Ausgrid EHS Site Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. General

• 1.1. Site clean and tidy?

  Yes

  No

  N/A

• 1.2. Appropriate signage - readable at 20 metres (90cm x 90cm)?

  Yes

  No

  N/A

• 1.3. Traffic signage sufficient for approaches to working area?

  Yes

  No

  N/A

• 1.4. Is access to private property respected?

  Yes

  No

  N/A

• 1.5. Slip, trip and fall hazards appear appropriately controlled?

  Yes

  No

  N/A

• 1.6. Is operating plant being used safely?

  Yes

  No

  N/A

• 1.7. Are the store stockpiles and/or compound reasonable safe and tidy?

  Yes

  No

  N/A

• 1.8. Do portable services onsite provide safe access and egress?

  Yes

  No

  N/A

• 1.9. Is the climate suitable for works being undertaken?

  Yes

  No

  N/A

• 1.10. Are competent persons used to perform the tasks?

  Yes

  No

  N/A

• 1.11. Were you inducted to site?

  Yes

  No

  N/A

• 1.12. Were you asked to sign a HAC?

  Yes

  No

  N/A

2. Documentation

• 2.1. Is a HAC for site-task done?

  Yes

  No

  N/A

• 2.2. Is there an appropriate OHS management plan on site?

  Yes

  No

  N/A

• 2.3. Is there an emergency plan that is accessible to all personnel?

  Yes

  No

  N/A

• 2.4. Is a blank accident form on site? Incident and personal injury forms?

  Yes

  No

  N/A

• 2.5. Is appropriate EMP on site?

  Yes

  No

  N/A

• 2.6. SWMS on site for work practices?

  Yes

  No

  N/A

• 2.7. MSDS on site?

  Yes

  No

  N/A

• 2.8. All required DBYD plans on site?

  Yes

  No

  N/A

• 2.9. Is a current version of NS156 on site?

  Yes

  No

  N/A

• 2.9. Is a current version of NS209 on site?<br>

  Yes

  No

  N/A

• 2.10. Are access permits obtained and on site if required?

  Yes

  No

  N/A

• 2.11. Have other permits been created if required? Eg Hot works, confined spaces

  Yes

  No

  N/A

• 2.12. Traffic control and pedestrian management plan on site if required?

  Yes

  No

  N/A

• 2.13. Client documents on site (Plans, EIA, PWOI)?

  Yes

  No

  N/A

• 2.14. Is there a plant and machinery log book for each item of plant on site?

  Yes

  No

  N/A

• 2.15. A current version of NS130 on site?

  Yes

  No

  N/A

• 2.16. Authority to private property is granted, if being or was used?

  Yes

  No

  N/A

• 2.17. All registration labels on plant and machinery shown and in date?

  Yes

  No

  N/A

3. Hazard Assessment Checklist

• 3.1. Is the location of the job site correctly recorded and dated?

  Yes

  No

  N/A

• 3.2. The task(s) correctly performed?

  Yes

  No

  N/A

• 3.3. Hazards identified, recorded and controls put in place?

  Yes

  No

  N/A

• 3.4. All personnel on site recorded?

  Yes

  No

  N/A

• 3.5. Have all personnel on site been advise of site hazards?

  Yes

  No

  N/A

4. Training

• 4.1. Do all personnel have OHS Induction card on site?

  Yes

  No

  N/A

• 4.2. Do all personnel have Ausgrid passport and Ausgrid Induction ID on site?

  Yes

  No

  N/A

• 4.3. Do all operators have appropriate Certificates of Competency?

  Yes

  No

  N/A

• 4.4. Are all personnel qualified for the task?

  Safe

  At Risk

  N/A

• 4.5. Are all traffic controllers qualifications suitable?

  Yes

  No

  N/A

5. Pedestrian and Traffic Management

• 5.1. Is an approved TMP on site?

  Yes

  No

  N/A

• 5.2. Has T/C HAC been completed?

  Yes

  No

  N/A

• 5.3. Have amendments been endorsed by approved person (Red Card)?

  Yes

  No

  N/A

• 5.4. Is the set up in accordance with the TCP?

  Yes

  No

  N/A

• 5.5. Is the set up suitable for motor traffic movements?

  Yes

  No

  N/A

• 5.6. Is the set up suitable for pedestrian movements?

  Yes

  No

  N/A

• 5.7. Appropriate traffic control devices are placed around compounds?

  Yes

  No

  N/A

6. Personal Protective Equipment

• 6.1. Serviceable helmets on site for each person?

  Yes

  No

  N/A

• 6.2. Appropriate safety clothing worn by each worker on site?

  Yes

  No

  N/A

• 6.3. Suitable safety boots are worn by each worker on site?

  Yes

  No

  N/A

• 6.4. High visibility clothing/vest worn by each worker on site?

  Yes

  No

  N/A

• 6.5. Ear plugs/muffs worn by those operating or those nearby?

  Yes

  No

  N/A

• 6.6. Eye/face protection work by those operating or Nearby?

  Yes

  No

  N/A

• 6.7. Gloves are available and on site & worn if required?

  Yes

  No

  N/A

• 6.8. If required respirators on site are in good working order?

  Yes

  No

  N/A

• 6.9. Sunscreen is available on site?

  Yes

  No

  N/A

• 6.10. Sun glasses are available for workers in the open?

  Yes

  No

  N/A

7. Excavation

• 7.1. Is work area marked according to scope of work, DBYD and site assessment?

  Yes

  No

  N/A

• 7.2. Are the correct hand digging implements being used correctly and safely?

  Yes

  No

  N/A

• 7.3. Is a spotter being used correctly?

  Yes

  No

  N/A

• 7.4. Is shoring used correctly when required?

  Yes

  No

  N/A

• 7.5. Rescue equipment and procedures ready and practicable if required?

  Yes

  No

  N/A

• 7.6. Private property in accordance with pre-work site inspection?

  Yes

  No

  N/A

• 7.7. Are excavated materials managed correctly?

  Yes

  No

  N/A

• 7.8. Environmental controls are used correctly where required?

  Yes

  No

  N/A

• 7.9. The excavation appears to be in accord with the required specifications?

  Yes

  No

  N/A

• 7.10. Are the excavator operator and spotter working in unison during excavation?

  Yes

  No

  N/A

• 7.11. Has the excavator bucket been adequately secured?

  Yes

  No

  N/A

8. Backfill-Reinstatement

• 8.1. The backfill used amongst conduit is satisfactory (sandy)?

  Yes

  No

  N/A

• 8.2. Sand bed over uppermost conduit 100mm?

  Yes

  No

  N/A

• 8.3. A hot mix is/was used for temporary reinstatement of road and major thoroughfares?

  Yes

  No

  N/A

• 8.4. Is the reinstated surface flat and continuous without gaps or bulges?

  Yes

  No

  N/A

• 8.5. Has all loose material been removed from road or thoroughfare?

  Yes

  No

  N/A

9. Site Security

• 9.1. All open points are fully enclosed in temporary fencing or covered or safely segregated from public access?

  Yes

  No

  N/A

• 9.2. Fencing set up and properly secured?

  Yes

  No

  N/A

10. Misc Observations

• 10.1. Power electrical leads are serviceable?

  Yes

  No

  N/A

• 10.2. Electrical tools are tagged and tested?

  Yes

  No

  N/A

• 10.3. Lifting Slings -serviceability?

  Yes

  No

  N/A

• 10.4. Star pickets etc in ground have protective covers (yellow caps)?

  Yes

  No

  N/A

• 10.5. Fuel cans correctly stored?

  Yes

  No

  N/A

• 10.6. Gas cylinders and equipment stored correctly - upright valves off, no sharp bends?

  Yes

  No

  N/A

• 10.7. Generator - Tested Earthed RCD?

  Yes

  No

  N/A

• 10.8. Are all hazardous materials labelled and the MSDS for the product on the site?

  Yes

  No

  N/A

11. Environmental

• 11.1. Environmental Policy on site?

  Yes

  No

  N/A

• 11.2. Sucker truck when boring?

  Yes

  No

  N/A

• 11.3. Excavated materials are well managed?

  Yes

  No

  N/A

• 11.4. All drainage systems within the run off of the work area are well controlled?

  Yes

  No

  N/A

• 11.5. Spoils in gutters and roadways are well controlled and managed?

  Yes

  No

  N/A

• 11.6. Fuels and lubricants are well controlled and managed?

  Yes

  No

  N/A

• 11.7. Vehicles plant and machinery managed to prevent environmental hazard?

  Yes

  No

  N/A

12. Emergency Equipment

• 12.1. Appropriate fire extinguisher on site?

  Yes

  No

  N/A

• 12.2. First Aid Kit with necessary and useable contents on site?

  Yes

  No

  N/A

• 12.3. Qualified first aider on site?

  Yes

  No

  N/A

• 12.4. Burns kit on site and accessible?

  Yes

  No

  N/A

• 12.5. Suitable spill kit on site and accessible?

  Yes

  No

  N/A

• 12.6. Low voltage rescue kit?

  Yes

  No

  N/A

Additional comments

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign