Aaa

• Finance Number

• Project Title

• Audit Date/Time

  Date

• Project Manager

• Prepared by

• Contractor

• Contractor's Representative

• Site Location
  Address

Amenities / Housekeeping

• Adequate facilities provided and cleared? (i.e. shelter, toilet, bins, drinking water)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Housekeeping (clear access egress, tidy site, sharp objects capped)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Public access & protection around site safe and suitable?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Mandatory signage adequate and clear? (min. PPE, emergency, Unitywater signage)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• HAZMATsignage used?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Is their First Aid Kit and trained first aid responders on site?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

H & S Documentation

• Is the Project Management Plan on site and up to date?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• H & S and emergency procedures visible? (i.e. fire, spills, medical, emergency H & S reps, first aid)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• SWMSs for current tasks available on site and signed onto?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Risk Assessment up to date for all activities and signed off by workers?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• All employess inducted? (induction records up to date and on site)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Register of hazardous substances kept on site?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• MSDS sheets available to employees and used? (are materials used in accordance with MSDS)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Regular toolbox talks undertaken? (min. 1 per week, 1 per day preferred)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• In-house audits completed?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Excavation permit / DBYD permit on site?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

Employee Conduct / Exposure

• Required PPE being worn by personnel?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Employees qualified and appear confident in assigned tasks?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Correct manual handling techniques?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Knowledge of OH&S requirements on site? (ask a few questiins of employees)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Employee exposure risk on site? (overexertion, falling objects, crushing, fall)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

Plant / Excavations & Cranage

• Daily plant inspection / checklists completed?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Safety devices fitted? (i.e. seat belts, fire extinguishers, reverse beeper, machine guards, beacons)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Excavations > 1.5m depth battered / shored / certified by qualified engineer?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Is spoil, plant and materials stored well away from the trench? (>1m)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Adequate fall protection, barracading and signage around excavation?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Has the structural integrity of buildings and other features been put at risk by the excavation?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Existing services protected? (i.e. DBYD on site, tiger tails on OH power lines, UG services located)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Slings / chains tested and tagged? (is the SWL marked, good condition etc. check a few, if no, is there a register on site)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Crane certification / licensed and current?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Qualified dog man?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Lifting plan completed for lift?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

Electrical

• Equipment tested and tagged? (check a few, if no, is there a register on site)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Are there any piggy-back leads / plugs or any leads suspended or crossing floors / water, causing trip hazards?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Earth leakage used on all tools / equipment?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

Working at Heights / Scaffolding

• Are risk assessments completed for work carried out on ladders, roofs or heights > 2m above ground?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Are ladders marked industrial uses and have a minimum SWL of 120kg?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Are suitable control measures implemented to prevent injury? (i.e. fall protection, edge protection)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Are openings / areas whereyou could fall >2m fended off?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Scaffolding over 4m errected by a licensed scaffolder?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Guardrails, mid-rails & toe boards installed with netting?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Scafftag fitted at all access points, current and legible?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

Traffic Management

• Is there a copy of the Traffic Management Plan located on site?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Has the Traffic Management Plan been approved?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• If a main road, has approval been granted by Dept of Main Roads?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Is traffic being appropriately controlled?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Are the traffic controllers carrying their tickets on their person?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Is the TMP being followed?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• If the TMP has been modified, was the authoriser level 3 or above?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Has adequate provision been made for pedestrians?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

Accident & Incident Reporting

• Have all accidents / incidents been reported to the Project Manager?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Have investigations been completed?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Have corrective actions been implemented?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Have risk assessments been reviewed for subsequent tasks?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

Confined Space

• Persons involved licensed / certified for confined spaces?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Valid permit and requirements complied with? (i.e. access, gas monitoring, isolation, housekeeping, ventilation, PPE)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Safe work procedures, SWMSs, MSDSs developed, attached to permit and complied with?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Correct signage in place "No Unauthorised Access", "Confined Space No Unauthorised Entry"?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

Welding / Cutting / Grinding / Hot Works

• Hot work permit completed?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• Control measures in place? (i.e. fire extinguishers, PPE, welding screens)

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

• SWMS completed and signed off by employees?

  Compl.

  Observ.

  Min N/C

  Maj N/C

  N/A

Signatures

• Audit Completed by Signature:

  Sign

• Action Items

Action Item

• Corrective Action

• Observation, Minor Non-Conformance, Major Non-Conformance

  Observ.

  Min N/C

  Maj N/C

• Due Date

  Date

• Assigned To

• Closed Out

  Yes

  No

• General Audit Comments