Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Building Number

Brief description of the works on site

1. Working at Heights

  • 1.1. All falls are controlled? (this includes voids, pits, and trenches as well as overhead)

  • 1.2. Edge protection (e.g. fencing, barriers, kick boards) in place?

  • 1.3. Correct PPE in use e.g. harness?

  • 1.4 Safe ladder use (Look for 3 points of contact, short duration/access only and ladder is in good condition, on flat surface, properly positioned for the task and secured)?

2. Plant, Equipment & Tools

  • 2.1. Safe plant,equipment & tools? (no missing or damaged pieces, guarded)

  • 2.2. Licensed operators (if the equipment requires a licence or a ticket the operator will carry one e.g scaffolding, excavator)?

  • 2.3. The service tags are in date and signed.

  • 2.4. The is a system for reporting defects in plant, equipment and tools.

3. Scaffolds

  • 3.1. A licensed scaffolder put up the scaffolding (excluding mobile scaffolds)?

  • 3.2. The scaffold is safe- check scaffold tag is signed, dated within 7 days and includes the SWL?

  • 3.3 There is a process in place to prevent falling tools/objects from scaffolding?<br>

  • 3.6. WorkSafe NZ informed if over 5 m- ask to see Worksafe notification.

4. Hazardous Chemical (including fuel and oil)

  • 4.1. Safe storage location? (e.g. flammables away from ignition sources, storm water drains protected, etc)

  • 4.2. Spill containment equipment available and people know how to use it?

  • 4.3. Safety Data Sheets on site, current (within 5 years) and accessible?

  • 4.4. Emergency procedures for injury/spills/fire etc are in place and known?

  • 4.5. Sufficient ventilation on site when these chemicals are being used?

5. Emergency Response

  • 5.1. Site specific emergency plans are in place, displayed and understood?

  • 5.2. Adequate first aid kits aid kits and equipment are available on site and fully stocked?

  • 5.3. Qualified First Aiders for all shifts?

6. Traffic Management

  • 6.1 There is secured, controlled access to the construction site (sufficient to prevent unauthorised access by public)

  • 6.2. Traffic Management Plan (TMP) in place (indoor and outdoor) and understood?

  • 6.3. Adequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

7. Personal Protective Equipment (PPE)

  • 7.1. Correct PPE in use

  • 7.2. Site has a system to issue, inspect, replace and monitor PPE?

  • 7.3 Any specialist PPE (harnesses, breathing apparatus etc) required is worn?

8. Work Environment

  • 8.1. Sufficient lighting? Or task lighting in place?

  • 8.2. Standard of housekeeping is safe?

  • 8.3. Adequate noise/ vibration control (ear defenders/plugs, anti vibration gloves etc)?

9. Electrical Hazards

  • 9.1. Safe electrical leads? (not damaged, out of test date or untested)

  • 9.2. RCD protection/Lifesaver in place?

  • 9.3. Potential for contact with underground services has been risk assessed and controlled?

  • 9.4. Contact with overhead electrical lines has been assessed and controlled?

  • 9.5. Electrical equipment is away from water, flammables and chemicals?

  • 9.6 Electrical leads are off the floor and away from moving machinery parts?

  • 9.7 Lock-out/tag-out (LOTO) procedures are in place for electrical equipment isolation?

  • 9.8 Before cutting any cables, an electrician has confirmed that all cables are isolated from the DB.

10. Administrative Procedures

  • 10.1. There is a Site Safety Plan in place?

  • 10.2 . There is an induction in place for workers, contractors, visitors?

  • 10.3 . Site activities are monitored and supervised by main contractor?

  • 10.4. Adequate training, licenses, skills, experience?

  • 10.5. Detailed safety plans or permits are in place for high- risk work?

  • 10.6. Adequate incident notification trees are in place?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • Contractor or PM for the site

  • Auditor's signature

Brief Description of Works

  • Brief Description of Works

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.