Information

  • Date of Review

  • Audit Title

  • Site Reviewed

  • Reviewing Managers Name:

  • Site Induction Performed

  • Signature of Reviewing Manager:

  • Document No.

1. Incident Reporting

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  • Check for awareness of Golden Rules in general and Incident Reporting specifically: 􀂃 Check to confirm that significant learnings from incidents have been communicated to site and acted on 􀂃 Check for sharing of Lessons From Incidents resources on Health& Safety notice boards

  • Make the following observations: 􀂃 Process for dealing with unsafe condition or act that has potential to cause significant harm to people 􀂃 Process for reporting and managing incidents and the actions arising 􀂃 Review of recent incidents on site 􀂃 Examples of learnings applied from local incidents 􀂃 Examples of learnings applied from incidents elsewhere

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2. Driving & Vehicles

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  • Check for awareness of Golden Rules in general and Driving & Vehicles specifically: 􀂃 Vehicles operated within the speed limit and at speeds that are safe forthe prevailing weather, traffic or road conditions 􀂃 Seatbelts are worn in all seating positions at all times whilstthe vehicle is moving 􀂃 Check that vehicles are fit for purpose and in safe working order 􀂃 Check that vehicles do not exceed manufacturer’s load specifications 􀂃 Check that loads are correctly secured 􀂃 Check for loose items in the cab that may act as a distraction.Loose items include: phones, CD’s, navigation systems, food & drink containers

  • Make the following observations: 􀂃 Policy and arrangements for ensuring drivers are not under the influence of alcohol or drugs 􀂃 Policy and arrangements for ensuring that drivers are not suffering from fatigue or tiredness 􀂃 Policy and arrangements for ensuring that drivers are not exposed to risk due to mobile phone use and distraction 􀂃 Arrangements for safe separation distances when driving [3 second gap between vehicle in front] and safe reversing [use of cones whenever reversing a bulk tanker; get out and look if unsure in general]. 􀂃 Arrangements for driver training including “Staying in Control DVD”and rollover training for bulk drivers. 􀂃 Familiarity and compliance with the “Delivery Vehicles (DEL)”Management Systems ?

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3. Permit To Work

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  • Check for: 􀂃 Awareness of Golden Rules in general and Permit to Work specifically 􀂃 Any hazardous work in progress without a permit (including contractor work) 􀂃 A copy of the permit at the work location and any necessary supporting documents reference on the permit, e.g. certificates for excavations, pipework isolation, electrical isolation and planning checklists 􀂃 Check Permits adequately define the scope of work, hazards and risk controls, are issued and accepted by authorised persons and have been monitored and where applicable closed out 􀂃 List of authorised issuers for permits and supporting forms/certificates displayed 􀂃 Areas identified on site where hot work permits & confined space permits are required 􀂃 Conditions on Permit and are they being complied with by all 􀂃 Cross references made on the Permit to other relevant existing permits 􀂃 Inspection of the workplace prior to issue of permits and periodically during work. 􀂃 Formalised lock-out system for isolation of energy sources 􀂃 Robust Permit close out process prior to return to normal operation

  • Make the following observations: 􀂃 Confirm that for all hazardous, non-routine work, a Permit to Work is obtained before work commences and complied with 􀂃 Last audit results on the PTW system 􀂃Check for understanding of the permit system, the hazards and the conditions. Has the content of the PTW being communicated to all those involved in the work? 􀂃 Training of employees and contractors on PTW system 􀂃 Arrangements for identifying confined spaces and controlling access

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4. Working at Height

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  • [REF: IMS-26-19-GROUP : Safe Management of Work at Height] [Australian Workplace health & safety regulation: CLAUSE 34-37] Check for awareness of Golden Rules in general and Working at Height specifically Falls are a major cause of death and serious injury in workplaces. Fall hazards are found in many workplaces where work is carried out at height, for example stacking shelves, working on a roof, unloading a large truck or accessing silos. Falls can also occur at ground level into holes, eg: trenches or service pits. 􀂃 Check for any work taking place at heights of 2 metres or more above the groundand follow up the health and safety arrangements to prevent injury. Ask: Q1. Has a risk assessment been conducted, this could be in the form of a procedure or permit to work for non routine work ? Q2: Are safety controls identified in the Risk assessment or PTW being complied with? Q3: Are personnel performing the work competent e.g. has acquired competency through training, qualification or experience and has the knowledge and skills to carry out the task 􀂃 Check the suitability and maintenance of equipment for working at height, such as scaffolding, mobile access platforms or fall arrest equipment. Have these been verified by a competent person with regards to design, installation and condition? Check: Q1: Are ladders free from corrosion, splitting, cracking, splintering, warping (Ref IMS 26 – 25) Q2: Does any erected scaffolding clearly indicate that the scaffold is "safe-to-use" (eg scaff-tag) (Ref IMS 26 -26) Q3: Are any personnel using mobile work platforms (Cherry pickers, scissor lifts ) have a fall arrest system in place e.g. Lanyard system (IMS 26-27) Check that all persons working at heights are competent to perform the work. Check the Controls around storage and use of ladders

  • Make the following observations: 􀂃 Work on site that involves work at height and how the risks are managed 􀂃 Risk assessments for working at heights􀂃Emergency arrangements for dealing with a fall from heights (e.g. arrangements for the recovery of a person suspended in a fall arrest harness)

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5. Lifting Operations

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  • Check for: 􀂃 Awareness of Golden Rules in general and Lifting Operations specifically 􀂃 Check on the health and safety arrangements associated with anylifting operations. Has the activity been formally risk assessed and suitable safetycontrols implemented? Is a Permit to Work in place for non-routine activities? Alternatively for routine activities is there a Work Procedure or Instruction? 􀂃 Verify that the lifting equipment is ‘fit for purpose’in terms of its design, load capacity, condition and test status. 􀂃 Check that no-one is exposed to risk by working under a suspended load and that the activity is adequately segregated from other activities

  • Make the following observations: 􀂃 Safety arrangements for any lifting operations underway on site. What factors were considered in organising the work? Is there a formal, documented risk assessment? 􀂃 Verify that operators and other people involved in the lifting operation (e.g. riggers of the load) are competent and authorised for the lifting equipment and lift method to be used

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6. Contractor Management

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  • Check: 􀂃 For awareness of Golden Rules in general and Contractor Management specifically 􀂃 Verify risk assessments of work to be done by contractors to confirm that key hazards have been identified and risk control measures implemented. ArePermits in place for non-routine work? 􀂃 Verify that our contractors’employees are inducted and trained in the relevant hazards and safety requirements of the work, including specialist training where necessary

  • Make the following observations: 􀂃 Verify understanding of our retained accountability for health and safety of activities even where the task is outsourced to a contractor to perform 􀂃 Ask about the process for selecting internally approved contractors who are competent to safely perform the work specified 􀂃 Ask about arrangements for consulting, co-operating and co-ordinating with contractors around health and safety arrangements for the work to be undertaken [horizontal consultation] 􀂃 Ask about the arrangements for monitoring and supervising contractors during the work [frequency determined by the level of risk]. How is this recorded / demonstrated? 􀂃 Ask about the process for periodic review of contractor safety performance

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7. Engineering Management of Change

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  • 􀂃 Check for awareness of Golden Rules in general and EMOC specifically 􀂃 Verify EMOC approvals exist for any work/projects being performed on site 􀂃 Review of recent changes/modifications –verify that both temporary and permanent changes are covered by EMOC process 􀂃 Check for a controlled list of approved personnel who can authorise changes under EMOC 􀂃 Check the EMOC register or log where all changes on site are recorded including supporting documentation on the changes including assessments and approvals 􀂃 Completed hazards checklists/risk assessment associated with changes 􀂃 Appropriate sign-off on the change by site manager and NTCP􀂃Evidence that the change has been inspected, verified and signed off after completion 􀂃 Control and updating of documentation: plot plans, P&IDs and operating procedures 􀂃 Compliance with conditions stipulated for approved changes

  • Make the following observations: 􀂃 Training records of personnel involved in the EMOC process 􀂃 How emergency changes are authorised and implemented 􀂃 Audit results for EMOC 􀂃 Experience and competency of personnel authorised to review andapprove changes 􀂃 What changes on site are handled at site level and what changes are approved at regional/centre level 􀂃 How minor changes are reviewed and authorised 􀂃 Approval by external regulatory authorities for certain changes

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.