BFM Site Safety Inspection Report

• Document No.

• Job title

• CRC reference number/file/job number

• CRC Client for Site (Officers name & contact number)

• Conducted on date

  Date

• Address where work undertaken

• Contractor Company Name

• Contractor Representatives Name

• Contractor Representatives Tel. Number

• Contractor Representatives Email

ADMINISTRATION

Safe Work Plans

• Is a Construction Safety Plan in place? (requirement for all works projects of $250,000+)

  Yes

  NO

  N/A

• Is the Construction Safety Plan being followed by construction crews?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Are SWMS in place and available?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

Traffic Management

• If working in public areas, Is a Traffic Management Plan or Traffic Management Scheme in place which has been provided by a suitably qualified practitioner ?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Is the TMP/TMS readily available on site in hard copy?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

Stormwater management and Erosion & sediment control

• If breaking ground, is there an approved plan for these works ?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

Site Induction

• Are induction records in place, signed ?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Photo of contractors representative ID card (i.e. Construction 'White' card, Electrician's Licence etc. if applicable)

  Media

• Do all relevant persons have available White/Blue card, and other relevant High Risk Work Licenses? (Scaffold, dogger, rigger)

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Are appropriate work permits in place? (Confined Space/Hot Work/Isolation Lock Out)

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

Hazardous Substances

• Is a Hazmat register (folder), MSDS & Risk Assessments in place and within 5 years of age?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

ON THE JOB SITE ...

Signage and Barriers

• Is signage or guarding in place according to any approved plans? (Construction site, No unauthorised entry, safety fencing, etc.)

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are blue PPE advisory signs in place, legible and relevant for site?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Dangerous goods placarding in place and relevant to site?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are the public reasonably aware of the activity taking places and if applicable, is there a safe and easily understood way around the jobsite ?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

Common Plant, Rescue and Lifting Equipment

• Is scaffolding approved for use and displaying a scaf tag or similar?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are tri-pods, winches and lifting equipment in good condition and tagged?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are harnesses, lanyards or slings in good condition and been tested, tagged and current?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are ladders in good condition, been inspected by a competent person and appropriate for task?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

Electrical

• Are electrical leads and power tools in test date (3 monthly for construction)?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are RCD's in place and tested ?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are electrical leads and power boxes cleared away so they do not form trip hazards?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are any temporary supply distribution boards, generators etc. properly guarded and secured ?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

Emergency Management & First Aid

• Is a first aid kit in place and in order?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• If working in a confined or hazardous spaces, all relevant emergency routes known and defined and fire fighting appliances available for use?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

Equipment - Small plant eg: whacker packer, generator etc

• Is small plant in good condition and fit for use?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are safety labels attached to plant and legible?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Is there evidence of regular maintenance of plant I.e. Test tags etc. and if so, is it in date ?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

Special Safety Issues - Trenches, working over water, working near roads and rail tracks etc.

• Are there any safety issues related to special safety protocols such as working in trenches etc ?

  YES

  No

  N/a

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

People and Behaviours

• Are employees wearing appropriate PPE ?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are employees using appropriate tools for the job ?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are employees using correct manual handling techniques?

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

• Are employees acting appropriately and with due diligence in respect to the work they are conducting and the way they are conducting it? I.e. Are they sensible or larking about etc..

  Yes

  NO

  N/A

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

Other issues

• Are there other issues or concerns that require comment or rectification ?

  YES

  No

  N/a

🔧🔧🔧🔧🔧Rectification Required🔧🔧🔧🔧🔧🔧

• Brief summary of rectification required

• Add photo if nec.

  Media

Audit sign off & date

• Auditor

  Sign

• Contractor

  Sign

• Is a STOP WORK notice or Work Improvement Notice required?

  YES

  No

• Provide details or external references to notice/letter/email etc.

• Agreed date for follow up inspection if req. otherwise leave blank

  Date

• Provide any general comments here ....

• An email copy of this report can be made available to the contractors representative if req. by the representative.
  
  The council officer will also need to retain a copy of this report and program a follow up inspection if required.
  
  If required under Departmental protocols, a copy should also be sent to the manager of the Council staff member who inspected the works.
  
  The Council officer must profile a copy of this report into CRC document management system
  
  Once complete, the audit must be synced to the cloud.
  
  Any issue with the performance of this application should be addressed to:
  Ian Pearl
  Team Leader Asset Management
  Tel: (07) 4044 3134