Information
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Job No
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Client / Site
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Conducted on
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Prepared by
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Location
1. Working at Heights
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1.1. Fall risks of 2m or more? (including voids, pits, and trenches)
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1.2. Lack of edge protection?
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1.3. Unsafe or incomplete edge protection?
2. Plant and Equipment
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2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)
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2.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)
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2.3. Unsafe or incompatible attachments used with plant/equipment?
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2.4. Lack of safe work instructions?
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2.5. Lack of inspection regime?
3. Scaffolds
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3.1. Unsafe or incomplete scaffold?
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3.2. Lack of inspection protocol for scaffold?
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3.3. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)
4. Hazardous Manual Tasks
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4.1. Lack of identification hazardous manual tasks?
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4.2. Lack of assessment of hazardous manual tasks?
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4.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)
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4.4. Lack of training in risk controls and safe lifting/ team lifting techniques?
5. Hazardous Chemical (including fuel and oil)
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5.1.Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
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5.3. Inadequate spill containment equipment?
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5.4. Lack of emergency procedures for injury/spills/fire etc?
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5.5. Insufficient ventilation?
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5.6. Insufficient, or incorrect, PPE?
6. Emergency Response
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6.1. Lack of, or no emergency plans for site?
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6.2. Emergency procedures not displayed at site?
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6.3. Lack of training and rehearsal of emergency plans?
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6.4. Lack of, or inadequate first aid kits aid equipment for site?
7. Traffic Management
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7.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?
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7.2. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
8. Access & Egress
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8.1. Adequate access & egress onto site and to the workplace
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8.2. Unobstructed exit routes by materials or works being undertaken
9. Personal Protective Equipment (PPE)
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9.1. Lack of system to issue, inspect, replace and monitor PPE?
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9.2. Lack of suitable PPE being used for a particular task
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9.3. PPE being worn in accordance with task identified in Method Statement?
10. Work Environment
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10.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
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10.2. Insufficient lighting?
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10.3. Inadequate housekeeping?
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10.4. Lack of, or inadequate noise/ vibration control?
11. Electrical Hazards
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11.1 Unsafe electrical leads? (damaged, out of test date or untested)
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11.2. Overloading outlets?
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11.3. Electrical equipment near flammables?
12. Environmental Hazards
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12.1. Lack of/or inadequate Environmental Management plan (EMP)?
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12.2. Lack of/or inadequate, dust suppression system?
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12.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?
13. Administrative Procedures
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13.1. Weekly toolbox talks completed and signed
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List of tool boxes talks been given
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13.2. Daily activity briefing completed and signed
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13.3. Weekly plant register and tower inspection completed and signed
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13.4. Have all new starters been inducted
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13.5. Have all new starters read, understood and signed the copy of the specific MSRA
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13.6. Is there a copy of all B&C operatives CSCS cards in the site file
14. Accidents, Incidents & Near Miss reporting
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14.1. Has there been any Accidents, Incidents or Near Misses, reported since the last Inspection?
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14.2. Have all accidents been recorded in the accident book
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14.3. Have all incidents and near miss reports been completed and sent to the H&S dept
Site issues
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Add media
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature
