Title Page

  • .

  • Client

  • Conducted on:

  • Prepared by BRC WHS Surveillance Officer

  • Personnel Involved.

Job Title/ Tender Number

  • undefined

Address

  • undefined

Project Manager

  • undefined

Contractors Name

  • undefined

1.0 - Inductions

  • 1.1 - Have all Personnel received a CNSWJO Induction.

  • 1.2 - Have all Staff, Contractors & Visitors received an induction to Site.

  • Inductions

2.0 - WHS Policies & Procedures

  • 2.1 - Is there a copy of WHS Policies & Procedures on site. (Displayed and or on file)

  • WHS Policies & Procedures

3.0 - Site Map

  • 3.1 - Is there a Site Map displayed

  • 3.2 - Does the Site Map show Traffic Control/Traffic speed.

  • 3.3 - Does the Site Map show Site office, Emergency Evacuation Area, First Aid and Fire Fighting Equipment.

  • 3.4 - Does the Site Map show an Entry and Exit.

  • Site Map

4.0 - Licences

  • 4.1 - Do all Staff & Contractors on site hold a Licence/Ticket or Certificate of Competency for the tasks they perform.

  • 4.2 - Do all personnel on site have a WHS Construction Induction White Card.

  • Licences

5.0 - Toolbox Talks

  • 5.1 - Are Toolbox Talks conducted on site.

  • 5.2 - Is there a Toolbox Talk Register on file.

  • Toolbox Talks

6.0 - Hazard Reporting

  • 6.1 - Is there a system for reporting Hazards and Incidents.

  • Hazard Reporting

7.0 - Emergency Plan

  • 7.1 - Does the site have an Emergency Plan.

  • 7.2 - Are all personnel trained in the Emergency Plan.

  • 7.3 - Is the Emergency Plan tested.

  • Emergency Plan

8.0 PPE

  • 8.1 - Is PPE provided for all Personnel on site.

  • 8.2 - Are all personnel trained in the correct use of PPE.

  • 8.3 - Is PPE being used correctly.

  • PPE

9.0 - Electrical

  • 9.1 - Are there any Overhead Power Lines In the work area. (Yes or N/A)

  • 9.2 - Have all personnel working near Overhead Power Lines been Trained.

  • 9.3 - Has all Overhead Power been identified, Sign Posted or Tiger Tailed.

  • 9.4 - Is there Electrical Power on site.

  • 9.5 - Are all power chords Tested and Tagged.

  • 9.6 - Are power chords up of the ground.

  • Electrical

10.0 - Amenities

  • 10.1 - Is there sufficient amenities on site.

  • 10.2 - Are the Amenities clean and serviceable.

  • Amenities

11.0 - First Aid

  • 11.1 - Are trained First Aid personnel on site.

  • 11.2 - Are all trained First Aiders certificates in date.

  • 11.3 - Are First Aiders identified.

  • 11.4 - Are First Aid supplies adequate for the site and the number of personnel on site.

  • 11.5 - Are all First Aid supplies restocked on a regular basis.

  • 11.6 - Are all First Aid Stations/Kits sign posted.

  • 11.7 - Is there an Emergency contacts list displayed.

  • First Aid

12.0 - Fire Protection

  • 12.1 - Does the site have adequate Fire Protection.

  • 12.2 - Is Fire Protection sign posted.

  • 12.3 - Is all Fire Protection inspected and date stamped.

  • Fire Protection

13.0 - Housekeeping

  • 13.1 - Is the site neat and tidy.

  • 13.2 - Are all walkways and driveways clear of waste.

  • 13.3 - Is there a waste skip bin on site.

  • 13.4 - Is the waste skip bin emptied on a regular basis.

  • Housekeeping

14.0 - Site Security

  • 14.1- Is the whole site securely fenced.

  • 14.2 - Does the site have an entry and exit point.

  • 14.3 - Are the entry/exit points all other amenities and any machinery locked and secure when unoccupied.

  • Site Security

Signage

  • 15.1 - Does the site have adequate signage. E.g., Speed, report to office, PPE, First Aid, Emergency phone numbers and Emergency Evacuation area.

  • 15.2 - Does the contractor have a sign with Business Name and after hours contact numbers displayed.

  • Signage

High Risk Work Activities

16.0 - SWMS

  • 16.1 - Are there SWMS available for High Risk Construction Work Activities.

  • 16.2 - Are SWMS relevant for the Site.

  • 16.3 - Are the SWMS relevant for the high risk construction work task.

  • 16.4 - Are the SWMS dated correctly.

  • 16.5 - Have the SWMS been communicated and signed by all personnel involved with the task.

  • SWMS

17.0 - Working at Heights

  • 17.1 - Is there any Working at Heights being carried out on site.

  • 17.2 - Are workers that work at heights trained.

  • 17.3 - Is there an approved form of Fall Protection being used.

  • SCAFFOLD

  • 17.4 - Is Scaffold being used on site.

  • 17.5 - Is there an access and egress point.

  • 17.6 - If a ladder is used is it secured top and bottom.

  • 17.7 - Is Scaffold above 3 meters.

  • 17.8 - Has Scaffold been erected by a licenced Scaffolder.

  • 17.9 - Has there been a completed Scafftag attached, and hand over certificate presented.

  • ELEVATED WORK PLATFORM

  • 17.10 - Is an elevated work platform being used on site.

  • 17.11 - Have all personnel operating an EWP been trained.

  • 17.12 - Are personnel operating EWP wearing a fall arrest device.

  • Complete Fall Arrest section of audit.

  • 17.13 - Can EWP reach over 11m in height.

  • 17.14 - Are personnel operating EWP that reaches over 11m ticketed.

  • FALL ARREST

  • Review Risk Assessment, SWMS and Rescue Plan.

  • 17.15 - Is there a form of Fall Arrest being used.

  • 17.16 - Are all personnel trained in the use of Fall Arrest Systems.

  • 17.17 - Has all Fall Arrest equipment been inspected by a competent person.

  • Working at Heights

18.0 - Confined Space

  • 18.1 - Is any Confined Space work being carried out on site.

  • 18.2 - Have all personnel working in Confined Space been trained.

  • 18.3 - Has a Confined Space Permit been completed.

  • 18.4 - Has all equipment been inspected by a competent person.

  • 18.5 - Has a Rescue Plan been developed and attached to the Confined Space Permit.

  • 18.6 - Is there an Observer trained in Confined Space involved.

  • 18.7 - Are all Confined Spaces Sign Posted.

  • Confined Space

19.0 - Excavation

  • 19.1 - Is any Excavation work being carried out on site.

  • 19.2 - Has 1100 been dialled before you dig.

  • 19.3 - Have located services been Identified and Marked.

  • 19.4 - Have all personnel received Information, Training, Instruction and Supervision about the Excavation activities.

  • 19.5 - Is excavation more than1.5m deep.

  • 19.6 - Has a form of ground collapse Prevention has been put in place.

  • 19.7 - Are all excavations securely fenced/barricaded when unsupervised.

  • Excavation

20.0 - Hazardous Substances

  • 20.1 - Are there any Hazardous Substances on site.

  • 20.2 - Have all personnel using Hazardous Substances had Hazardous Substances training.

  • 20.3 - Is there a working Emergency Shower and Eyewash Station on site.

  • 20.4 - Is there a Hazardous Substances Register on site.

  • 20.5 - Are all Hazardous Substances entered in Register.

  • 20.6 - Is there an SDS Register on site.

  • 20.7 - Do all Hazardous Substances have an SDS.

  • 20.8 - Are all SDS'S in date.

  • 20.9 - Are all Hazardous Substances stored correctly.

  • Hazardous Substances

21.0 - Demolition

  • 21.1 - Is demolition work being carried.

  • 21.2 - Does the contractor hold a Demolition Licence.

  • 21.3 - Has the demolition site been securely fenced.

  • 21.4 - Have all services been disconnected by licenced contractors.

  • 21.5 - Are all personnel trained in Demolition.

  • 21.6 - Does the demolition contain Asbestos.

  • 21.7 - Do all personnel use the correct PPE.

  • 21.8 - Are all personnel trained in Asbestos Removal.

  • 21.9 - Has asbestos been disposed of correctly.

  • Demolition

22.0 Precast Concrete Tilt-Up Panels

  • 22.1 - Are Precast Concrete Tilt-Up Panels being used on site.

  • 22.2 - Have all personnel received instruction on the task of standing concrete tilt-up panels.

  • 22.3 - Is there an exclusion zone when standing concrete tilt-up panels.

  • Precast Concrete Tilt-Up Panels

23.0 - Powered Mobile Plant

  • 23.1 - Is there any Powered Mobile Plant on site.

  • 23.2 - Have all personnel been informed of Mobile Plant on site.

  • 23.3 - Are all Operators of Mobile Plant Licensed/Competent.

  • 23.4 - Does all Mobile Plant have Daily Inspections.

  • 23.5 - Does all Mobile Plant have Roll Over Protection.

  • 23.6 - Does the Mobile Plant have an operating flashing/ revolving warning light and reverse beeper.

  • 23.7 - Is all mobile plant that is working in a dedicated road reserve registered.

  • Powered Mobile Plant

24.0 - Working In or Near Water

  • 24.1 - Is Working In or Near Water being carried out on site.

  • 24.2 - Is there a safe entry and exit point to work site.

  • 24.3 - Is there permission from Fisheries etc.

  • 24.4 - Is there a risk of drowning.

  • 24.5 - Is there a trained First Aider (Trained in CPR ) Observing.

  • 24.6 - Are all personnel wearing the correct PPE.

  • Working In or Near Water

25.0 - Working In or Near Traffic

  • 25.1 - Are works being carried out in or near traffic.

  • 25.2 - Is there a Traffic Guidance Scheme.

  • 25.3 - Have all personnel been trained in the Traffic Guidance Scheme.

  • 25.4 - Is the correct PPE being used.

  • Working In or Near Traffic

26.0 - Additional Items

  • 26.1 - Are there any additional items to be added.

  • Addition items

Auditors Signature

  • Add signature

Contractors Signature

  • Add signature

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