Information
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Client name
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Site name
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Conducted on
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Prepared by
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Location
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Personnel
0 - Site Plan
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Drawing of the site/yard/work facilities
1.0 - Management and Documents
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1.1 - health and safety policy available or visible for employees ?
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1.1.1 - health and safety policy communicated to employees ?
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1.2 - Drug and alcohol abuse policy available or visible for employees ?
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1.2.1 - Drug and alcohol abuse policy communicated to employees ?
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1.3 - Disciplinary policy available or visible for employees ?
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1.3.1 - Disciplinary policy communicated to employees ?
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1.4 - Health and safety plan available ?
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1.4.1 - Health and safety plan communicated to employees ?
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1.5 - Risk management plan available ?
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1.6 - All policies and plans approved by management ?
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1.7 - letter of good standing available and not expired ?
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1.8 - Regulations displayed in an area where employees could view them ?
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1.9 - Is the company structure, organogram or matrix available?
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1.10 - Does the company have valid , competent employees appointed ? Proof of appointments to be provided .
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10.11 - Fall protection plan available and communicated to employees ?
2.0 - Fire Prevention
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2.1 - adequate fire extinguishers available?
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2.2 - Fire extinguisher s checked and entered in to a register ?
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers recently serviced? (Check 12 monthly service tag )
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2.5 - Extinguishers clear of obstructions?
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2.6 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm?
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2.7 - Adequate signs in place indicating fire extinguisher ?
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2.8 - Fire alarm system functioning correctly?
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2.9 - Fire fighter training available for at least one employee ? Must include certificate
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2.10 - Employees trained in the use of fire extinguishers? Proof
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Reflected light from walls & ceilings not causing glare to employees?
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3.3 - Light fittings clean and in good condition?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.4 - Intersections kept clear of boxes etc?
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4.5 - Stair and risers kept clear?
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4.6 - Are liquid spills removed quickly?
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4.7 - Are railings in good condition?
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4.8 - Are fall preventive measures in place and used where gaps occur in railings?
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4.9 - Are footpaths in good condition?
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4.10 - Furniture in sound condition?
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4.11 - Loading area clean and tidy?
5.0 - Work Benches
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5.1 - Clear of rubbish?
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5.2 - Tools not in use kept in place?
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5.3 - No damaged hand tools in use?
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5.4 - No damaged power tools in use?
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5.5 - Work height correct for the type of work and the employee?
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5.6 - No sharp edges?
6.0 - Hygiene and Welfare
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6.1 - Bins located at suitable points around site with adequate signage ?
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6.2 - Bins emptied regularly?
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6.3 - Eating area available for employees ?
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6.4 - Eating area clean and neat ?
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6.5 - Drinking water available for employees ?
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6.6 - Drinking water signage available stating drinking water ?
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6.7 - Ablution facilities available with a ratio of 1:30 ?
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6.8 - Ablution facilities separate for women and men ?
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6.9 - Hand wash facilities available for employees ?
7.0 - Stacking and Storage
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7.1 - Materials stored in racks , bins and on pallets wherever possible?
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7.2 - Storage designed to minimise lifting problems?
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7.3 - Floors around racking clear and clean of material ?
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7.4 - General condition of racks and pallets in good order ?
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7.5 - Stacking areas allocated with signage ?
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7.6 - Scrap removed regularly out of storage areas ?
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7.8 - Work areas clean and tidy ?
8.0 - Machines
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8.1 - Are they kept clean?
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8.2 - Are the floors around the machines kept clean?
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8.3 - Guards in good condition?
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8.4 - Starting and stopping devices within easy reach of operator?
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8.5 - Waste/off cuts removed and stored safely?
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8.6 - Drip pans on floor to prevent spillage?
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8.7 - Adequate work space?
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8.8 - Is lighting adequate?
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8.9 - Noise levels controlled?
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8.10 - No bending or stooping required?
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8.11 - Duck-boards in good repair?
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8.12 - Operators trained/inducted into the operation of the machines?
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8.13 - Is the training recorded?
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8.14 - Do operators comply with the training?
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8.15 - Are lockout procedures implemented and followed?
9.0 - Electrical Safety
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9.1 - Safety switches installed?
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9.2 - Safety switches tested every 12 months and tests recorded?
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9.3 - No double adapters in use?
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9.4 - Portable equipment tested and tagged?
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9.5 - No broken plugs, sockets or switches?
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9.6 - No power leads across walkways?
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9.7 - No frayed or damaged leads?
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9.8 - No strained leads?
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9.9 - Portable power tools in good condition?
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9.10 - Where required are emergency shut-down procedures in place?
10.0 - Hazardous Chemical Safety
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10.1 - Hazardous Substance Register complete and available including quantities ?
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10.2 - Material Safety Data Sheets available for all chemicals?
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10.3 - Risk assessments completed for hazardous substances?
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10.4 - All containers labelled correctly?
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10.5 - Unused substances disposed of?
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10.6 - Do special storage conditions apply?
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10.7 - If applicable are special storage conditions followed?
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10.8 - Workers trained in the use of hazardous substances and the first aid required for the hazardous substances ?
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10.9 - If required is PPE available?
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10.10 - Is adequate ventilation provided?
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10.11 - Are eye washes and showers easily accessed?
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10.12 - Is their fire protection in place ?
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10.13 - Signage posted at the entrance of the hazardous chemical store ?
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10.14 - Is their a spillage procedure in place ?
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10.15 - Is their any signs of spillage in the yard/site ?
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10.16 - Is their spillage bins available in the yard/site ?
10.2 Gas Stores
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10.2.1 - Gas storage area clearly allocated and identified ?
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10.2.2 - Is their adequate fire protection ?
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10.2.3 - Are the stores shaded and well ventilated ?
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10.2.4 - Are signage on cylinders clear ?
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10.2.5 - Are the signage on the storage area adequate?
11.0 Ladders
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11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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11.2 - Are ladders in good condition?
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11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)
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11.4 - Used according to instructions?
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11.5 - Are ladders numbered , logged into a register and inspected monthly ?
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11.6 - Are ladders fitted with non slip devices ?
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11.7 - Damage to runs / stiles ?
12.0 - First Aid Facilities
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12.1 - Are first aid box and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - No contents past their expiry date?
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12.4 - First aid box clearly labelled with signage ?
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12.5 - Is there easy access to the first aid box ?
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12.6 - Employees aware of location of first aid cabinet?
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12.7 - Are first aid signage in place to where the first aid box is kept ?
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12.8 - Are emergency numbers displayed?
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12.9 - A competent first aider with a ratio of 1:50 ?
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12.10 - Is the first aid register filled in ?
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12.11 - First aid checklist and register available and up to date ?
13.0 - PPE
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13.1 - Proof of PPE issued to employees ?
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13.2 - PPE analysis done for the required PPE?
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13.3 - PPE training given to employees on maintenance ,use and limitations ? Proof to be provided
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13.4 - Symbolic signs placed where needed like machines informing employees when to use PPE ?
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13.5 - Photocopiers positioned to avoid fumes?
14.0 - Employees , Training and Competency
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14.1 - Training matrix available ?
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14.2 - I'd documents for all employees ? Proof
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14.3 - Valid training certificates for employees ? First aid , fire team , she rep , other ?
15.0 Emergency preparedness
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15.1 - Is an emergency plan available ?
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15.2 - Is the emergency plan communicated to employees ?
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15.3 - Has their been any emergency situations routine been practiced , recorded ?
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15.4 - Emergency telephone number displayed ?
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15.5 - Is their allocated emergency assembly points ?
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15.6 - Signs for emergency routes clear and a site plan with emergency routes placed at strategic areas ?
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15.7 - Emergency team appointed and trained for situations? Proof
16.0 incident and Accident Management
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16.1 - Employers report of accident available at least 3 copies ?
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16.2 - Annexure 1 available at least 3 copies ?
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16.3 - incident/accident reporting procedure in place ?
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16.4 - Are all incidents/accidents recorded and investigated ? Proof to be supplied
17.0 Welding/Cutting/Grinding/Heating
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17.1 - is a fire extinguisher available at the point of hot works ?
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17.2 - Welding machine in good order ?
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17.3 - oxygen and gas hoses to be approved type and in good order ?
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17.4 - Is hot works in an area where it effects other employees ? Sparks fall onto walkways etc
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17.5 - is the welding cable neatly routed and kept out of walkways ?
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17.6 - Is the welding machine earthed correctly ?
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17.7 - Is the welding operated trained ? Proof
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17.8 - Does the welding machine have an emergency cut off ?
18.0 Compressed air and Hoses
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18.1 - Is compressed air only used for purposes as required , air tools ?
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18.2 - Compressed air is not used to remove dust of an employee or clothes ?
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18.3 - Compressed air hoses correctly and safely removed ?
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18.4 - manufacturer plate on the compressor with a date ?
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18.5 - Does the compressor have adequate machine guards ?
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18.6 - does the compressor have a valid test certificate ?
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18.7 - is their pressure release valves ?
19.0 Mobile Equipment
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19.1 - Are operators , drivers competent ? Proof
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19.2 - Is the reverse alarm functional ?
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19.3 - are the mobile machines road worthy ?
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19.4 - Drivers must be legally appointed ? Proof
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19.5 - Does the mobile machines have adequate guarding in place ?
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19.6 - Is the seatbelt in use ?
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19.7 - Are pre checklist available and up to date for mobile machinery ?
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19.8 - is their a deviation checklist and are they closed in a short time ?
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19.9 - Any records available for proof of maintenance ?
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19.10 - Mobile machines generally in good condition ?
20.0 Handtools and Portable electrical tools
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20.1 - hand tools in good condition ?
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20.2 - Correct tool used for the job ?
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20.3 - No home made tools ?
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20.4 Electrical tools , extensions numbered and on a register ?
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20.4 - All Portable electrical tools in good conditions ?
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20.5 - All exportable electrical tools fitted with guards ?
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20.6 - Employees trained in the use of portable electrical tools ? Proof
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20.7 - plugs fitted correctly ?
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20.8 - All switches working ?
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20.9 - All portable electrical tools checked before use ?
21.0 Lock Out
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21.1 - Is a lockout procedure in place ?
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21.2 - Are all employees trained on the lockout procedure ?
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21.2 - Is their a proper lock and tag system ?
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21.4 - Are lockout procedure issued under signature by a manager ?
Sign Off Client
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On site representative
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Date and Time
Auditor sign off
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Auditor's signature
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Date and Time