, Clauses 39 & 316.

  Yes

  No

  Not Verified

• Action Taken / Notice Issued / Comments