• Project description

  • Contract No. GW

  • Contractor

  • Subcontractors on site

  • Conducted on

  • Prepared by

  • Location
  • Contractor's representative

1.0 Fixed elevated

  • 1.1 Is work being completed from a fixed elevated position?

  • 1.1.1 Is there proper scaffolding in place?

  • 1.1.2 Are appropriate measures in place to prevent falls? ie. barriers (Most preferred) or harnesses

  • Proceed to next section

2.0 EWP

  • 2.1 Is an EWP being used?

  • 2.1.1 Are appropriate measures in place to prevent falls? ie. barriers (Most preferred) or harnesses

  • 2.1.2 Is an approved EWP being used?

  • Proceed to next section

3.0 Ladder

  • 3.1 Is a ladder being used to complete work?

  • 3.1.1 Have ladders been inspected?

  • 3.1.2 Is the load rating at least 120 kg?

  • 3.1.3 Are ladders placed at an angle of 1:4?

  • 3.1.4 Are ladders secured at the top, or held at the bottom by someone?

  • 3.1.5 Are workers maintaining three points of contact at all times?

  • 3.1.6 Is contractor ensuring workers aren't balancing heavy items at the top of ladders?

  • 3.1.7 Is work from a ladder being done safely? Refer GW doc “Working at heights and fall prevention”

  • Proceed to next section

4.0 Overall

  • 4.1 Finally, is all work above 2m, or within 2m of an edge being done safely?

General 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 areas of any 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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