Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Working at Heights
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Fall risks of 6 ft or greater?
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Unprotected roof edges or leading edge not protected?
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Unsafe or incomplete edge protection or missing?
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All Personel Fall Protection is in good working order such as Harness, Lanyards, Retractables and or Lifelines?
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Adequate or Approved Anchor points for Fall Protection?
2. Plant and Equipment
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Unsafe or damaged equipment? (including missing or damaged guards)
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Incorrect Tools/Equipment for job? (e.g. grinding discs for cutting)
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Unsafe or incompatible attachments used with Tools/Equipment?
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Uncertified equipment operators( forklift,crane).
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Lack of safe work instructions?
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Lack of training in safe operation, clean-up and maintenance?
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Lack of LOTO procedures for cleaning, servicing and maintenance?
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Are equipment Inspections being done if required?
3. Scaffolds
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Competent person is recognized onsite?
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Documenting Daily Inspection of Scaffold?
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Unsafe or incomplete scaffold?
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Incompatible scaffold components or erected not incompliance with OSHA?
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Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)
4. Lifting Equipment
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Unsafe or damaged Rigging?
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Loads lifted over persons, close proximity to obstacles incl. overhead power lines?
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Is all Rigging being Inspected prior to each use?
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Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?
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Lifting equipment unlabelled, does not meet OSHA Requirements
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Lack of LOTO procedures for cleaning, servicing and maintenance?
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SWL of plant or any lifting equipment exceeded?
5. Harness and Equipment
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Unsafe or damaged harness or Fall Protection Equipment?
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Incompatible hooks/equipment?
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Unsafe or uncertified anchor points?
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Lack of inspection on all Personal Fall Protection equipment?
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Lack of or inadequate formal training for employees on Fall Protection Awareness?
6. Ladders
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Unsafe or damaged ladders?
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Unsafe positioning of ladders?
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Ladder not properly secured?
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Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
7. Hazardous Manual Tasks
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Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)
8. Hazardous Chemical (including fuel and oil)
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Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
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Incompatible chemicals stored near each other?
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Material Safety Data Sheets onsite?
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Insufficient, or incorrect, PPE?
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Unsuitable storage Containers or Containers not Labeled?
9. Emergency Response
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Lack of, or no emergency plans for site?
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Are Emergency Numbers or 1st Responders numbers posted onsite?
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Lack of, or inadequate first aid kits aid equipment for site?
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Insufficient access to formally trained First Aiders/CPR for all shifts?
10. Traffic Management
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Lack of, or inadequate, Traffic Management Plan (TMP) in place?
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Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
11. Personal Protective Equipment (PPE)
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Lack of, or inadequate PPE (including sun protection)
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Lack of training in safe use, clean-up and inspection of PPE?
12. Work Environment
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Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
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Insufficient lighting?
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Inadequate housekeeping?
13. Electrical Hazards
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Unsafe electrical leads or cords?
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Contact with underground assets?
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Contact with overhead electrical lines?
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Overloading outlets?
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Leads placed on ground or on metal structures?
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Electrical equipment near water?
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Electrical equipment near flammables?
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Electrical leads that may be damaged from contact with moving machinery or exposed to repeated traffic?
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Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?
14. Environmental Hazards
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Lack of/or inadequate, dust suppression system?
15. Administrative Procedures
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Lack of/or inadequate Site Safety Plan?
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Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)
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Lack of, or inadequate, induction for workers, contractors, visitors?
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Lack of/or inadequate incident notification procedures?
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Lack of, or inadequate, routine inspections, monitoring, audits?
Corrective Actions
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Enter any corrective actions that will be undertaken
Comments
Sign Off
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On site representative
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Auditor's signature