BCL Safety Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Site Personnel

• Sub-contractors on-site

• Has everyone on-site been inducted

  yes

  N/A

Reaction of people (are they)

• Adjusting personal protective equipment

  Safe

  Unsafe

• Changing position

  Safe

  Unsafe

• Re arranging job

  Safe

  Unsafe

• Stopping job

  Safe

  Unsafe

• Performing lockouts

  Safe

  Unsafe

Position of people (can injury be caused by)

• Striking against objects

  Safe

  Unsafe

• Struck by objects

  Safe

  Unsafe

• Caught in, on or between objects

  Safe

  Unsafe

• Trip, slips or fall

  Safe

  Unsafe

• Lifting, stretching. Repetitive movements

  Safe

  Unsafe

• Awkward position

  Safe

  Unsafe

• Contact with temperature extremes

  Safe

  Unsafe

• Contact with electricity (underground/overhead)

  Safe

  Unsafe

• Inhaling/ingesting/overcome by hazardous substance

  Safe

  Unsafe

Personal protective equipment (cross reference with hazard Id)

• Head

  Yes

  No

  N/A

• Eyes and face

  Yes

  No

  N/A

• Ears

  Yes

  No

  N/A

• Hi viz clothing

  Yes

  No

  N/A

• Long arms and legs

  Yes

  No

  N/A

• Feet

  Yes

  No

  N/A

• Hands

  Yes

  No

  N/A

Tools and equipment

• Wrong tools/plant for the job

  Safe

  Unsafe

• Used incorrectly

  Safe

  Unsafe

• Missing safety equipment (signs, barriers, pins, etc)

  Safe

  Unsafe

• In unsafe condition

  Safe

  Unsafe

Procedures and housekeeping

• Correct procedures followed

  Safe

  Unsafe

• Procedures not known/understood

  Safe

  Unsafe

• Housekeeping standards inadequate

  Safe

  Unsafe

• Housekeeping standards not known/understood

  Safe

  Unsafe

Observations

• Safe acts observed

• Action taken to encourage continued safe performance

• Unsafe acts observed

• Immediate corrective action undertaken

• Corrective action to prevent recurrence (enter into risk manager)

• Check, 2 logbooks (are they filled out correctly)

  Yes

  No

  N/A

• Check, 2 pre start check sheets (are they filled out)

  Yes

  No

  N/A

Competency - is staff signed off to operate

• Name

• Plant type

• Competency signed off

  Yes

  No

  N/A

• Name

• Plant type

• Competency signed off

  Yes

  No

  N/A

• Name

• Plant type

• Competency signed off

  Yes

  No

  N/A

Environmental values

• Water

  Yes

  No

  N/A

• Indigenous vegetation

  Yes

  No

  N/A

• Visual

  Yes

  No

  N/A

• Maori

  Yes

  No

  N/A

• Soil

  Yes

  No

  N/A

• Air

  Yes

  No

  N/A

• Noise

  Yes

  No

  N/A

• Nil

  Yes

  No

  N/A

General

• Have all environmental risks been identified and recorded

  Yes

  No

  N/A

• Have all environmental risks been actioned

  Yes

  No

  N/A

• Is a resource consent required

  Yes

  No

• Is a resource consent sighted

  Yes

  No

  N/A

• Are there any hazardous substances on site

  Yes

  No

• Are all hazardous substances stored correctly

  Yes

  No

  N/A

• Are all diesel tanks labelled correctly

  Yes

  No

  N/A

Emergency procedure

• Is there a first aider on site

  Yes

  No

  N/A

• Has the emergency plan on the hazard ID been actioned

  Yes

  No

  N/A

Are the following items on site

• MSDS

• First aid kits

• Burns kit

• Spill kits

• Fire extinguishers

Observations

• Environmental best practice observed

• Action taken to encourage continued best practice

• Best practices not observed

• Immediate corrective action undertaken

• Corrective action to prevent recurrence (enter into risk manager)

Documentation

• Hazard ID completed

  Yes

  No

  N/A

• TMP on site

  Yes

  No

  N/A

• Permits/plans on site

  Yes

  No

  N/A

• Notifiable works on site

  Yes

  No

  N/A

• Construction checklist

  Yes

  No

  N/A

• Works order on site

  Yes

  No

  N/A

Overall

• Site rating

  Select excellent acceptable need improvement dangerous

  • excellent
  • acceptable
  • need improvement
  • dangerous

• Inducted on site by