Title Page
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Project No. & Name
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Area Inspected
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ACPL Personnel Doing Inspection
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Subcontractor Personnel Participating in Inspection
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Conducted on
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Location
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INSTRUCTIONS
1. Answer "Yes" if the statement is correct and "No" if the statement is not 100% compliant. "N/A" if not applicable.
2. Add Photos and Notes by clicking on the paperclip icon
3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
4. Complete audit by providing digital signature
5. Share your report by exporting as PDF, Word, Excel or Web Link
I. General
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1. Actions arising from last site safety checklist complete
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2. Weekly Tool Box carried out
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3. Daily Pre-Starts carried out
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4. Site Inductions carried out
II. Amenities / Facilities
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1. Washrooms / Toilets clean & tidy
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2. Meal rooms clean & tidy
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3. Covered rubbish bins provided
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4. Drinking water available / supplied
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5. Offices clean & tidy
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6. Site notice board is current with relevant information
III. Public Protection / Site Security
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1. Appropriate barricades, fencing, hoarding secure & in place
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2. Appropriate PPE & First Aid advisory signage in place
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3. Signage visible from site entrance
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4. Star Pickets fitted with end caps
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5. Visitor & employee sign in / sign out register current
IV. Lighting
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1. Adequate for task being performed
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2. Lighting clean & free from glare
V. Fire Control / Emergency Preparedness
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1. Appropriate fire fighting equipment available with signage in place
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2. Emergency procedures displayed
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3. Emergency personnel identified & telephone numbers displayed
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4. Emergency warning devices functional
VI. First Aid
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1. First aider nominated, contact details & photo displayed
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2. First aid kit provided & fully stocked
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3. Appropriate & correct type kit for size of site
VII. Access / Egress
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1. Prohibited / hazardous areas barricaded & sign posted
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2. Access paths defined around the workplace
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3. Access paths clean & free from debris
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4. Exit doors or path ways clear of obstruction
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5. Emergency exit / muster point signage in place
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6. Sign in / sign out register in use
VIII. Electrical
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1. Electrical tools & leads in good condition & have current Test Tag
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2. Portable generator fitted with RCD / ELCB
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3. Electrical extension leads off ground
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4. Locked cover is provided over C/Bs
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5 Electrician’s contact details available on board
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6. Leads run through bottom of SWBD
IX. Material Handling & Storage
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1. Material stacks stable / heights correct
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2. Material stored to prevent damage
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3. Heavier items stored low
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4. Sharp edges protected
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5. Storage container clean & tidy
X. Hazardous Substances
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1. SDS register maintained
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2. SDS available for Haz Subs
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3. SDS current (less than 5 years old)
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4. Haz Sub containers stored in bunded area
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5. Fully stocked spill kits available & of suitable size to contain potential spills
XI. Traffic Control
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1. Appropriate traffic control plan available & implemented
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2. Signs & devices as per plan
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3. Pedestrian & traffic movement separated by clear demarcation (barricades & barriers)
XII. Personal Protective Equipment
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1. Mandatory PPE worn
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2. Task specific PPE worn when required
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3. PPE correctly used by employees
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4. UV protection measures available
XIII. SWMS
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1. SWMS reflect task being performed (not generic)
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2. SWMS has been signed by those performing the task within the past week
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3. SWMS available to workteam at task area
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4. Subcontractor SWMS reflect task being undertaken
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5. SDS relevant to SWMS readily availiable to the work area
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6. Review conducted on a random selection of active Abergeldie and Subcontractor SWMS using form WHS001-F03 Safe Work Method Statement Audit
XIV. Environmental
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1. Dust suppression practices implemented
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2. Noise management practices implemented
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3. Sediment and Erosion Control devices have been installed as per ESCP and where these devices are different, the difference recorded and ESCP updated
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4. Vibration management practices implemented
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5. Temporary Ground Covers used as required
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6. Hours of work maintained to minimize noise disturbance
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7. Plant not left unnecessarily running
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8. Spill kits nearby plant and easily accessible
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9. Collected water not released until tested
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10. Berm/Trench Drain in effective condition and where damaged have been replaced
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11. Energy Dissipater in effective condition and where damaged have been replaced
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12. Sediment Trap/Sump in effective condition and where damaged have been replaced
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13. Stabilized Site Access in effective condition and where damaged have been replaced
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14. Sediment Basin in effective condition and where damaged have been replaced
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15. Check Dam in effective condition and where damaged have been replaced
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16. Earth or Mulch Bund/Mound in effective condition and where damaged have been replaced
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17. Sediment Fence in effective condition and where damaged have been replaced
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18. Jersey Kerb, where filled under, still intact and effective and replaced where damaged
XV. Plant & Equipment
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1. Is maintenance on plant and equipment up to date and are records available
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2. Plant register current for plant on site
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3. Daily log book completed
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4. Operator ticketed / competent
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5. Pre-start inspection completed
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6. Keys removed from unattended plant
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7. Warning sign displayed in / on plant / equipment
XVI. Health Surveillance and Monitoring
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1. If any new activities have started a Noise identification checklist has been completed (WHS018-F01)
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2. Existing identified noise and or vibration hazards are being monitored as required by WHS018
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3. Workforce is being monitored and there has been no breach of the fatigue management procedure
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4. Health Surveillance and Monitoring is being carried out in accordance with WHS005 any changes actioned and noted on the daily diary.
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Are there any additional Site Specific Items to be inspected?
XVII. Additional Site Specific Items
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To add other Site Specific Site Items, please click on "Add Item" button
Item
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Item Details
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Was the added site 100% complaint?
Completion
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Are there any actions that was not completed from the previous inspection?
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To add action that was not completed, please click on "Add Incomplete Action" button
Incomplete Action
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Specify the Incomplete Action
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Summary/General Comments
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Inspection Completed by: (Name and Signature)