• Project description

  • Contract No. GW

  • Contractor

  • Subcontractors on site

  • Conducted on

  • Prepared by

  • Location
  • Contractor's representative

1.0 Injured person properly attended to and treated?

  • 1.1 Make sure the Contractors qualified first aider takes immediate charge of the injured worker. Did this occur?

  • 1.2 Do not permit workers to endanger themselves in their attempts to assist. Confined space accidents and trenching collapses are examples where rescuers can also be killed or injured.

  • 1.3 Where necessary’ Ensure the Contractor has put his emergency evacuation procedure into effect, also to determine if everyone is accounted for.

  • 1.4 Has the injured person been properly attended and treated?

2.0 Notifying emergency services

  • 2.1 Ambulance, police and fire brigade should be contacted immediately by Contractor whenever their presence is needed.

  • 2.2 Contractor may also need to contact the poisons information line.

  • 2.3 Ensure Contractor arranged for clear information to emergency services and post someone at the entrance to guide them to the scene

3.0 Notifying WorkCover

  • 3.1 Contractor must immediately notify WorkCover on telephone 132 360 of any death, serious injury or dangerous occurrence which had the potential to cause death or serious injury.

  • 3.2 This needs to be followed up by written notification within 48 hours. Contractor must keep a copy of the written record of a notified incident for at least 5 years.

4.0 Accident Investigation Form

  • 4.1 Use the Standard Gippsland Water Accident Investigation Form. Try to fill as many sections as practicable at the time. Some information may not be known.

  • 4.2 While not obstructing any needed activities relating to helping the injured worker, attempt to find out the facts from those who actually know, and who were at the scene at the time of the accident

  • 4.3 Notify Gippsland Water OH&S staff of the incident, Gain their advice.

  • 4.4 Detail any important information here.

5.0 Relatives and others at the scene

  • 5.1 Verify if the Contractor has notified the partner or relatives of the injured worker of the accident Other workers may want to call home to let loved ones know they are OK.

  • 5.2 Workmates and employees who were near the scene of the accident, or involved in the rescue or the first aid may be suffering shock. <br>See if these employees need assistance, need to discuss the event, take notes, provide drinks, warm surroundings out of weather of possible.<br>Provide them with current updates on the injured worker if known.

6.0 Has area of the accident or incident been isolated?

  • 6.1 Have you isolated the area of the accident or incident?

  • 6.2 Contractor or others must not disturb the scene of a fatality unless and until you are directed by a WorkCover field officer. The only exception is where it is necessary to help the injured person, protect someone's heath and safety or take essential action to make the site safe or prevent a further accident.

7.0 Has Contractor made the area safe?

  • 7.1 After any accident the area should be left as it was until an investigation can be carried out. Depending on the severity of the accident , Workcover, or Gippsland water or the Contractor will want to investigate. Area should be isolated or fenced off until investigation is complete.

  • 7.2 If possible take photos or videos of the accident scene.

  • 7.2

  • 7.3 Keep employees and the public not directly involved away from the site.

  • 7.4 Ensure site is made safe before employees, re-enter the area or go home

8.0 Record Events in writing

  • 8.1 There will always be plenty of lessons that can be learned from any accident. Make notes regularly from the time you arrive and notes times of anything that is still happening related to the accident.

  • 8.2 Try to get relevant copies of documents from the Contractor and or Workcover as soon as possible, without diverting staff from immediate tasks associated with the accident.

9.0 How did the emergency procedure work?

  • 9.1 Identify if the emergency communication, and rescue worked effectively. What improvements could be? Detail them.

  • 9.2 Was a qualified first aider available to assist patient, and did they have access to appropriate first aid equipment, and kit?

  • 9.3 Was an ambulance called, was communication system prompt?

10.0 Confirm Contractor Work Cover Insurance

  • 10.1 Confirm again that the Contractor has taken out a Work Cover policy. Before they start work on site we would have reviewed copy to see it is current, up to date, and reflects the right industry classification

  • 10.2 Verify that the Contractor checks ands has details of insurance premiums of his sub contractors, preferably in his site register.

  • 10.3 Add details here if needed.

  • 10.3 Add details here if needed.

11.0 Does Contractor have an injury register?

  • 11.1 Verify that the Contractor has a register where your workers can record injuries and illnesses. Make sure employees know how to report injuries and illnesses. Is the register easy for employees to access, preferably near the first aid kit.

  • 11.2 As soon as practicable, make sure the details of the accident or incident are recorded in the site incident register.

  • 11.3 Is there a fully stocked first aid kit on site?

  • 11.4 Does the Contractor have a system to review the cause of injuries and to establish what can be done to prevent a reoccurrence of similar safety problems in the future?

12.0 Has Contractor properly investigated the accident or incident?

  • 12.1 Make sure Contractor properly investigate to find out the cause of the accident or incident. Do not assume it was just "one of those things". Proper investigation occurred?

  • 12.2 Give any health and safety representative the freedom to investigate and, wherever possible, work jointly to determine the reasons. Involve everyone nearby, and document as you go, as peoples impressions and reactions and causes can change dramatically over hours, or overnight.

  • 12.3 Cooperate fully with any Work Cover field officers and investigators.

13.0 Has Contractor made the necessary improvements to avoid a repetition?

  • (maybe continue this a few days later)

  • 13.1 Do not ignore the lessons you can learn from investigating accidents and incidents. Make the necessary changes before a repetition occurs.

  • 13.2 How are changes documented, and going to be implemented?

14.0 Does Contractor have WorkCover claim forms?

  • 14.1 Check Contractor keeps some claim forms on site for injured workers.

15.0 Has Contractor obtained any workers' claims?

  • 15.1 Has Contractor notified WorkCover and Gippsland Water of any notifiable injuries?

  • 15.2 Workers who need medical treatment or time off work because of a work-related injury or illness ought to fill in a Work Cover claim form as soon as possible, and give it to the employer

Additional comments

  • Add any additional comments

Action Required

  • Contractor is to review the comments, and consider the recommended actions within this audit. The contractor needs to demonstrate they are complying with their obligations as an employer, what specific remedial action they propose for this site, and if any overall modifications are required to their Health and Safety Plan / safety procedures / supervision. Prompt corrective action is required to eliminate any agreed deficiencies, and any areas of disagreement need to be further explored in writing. All “failed responses” need to be addressed/resolved.


  • Gippsland Water responsible officer

  • Auditor

  • Contractor's representative

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