BSC Worksite Safety Inspection V12. - 2024

• Title of Compliance Audit

• Location
  Address

• Audited/Inspected by

• Date and time of compliance inspection

  Date

• Council Worksite / Asset or Contractor

  Council Worksite

  Council Asset

  Contractor

• Section

• Section Manager

• Team Leader / Coordinator

• Worksite Supervisor

• Mobile Number Supervisor

• Contact Name and Details (PCBU)

• Company name

• Contact name

• Mobile number

• Disclaimer: The WHS Officer believes the information contained within this report is correct at the time of printing. The Officer issuing the report does not accept any liability for the PCBUs failure to rectify follow-up corrective actions for any non-compliance that have been identified.
  This report is based on matters which were observed or came to the attention of the Officer during the date identified within the report. Compliance inspections are randomly selected and/or targeted at specific areas of the worksite operations. This compliance inspection does not preclude further hazards that may exist on the site. It is the worksite management and workers who must collaboratively assess and adequately apply controls to address hazards and to the potential risks facing workers on site.

• Location
  Address

Safety Issue

• Safety Issue

  Safe

  Low Risk

  Medium Risk

  High Risk

  Extreme Risk

• Risk Control

  Select Risk control implemented Low risk - monitor Medium risk - further action to be taken

  • Risk control implemented
  • Low risk - monitor
  • Medium risk - further action to be taken

• 1.1 Is there sufficient signage in place advertising work in progress?

  Yes

  No

  N/A

• 1.2 Are traffic controller ahead signs in place (Stop / Slow)?

  Yes

  No

  Not Assessed

  Not Applicable

• 1.3 Are flashing hazard lights being used and working?

  Yes

  No

  Not Assessed

  Not Applicable

• 1.4 Are sufficient traffic cones or bollards in use?

  Yes

  No

  Not Assessed

  Not Applicable

• 1.5 Are all access and side tracks secured from unauthorised public entry?

  Yes

  No

  Not Assessed

  Not Applicable

1. WORKSITE TRAFFIC CONTROLS

2. WORKSITE ENTRY CONTROLS (Vehicle and Pedestrian).

• 2.1 Is signage in place for "No Unauthorised Entry"?

  Yes

  No

  Not Assessed

  Not Applicable

• 2.2 Are all persons must report to site office or site controller displayed?

  Yes

  No

  Not Assessed

  Not Applicable

• 2.3 Is PPE required for site displayed?

  Yes

  No

  Not Assessed

  Not Applicable

• 2.4 Worksite speed limit displayed?

  Yes

  No

  Not Assessed

  Not Applicable

• 2.5 Site contact names and numbers displayed?

  Yes

  No

  Not Assessed

  Not Applicable

• 2.6 Is the site secure from unauthorised entry of vehicles and/or traffic?

  Yes

  No

  Not Assessed

  Not Applicable

• 2.7 Are spotters provided to control and direct pedestrian and vehicle traffic (where required)?

  Yes

  No

  Not Assessed

  Not Applicable

• 2.8 Is a formal traffic management plan (TMP) available for the worksite (If required)?

  Yes

  No

  Not Assessed

  Not Applicable
2. Safety Issue

• Safety Issue

  Safe

  Low Risk

  Medium Risk

  High Risk

  Extreme Risk

• Green - Monitor and review
  Yellow - Monitor and maintain strict measures
  Orange - DO NOT PROCEED Review and introduce additional controls to lower the level of risk
  Red - DO NOT PROCEED Immediately introduce further control measures to lower the risk Reassess before proceeding

3. WORKSITE OFFICE and INDUCTION (Sub-section included)

3.1 Site Office / Crib Hut

• Are there designated parking areas for plant, workers and visitors?

  Yes

  No

  N/A

• Is there a WHS notice board displayed?

  Yes

  No

  Not Assessed

  Not Applicable

• WHS policy displayed, signed by senior management and current?

  Yes

  No

  Not Assessed

  Not Applicable

• Is a site induction conducted?

  Yes

  No

  Not Assessed

  Not Applicable

• Are responsible persons names and titles displayed?<br>Site Manager<br>Superintendent<br>WHS Officer<br>Worker Safety Representative<br>Work Health and Safety Representative (HSR)<br><br><br>

  Yes

  No

  Not Assessed

  Not Applicable

• entry and exits clearly marked?

  Yes

  No

  Not Assessed

  Not Applicable

3.2 Visitor Controls

• Are visitors required to formally sign-in and out?

  Yes

  No

  Not Assessed

  Not Applicable

• Is the visitor to be escorted at all times while on site? (If yes, a basic induction is only required).

  Yes

  No

  Not Assessed

  Not Applicable

• Is a means of identifying visitors implemented?

  Yes

  No

  Not Assessed

  Not Applicable

• Are visitors advised of emergency procedures?

  Yes

  No

  Not Assessed

  Not Applicable

• Are areas where visitors are not permitted clearly identified / explained?

  Yes

  No

  Not Assessed

  Not Applicable

• Is suitable PPE provided to visitors?

  Yes

  No

  Not Assessed

  Not Applicable

3.3 Sub Contractors

• Are contractors made aware of company WHS policies and rules before commencing work<br>

  Yes

  No

  Not Assessed

  Not Applicable

• Do engaged contractors provide adequate insurances (Workers Compensation and Public Liability to 20 Million)?

  Yes

  No

  Not Assessed

  Not Applicable

• Are sub-contractors safety systems and consultation arrangements harmonised with the engaging PCBU?

  Yes

  No

  Not Assessed

  Not Applicable

• Are sub-contractors management systems provided to the principle PCBU?

  Yes

  No

  Not Assessed

  Not Applicable

• Are checks made of the contractors plant and equipment for compliance and safety?

  Yes

  No

  Not Assessed

  Not Applicable

3.4 Emergency Procedure

• Are emergency procedures displayed?

  Yes

  No

  Not Assessed

  Not Applicable

• Emergency services 000 and PCBU names and numbers?

  Yes

  No

  Not Assessed

  Not Applicable

• Site map available?

  Yes

  No

  Not Assessed

  Not Applicable

• Are training drills conducted periodically, verbally at toolbox talk and practically exercised (6 monthly)?

  Yes

  No

  Not Assessed

  Not Applicable

• Is there an effective alarm system in place?

  Yes

  No

  Not Assessed

  Not Applicable

• Muster / Assembly point identified?

  Yes

  No

  Not Assessed

  Not Applicable

• Fire equipment available and tagged for currency?

  Yes

  No

  Not Assessed

  Not Applicable

3.5 Communication

• Is communication available (Phone, radio, satellite)?

  Yes

  No

  Not Assessed

  Not Applicable

• Does the worksite have agreed radio contact numbers for various locations?

  Yes

  No

  Not Assessed

  Not Applicable

• Do all workers on-site know the radio numbers for locations?

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers understand basic hand signals (i.e. Stop)?

  Yes

  No

  Not Assessed

  Not Applicable

3.6 First Aid - First Aid Code of Practice

• Qualified first aid names displayed (First aid level).

  Yes

  No

  Not Assessed

  Not Applicable

• Medical supplies checked for currency and expiry date?

  Yes

  No

  Not Assessed

  Not Applicable

• First aid kits for workers on-site within easy access?

  Yes

  No

  Not Assessed

  Not Applicable

• Medical supplies and facilities are adequate for the nature, location and composition of workers on site?

  Yes

  No

  Not Assessed

  Not Applicable

3.7 Workplace Amenities

• Toilets available on site?

  Yes

  No

  Not Assessed

  Not Applicable

• Are toilets provided for each gender?

  Yes

  No

  Not Assessed

  Not Applicable

• Washing facilities provided?

  Yes

  No

  Not Assessed

  Not Applicable

• Are toilets and shower areas cleaned regularly?

  Yes

  No

  Not Assessed

  Not Applicable

• Are sufficient consumables made available in washrooms and toilets?

  Yes

  No

  Not Assessed

  Not Applicable

• Are sufficient tables and chairs provided?

  Yes

  No

  Not Assessed

  Not Applicable

• Are lunchroom, kitchen facilities clean and hygienic?

  Yes

  No

  Not Assessed

  Not Applicable

• Is clean drinking water provided?

  Yes

  No

  Not Assessed

  Not Applicable

• Other safety issues

• Safety issue

3.8 Personal Protective Equipment (PPE)

• PPE allocated to workers specific to activities (Australian Standard)?

  Yes

  No

  Not Assessed

  Not Applicable

• Workers wearing PPE required by company policy?<br>

  Yes

  No

  Not Assessed

  Not Applicable

• High visibility clothing?

  Yes

  No

  Not Assessed

  Not Applicable

• Hard hat and wide brim hat?

  Yes

  No

  Not Assessed

  Not Applicable

• Fully enclosed footwear?

  Yes

  No

  Not Assessed

  Not Applicable

• Are signs displayed where specified PPE must be worn?

  Yes

  No

  Not Assessed

  Not Applicable

• Is PPE fitted correctly, serviceable and in good condition?

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers wear PPE when mandated in SWMS?

  Yes

  No

  Not Assessed

  Not Applicable

• Other safety issues

• Safety issue

3.9 Pre-commencement work

• Toolbox site inductions completed (if relevant)

  Yes

  No

  N/A

• Permit to work (10 metre exclusion zone completed if required)?

  Yes

  No

  N/A

• Confined space entry permit completed (if applicable)?

  Yes

  No

  N/A

• Contractors or additional Council Section on site inducted?

  Yes

  No

  N/A

• SWMS on site and compliant (For High Risk Construction Work)?

  Yes

  No

  N/A

• SWPs available on site

  Yes

  No

  N/A

• Worker competency assessments completed (or within reason)?

  Yes

  No

  N/A

• Other documentation

  Yes

  No

  N/A
3. Safety issue

• 11.9 Safety Issues

  Safe

  Low Risk

  Medium Risk

  High Risk

  Extreme Risk

• Green - Monitor and review
  Yellow - Monitor and maintain strict measures
  Orange - DO NOT PROCEED Review and introduce additional controls to lower the level of risk
  Red - DO NOT PROCEED Immediately introduce further control measures to lower the risk Reassess before proceeding

4.1 Consultation (Pre-start briefs, toolbox talks)

• Has a toolbox talk been conducted to discuss safety issues and work instructions? (if applicable)

  Yes

  No

  Not Assessed

  Not Applicable

• Has a TAKE 5 worksite risk assessment been conducted before work commences and throughout day as required?

  Yes

  No

  Not Assessed

  Not Applicable

• Are pre-start shift meetings conducted?

  Yes

  No

  Not Assessed

  Not Applicable

• Are workers provided the opportunity to express their safety concerns?

  Yes

  No

  Not Assessed

  Not Applicable

• Is there a WHS project or site specific plan in place?

  Yes

  No

  Not Assessed

  Not Applicable

• Do all workers have their General Construction Card on-site?

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers understand the PCBUs legal responsibilities for consultation?

  Yes

  No

  Not Assessed

  Not Applicable

• Are there worker safety representatives I.e. HSR

  Yes

  No

  Not Assessed

  Not Applicable
4. Safety Issue

• Safety issue

  Yes

  No

  N/A

5.1 Safety Issue, Hazard Reporting and Controls (Hierarchy of control)

• Are safety issue / hazard and near miss reporting forms available on-site

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers understand the procedure for reporting safety concerns (Stop work, apply control or report to supervisor)?

  Yes

  No

  Not Assessed

  Not Applicable

• Are risk assessments conducted to identify site hazards with controls implemented?

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers know and refer to the hierarchy of control?

  Yes

  No

  Not Assessed

  Not Applicable

5.2 Incident Reporting and Investigation

• Are incident / injury forms available on site?

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers report all incidents ASAP?

  Yes

  No

  Not Assessed

  Not Applicable

• Are all incidents fully investigated and effective remedial action implemented?

  Yes

  No

  Not Assessed

  Not Applicable

• Are WorkCover NSW "Notifiable Incidents and Preservation Site", regulations clearly understood by the PCBU?

  Yes

  No

  Not Assessed

  Not Applicable
5. Safety Issue

• Safety issue

  Safe

  Low Risk

  Medium Risk

  High Risk

  Extreme Risk

• Green - Monitor and review
  Yellow - Monitor and maintain strict measures
  Orange - DO NOT PROCEED Review and introduce additional controls to lower the level of risk
  Red - DO NOT PROCEED Immediately introduce further control measures to lower the risk Reassess before proceeding

6.1 Manual Handling (Hazardous Manual Tasks Code of Practice)

• Is a risk assessment conducted for manual tasks (heavy lifting or strenuous work)?

  Yes

  No

  Not Assessed

  Not Applicable

• Are workers trained in lifting practices?

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers request assistance for heavy or awkward lifting tasks?

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers warm before heavy lifting to avoid strain injuries?

  Yes

  No

  Not Assessed

  Not Applicable

• Are adequate rest breaks allocated to allow workers time to recover?

  Yes

  No

  Not Assessed

  Not Applicable

6.2 Confined Space

• Code of Practice for Confined Space available on-site?<br>SWMS states COP to be made available on entry sites.

  Yes

  No

  Not Assessed

  Not Applicable

• SWP available on-site, signed by all workers?

  Yes

  No

  Not Assessed

  Not Applicable

• Emergency rescue plan discussed and adequate?

  Yes

  No

  Not Assessed

  Not Applicable

• Emergency rescue equipment/trailer and medical supplies available on-site?

  Yes

  No

  Not Assessed

  Not Applicable

• Communication system in place?

  Yes

  No

  Not Assessed

  Not Applicable

• Entry permit available and progressively completed as required for activity?

  Yes

  No

  Not Assessed

  Not Applicable

• Risk assessment completed and necessary controls are in place e.g. Ventilation, gas monitoring, barriers in place etc?

  Yes

  No

  Not Assessed

  Not Applicable

• Workers are nominated for positions e.g. Worker entering space, competent worker in charge and 3rd worker to assist with spotting or activating emergency response plan?

  Yes

  No

  Not Assessed

  Not Applicable

• Access and egress are clear as is reasonable practicable?

  Yes

  No

  Not Assessed

  Not Applicable

• Permit completed and all equipment removed?

  Yes

  No

  Not Assessed

  Not Applicable

6.3 Falls - Working at Height (Generic)

• Risk assessment conducted?

  Yes

  No

  Not Assessed

  Not Applicable

• Are workers trained in working at heights?<br> - Evidence provide e.g. tickets?

  Yes

  No

  Not Assessed

  Not Applicable

• Height of work and regulations checked?

  Yes

  No

  Not Assessed

  Not Applicable

• Is there electricity power cables in close proximity to the work?<br>- Have effective controls been implemented?<br>- Essential energy notified 13 20 80 to conduct preliminary risk assessment if required?

  Safe

  At Risk

  N/A

• Correct edge protection in place and to a structural strength?<br>AS/NZS 1576 Scaffold Series?

  Yes

  No

  Not Assessed

  Not Applicable

• Fall protection device includes AS/NZS 1891.1<br>- a secure fence<br>- edge protection<br>- working platforms and;<br>- covers

  Yes

  No

  Not Assessed

  Not Applicable

• Surfaces are structurally capable of supporting all persons and things that may be located or placed on it?

  Yes

  No

  Not Assessed

  Not Applicable

• Surface materials not brittle?<br>- skylights identified?<br>

  Safe

  At Risk

  N/A

• Pitch of roof assessed?<br>- less than 15 degrees?<br>- worker no closer than 3 metre from edge?<br>- how is this controlled?

  Yes

  No

  Not Assessed

  Not Applicable

• If no edge protection and the roof is flat and is less than 15 degrees the following applies:<br>1. Conduct a risk assessment?<br>2. Floor sound and not slippery?<br>3. No person is to be within 3 metres of the edge?<br>4. Optional - 3 metre line is identified with a barrier or adequate controls that ensures a person cannot cross?

  Safe

  At Risk

  N/A

• Loose objects secured from falling?

  Yes

  No

  Not Assessed

  Not Applicable

6.4 Portable Ladders

• AS/NZS 1892 Portable Ladder?

  Yes

  No

  Not Assessed

  Not Applicable

• Load rating of 120kg?

  Yes

  No

  Not Assessed

  Not Applicable

• Ladder placed at 1:4 or no more than 1:6 slope?

  Yes

  No

  Not Assessed

  Not Applicable

• Is the ladder secure at top and bottom?

  Yes

  No

  Not Assessed

  Not Applicable

• Does ladder extend 900mm to 1 metre above the landing platform?

  Yes

  No

  Not Assessed

  Not Applicable

• Fall protection at stepping of point?

  Yes

  No

  Not Assessed

  Not Applicable

• Are temporary ladders not > 6 metres between successive ladder landings?

  Yes

  No

  Not Assessed

  Not Applicable

6.5 Electrical and Power Tools

• Is electrical equipment tagged and tested for currency?

  Yes

  No

  Not Assessed

  Not Applicable

• Is the site shed protected by Residual Current Device (RCD) Electrical circuit breaker?

  Yes

  No

  Not Assessed

  Not Applicable

• Are power boards used (no double adaptors or piggy backs)?

  Yes

  No

  Not Assessed

  Not Applicable

• Do portable power tools have RCDs?

  Yes

  No

  Not Assessed

  Not Applicable

• Are leads inspected daily for damage (Hostile environment)?

  Yes

  No

  Not Assessed

  Not Applicable

6.6 Occupational Noise

• Have all areas been assessed for the presence of harmful noise levels?

  Yes

  No

  Not Assessed

  Not Applicable

• Are all workers in the presence of harmful noise levels wearing hearing protection?

  Yes

  No

  Not Assessed

  Not Applicable

• Hearing protection in good order?

  Yes

  No

  Not Assessed

  Not Applicable

• Take photo of operator wearing hearing protection and hearing protection being worn

• Are noise hazard locations identified by safety signs or stickers?

  Yes

  No

  Not Assessed

  Not Applicable

• Attach Council sticker and mark decibel rating (if available)

• Are workers wearing hearing protection provided with hearing tests (Based on risk, potentially every 2 years if required to wear hearing protection)? Note: An exemption is in place for this requirement until December 1, 2020.

  Yes

  No

  Not Assessed

  Not Applicable
6. Safety issue

• Other confined space safety issues

  Safe

  Low Risk

  Medium Risk

  High Risk

  Extreme Risk

• Green - Monitor and review
  Yellow - Monitor and maintain strict measures
  Orange - DO NOT PROCEED Review and introduce additional controls to lower the level of risk
  Red - DO NOT PROCEED Immediately introduce further control measures to lower the risk Reassess before proceeding

7.1 Plant (General) - (Evidence required i.e. documentation)

• Has plant been assessed as safe to use and complaint to Australian standards?

  Yes

  No

  Not Assessed

  Not Applicable

• Are operators trained and Verified as Competent (VOC); is evidence available?

  Yes

  No

  Not Assessed

  Not Applicable

• Are daily pre-start checklist completed and faults reported?

  Yes

  No

  Not Assessed

  Not Applicable

• Are repairs and maintenance conducted in a timely manner (Risk rated)?

  Yes

  No

  Not Assessed

  Not Applicable

7.2 Plant used to Lift Loads

• Loads requiring calculation must be slung by a competent person i.e a licensed dogman?

  Yes

  No

  Not Assessed

  Not Applicable

• Are all ropes, slings, chains and lifting attachments inspected daily before use?

  Yes

  No

  Not Assessed

  Not Applicable

• Are loads properly calculated before lifting commences?

  Yes

  No

  Not Assessed

  Not Applicable

• Does the Crane operator and Dogman communicate effectively?

  Yes

  No

  Not Assessed

  Not Applicable

7.3 Tag-out, Lockout Procedure (SWP)

• Do operators understand the initial tag-out procedure?

  Yes

  No

  Not Assessed

  Not Applicable

• Are tags available in the machine or location?

  Yes

  No

  Not Assessed

  Not Applicable

• Do mechanics apply their own locks when working on machinery?

  Yes

  No

  Not Assessed

  Not Applicable

• Are all locks issued to a person keyed identically?

  Yes

  No

  Not Assessed

  Not Applicable

• Are operators notified of return to service?

  Yes

  No

  Not Assessed

  Not Applicable

• Are there procedures or SWMS for Isolation, tag-out and lock-out.

  Yes

  No

  Not Assessed

  Not Applicable

7.4 Plant Exclusion Zones

• Permit completed?

  Yes

  No

  Not Assessed

  Not Applicable

• Signs in place to identify exclusion zone?

  Yes

  No

  Not Assessed

  Not Applicable

• Exclusion zones secured?

  Yes

  No

  Not Assessed

  Not Applicable

7.5 Portable Power Tools?

• Are power tools in good condition?

  Yes

  No

  Not Assessed

  Not Applicable

• Are adequate storage facilities provided?

  Yes

  No

  Not Assessed

  Not Applicable

• Are all guards in place?

  Yes

  No

  Not Assessed

  Not Applicable

• Is hearing protection worn if over 85dB?

  Yes

  No

  Not Assessed

  Not Applicable
7. Safety issue

• Safety issue

  Safe

  Low Risk

  Medium Risk

  High Risk

  Extreme Risk

8.1 Safe Work Method Statements (SWMS) - Code of Practice for Construction Work

• Are Safe Work Method Statements (SWMS) available on the worksite? (If work is high risk construction work only)?

  Yes

  No

  Not Assessed

  Not Applicable

• Have workers been inducted and consulted, in the development of SWMS?

  Yes

  No

  Not Assessed

  Not Applicable

• Are SWMS systematic with steps, hazards and controls?

  Yes

  No

  Not Assessed

  Not Applicable

• Are SWMS specific to the activity and easy for workers to understand?

  Yes

  No

  Not Assessed

  Not Applicable

• Do all workers understand SWMS and are they signed off?

  Yes

  No

  Not Assessed

  Not Applicable

• Are SWMS monitored and reviewed for effectiveness?

  Yes

  No

  Not Assessed

  Not Applicable

• Are SWMS provided to the principle contractor?

  Yes

  No

  Not Assessed

  Not Applicable

• Do SWMS meet the minimum standards required by applicable Codes of Practice?

  Yes

  No

  Not Assessed

  Not Applicable

8.2 Safe Work Procedures

• Are there Safe Work Procedures on the worksite?

  Yes

  No

  Not Assessed

  Not Applicable

• Have workers working in these activities been inducted and signed off?

  Yes

  No

  Not Assessed

  Not Applicable

• Are workers assessed for their level of competence against these procedures?

  Yes

  No

  Not Assessed

  Not Applicable

• That is fully competent, partially competent (periodic supervision) or not yet competent (requiring full supervision)

8.3 Excavation

• Operator provides evidence of competency?

  Yes

  No

  Not Assessed

  Not Applicable

• Daily plant inspection checklist completed?

  Yes

  No

  Not Assessed

  Not Applicable

• For trenches 1.5 metres deep, shoring, benching or battering in place ?

  Yes

  No

  Not Assessed

  Not Applicable

• Soft or unstable trench walls shored, benched or battered ?

  Yes

  No

  Not Assessed

  Not Applicable

• Excavated material placed minimum 1 metre from trench (edge of spoil) ?

  Yes

  No

  Not Assessed

  Not Applicable

• Heavy plant kept clear of trench edge sufficient to eliminate risk of trench collapsing i.e. 1 metre? (Unless geotechnical engineer approves otherwise).

  Yes

  No

  Not Assessed

  Not Applicable

• Mechanical plant, vehicles, storage of materials (including excavated material) or any other heavy loads should not be
  located in the ‘zone of influence’ of an excavation unless the ground support system installed has been designed by a
  competent person, for example, a geotechnical engineer, to carry such loads

• Workers clear or out of trench when plant excavating (refer SWP if required) ?

  Yes

  No

  Not Assessed

  Not Applicable

• Powerlines identified and controls in place e.g. spotter, tiger tails or disconnected?

  Yes

  No

  Not Assessed

  Not Applicable

• Dial before you dig has been established ?

  Yes

  No

  Not Assessed

  Not Applicable
8. Safety issue

• Safety issues

  Safe

  Low Risk

  Medium Risk

  High Risk

  Extreme Risk

9.1 Hazardous Substances (Chemicals) - Code of Practice for Hazardous Substances

• Are hazardous materials identified and control measures implemented?

  Yes

  No

  Not Assessed

  Not Applicable

• Are Safety Data Sheets available for all substances used in the workplace?

  Yes

  No

  Not Assessed

  Not Applicable

• Are all safety data sheets current (not over 5 years old)?

  Yes

  No

  Not Assessed

  Not Applicable

• Have risk assessments been conducted to eliminate or minimise the type of chemicals used?

  Yes

  No

  Not Assessed

  Not Applicable

• Are workers trained in the safe handling and application of hazardous chemicals?

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers follow SDS procedures when handling chemicals?

  Yes

  No

  Not Assessed

  Not Applicable

• Are chemicals stored properly ( E.g. 110% bunded and in-compatible separation)?

  Yes

  No

  Not Assessed

  Not Applicable

• Are all containers used for handling chemicals labeled correctly?

  Yes

  No

  Not Assessed

  Not Applicable

• Is the product identified correctly?<br>- Australian address, business telephone number and manufacturer / import identified?<br>- hazardous chemical pictograms consistent with correct classification?<br>

  Yes

  No

  Not Assessed

  Not Applicable

• Are first aid treatment and emergency procedures available relevant to the chemical?

  Yes

  No

  Not Assessed

  Not Applicable

• Do workers using hazardous chemicals require health monitoring (Refer chemical)

  Yes

  No

  Not Assessed

  Not Applicable

• Are workers wearing PPE as prescribed by the safety data sheet (SDS) for chemical used?

  Yes

  No

  Not Assessed

  Not Applicable

10.1 Environmental Controls

• Is there an environmental plan in place?

  Yes

  No

  Not Assessed

  Not Applicable

• Are work practices designed to reduce impacts to the environment?

  Yes

  No

  Not Assessed

  Not Applicable

• Are sediment barriers used around perimeters of earthworks and waterways?

  Yes

  No

  Not Assessed

  Not Applicable

• Is dust suppression available (E.g. Water carts)?

  Yes

  No

  Not Assessed

  Not Applicable

• Are vehicles and plant purchased and maintained to reduce emission levels?

  Yes

  No

  Not Assessed

  Not Applicable

• Are procedures available for the disposal of waste and used hazardous substances E.g. Safety Data Sheets?

  Yes

  No

  Not Assessed

  Not Applicable

• Does the company have a recycling policy?

  Yes

  No

  Not Assessed

  Not Applicable

10.2 Storm Water Run-off

• Weather monitored to implement controls to minimise soil erosion?

  Yes

  No

  Not Assessed

  Not Applicable

• Silt control fences in place or other?

  Yes

  No

  Not Assessed

  Not Applicable

• Waterway traps inserted to contain and remove contaminants?

  Yes

  No

  Not Assessed

  Not Applicable

10.3 Site Rehabilitation

• Are work plans available to include procedures for re-instatement of work sites?

  Yes

  No

  Not Assessed

  Not Applicable

• Are all locations rehabilitated to meet EPA standard?

  Yes

  No

  Not Assessed

  Not Applicable

• Bin location prominent, adequate and emptied regularly?

  Yes

  No

  Not Assessed

  Not Applicable

• All materials removed from sites?

  Yes

  No

  Not Assessed

  Not Applicable

• No litter strewn around site ?

  Yes

  No

  Not Assessed

  Not Applicable

• Laydown (repairs and maintenance) areas defined with fluids properly disposed of?

  Yes

  No

  Not Assessed

  Not Applicable

11.1 Hotwork

• Permit to conduct hot work (Usually encompasses a risk assessment)?

  Yes

  No

  Not Assessed

  Not Applicable

• Have risk assessments been conducted where hot work presents a risk?

  Yes

  No

  Not Assessed

  Not Applicable

• Is fire fighting equipment available for fire prone locations?

  Yes

  No

  Not Assessed

  Not Applicable

• Are flammables or explosive substances removed from location prior to hot work?

  Yes

  No

  Not Assessed

  Not Applicable

• Spotter available if required within permit?

  Yes

  No

  Not Assessed

  Not Applicable

• Is correct PPE being worn for task?

  Yes

  No

  Not Assessed

  Not Applicable

• Welding screens and fire blankets in place?

  Yes

  No

  Not Assessed

  Not Applicable

11.2. Gas Cylinders (Oxygen and Acetylene etc)

• Are gas cylinder properly stored (chained and secured)?

  Yes

  No

  Not Assessed

  Not Applicable

• Gas cylinders properly turned off and hoses wound up?

  Yes

  No

  Not Assessed

  Not Applicable

• PPE available and used for welding or oxy cutting?

  Yes

  No

  Not Assessed

  Not Applicable

• Cylinders secured, gauges operative, flashback arresters fitted and hoses in good condition?

  Yes

  No

  Not Assessed

  Not Applicable

• LPG - Is the LPG cylinder stamped as current (Within 5 years) and in serviceable condition?

  Yes

  No

  Not Assessed

  Not Applicable

11.3 Elevated Platforms

• Are workers trained and competent in the safe operation of plant?

  Yes

  No

  Not Assessed

  Not Applicable

• Manufacturers or suppliers instructions are consulted on safe operation of plant?

  Yes

  No

  Not Assessed

  Not Applicable

• Platforms are used as a working platform and not as a means of entering and exiting the work area?<br>Unless the conditions set out in AS 2550.10 Cranes, hoists and winches - Safe use - Mobile elevated platforms are met.

  Yes

  No

  Not Assessed

  Not Applicable

• Unless designed for rough terrain, the platforms are used only on solid level surface?

  Yes

  No

  Not Assessed

  Not Applicable

• Workers are licensed (HRWL) when operating boom type elevating work platforms with a boom length of 11 metres or more?

  Yes

  No

  Not Assessed

  Not Applicable

• Are persons in travel towers, boom lifts, or cherry pickers wearing a properly anchored safety harness?

  Yes

  No

  Not Assessed

  Not Applicable

11.4 Fall Arrest System

• Do restraint systems conform to AS/NZS 1891 industrial fall arrest systems and devices?

  Yes

  No

  Not Assessed

  Not Applicable

• Does each anchorage point conform to AS/NZS 1891.4 industrial fall arrest systems devices - selection, use and maintenance?

  Yes

  No

  Not Assessed

  Not Applicable

• Are fall arrest systems and devices inspected by a competent person at regular intervals to manufacturers specifications?

  Yes

  No

  Not Assessed

  Not Applicable

• Is there a minimum of two persons on site to activate an emergency rescue in the event of a person falling?

  Yes

  No

  Not Assessed

  Not Applicable

• Are the fall arrest systems adequate for the type of working at height activity?

  Yes

  No

  Not Assessed

  Not Applicable

• Are workers trained in working at height? Provide evidence?<br>Competence person providing full supervision for untrained workers?<br>

  Yes

  No

  Not Assessed

  Not Applicable

• Is a safe work method statement available for the activity of high risk construction work?<br>Excluding minor work exemptions and those definitions?

  Yes

  No

  Not Assessed

  Not Applicable

• Do persons in charge have access to the Code of practice for Falls<br>Are they aware of the Code of Practice for Falls?

  Yes

  No

  Not Assessed

  Not Applicable

11.5 Scaffold - Documentation

• Handover certificate on-site E.g. Scaff tag?

  Yes

  No

  Not Assessed

  Not Applicable

• Has steel wire mesh/shade cloth or containment sheeting been erected to protect members of the public or workers from falling objects?

  Yes

  No

  Not Assessed

  Not Applicable

• Where the working platform is less than 4 metres, was it erected by a competent person? Are procedures in place to inspect scaffolding every 30 days?

  Yes

  No

  Not Assessed

  Not Applicable

• System in place in place to inspect after trades have used scaffolding e.g. Form workers, concreters, brick layers, tillers etc?

  Yes

  No

  Not Assessed

  Not Applicable

• Is a work method statement or appropriate documentation available for management on-site once erected?

  Yes

  No

  Not Assessed

  Not Applicable

• Is there a system in placed to prevent damage to the scaffolding from loads suspended from a crane and is it recorded in SWMS?

  Yes

  No

  Not Assessed

  Not Applicable

• Have trades been inducted on the safe use of the scaffolding?

  Yes

  No

  Not Assessed

  Not Applicable

• Is metallic scaffold a minimum of 4 metres from overhead powerlines?

  Yes

  No

  Not Assessed

  Not Applicable

• Where overhead powerlines (up to and including 1000 volts) cannot be de-energised and isolated, are tiger tails installed by the network operator for the full length of the scaffold plus a minimum distance beyond each end of the scaffold of 5 metres?

  Yes

  No

  Not Assessed

  Not Applicable

• 34.10 Has the network operator e.g. Essential Energy, been contacted to conduct a risk assessment where uncertainty exists or scaffold is within 4 metres or above 1000 volts of powerlines?

  Yes

  No

  Not Assessed

  Not Applicable

11.6 Mobile Scaffold

• Are details available for scaffold WLL and/or a compliance plate?

  Yes

  No

  Not Assessed

  Not Applicable

• No unauthorised alterations prevalent?

  Safe

  At Risk

  N/A

• Kickboards or toe boards in place to prevent falling objects?

  Yes

  No

  Not Assessed

  Not Applicable

• Scaffold level and plumb at all times?

  Yes

  No

  Not Assessed

  Not Applicable

• Kept well clear of powerlines, open floor edges and penetrations?

  Yes

  No

  Not Assessed

  Not Applicable

• Is not accessed until castors are locked to prevent movement?

  Yes

  No

  Not Assessed

  Not Applicable

• Is never moved while anyone is on it?

  Yes

  No

  Not Assessed

  Not Applicable

• Is only accessed using external ladders?

  Yes

  No

  Not Assessed

  Not Applicable

• Has a trap door for a hazard free platform?

  Yes

  No

  Not Assessed

  Not Applicable

13. Asbestos

• Asbestos removalist has applicable license (Class A Friable or Class B Non-Friable less than 10 Square metres)?

  Yes

  No

  Not Assessed

  Not Applicable

• Asbestos management plan available at the worksite (SWMS acceptable provided compliant)?

  Yes

  No

  Not Assessed

  Not Applicable

• Is a licensed asbestos removalist on location?

  Yes

  No

  Not Assessed

  Not Applicable

• Are workers wearing the correct PPE when handling asbestos?

  Yes

  No

  Not Assessed

  Not Applicable

• Are all workers trained in the handling and removal work (Provide evidence)?

  Yes

  No

  Not Assessed

  Not Applicable

• Are suitable suppression of asbestos equipment of processes being used?

  Yes

  No

  Not Assessed

  Not Applicable

• Is adequate signage and fencing in place for asbestos contaminated locations?

  Yes

  No

  Not Assessed

  Not Applicable

• Are there adequate decontamination facilities for workers?

  Yes

  No

  Not Assessed

  Not Applicable

• Brief descriptions of work involving silica (e.g., cutting engineered concrete).

• Does the work and location require air monitoring to determine the airbourne concentration of silica dust in the worker's breathing zone? I.e., in an enclosed environment e.g., workshop cubicle or well etc.

  Yes

  N/A

  Pending Worksite

  No

• Are engineering controls applied to eliminate or minimise the risk? If so, describe.

  Yes

  N/A

  Pending Worksite

  No

• Can Local Exhaust Ventilation (LEV) be used? (Describe type or take photo)

  Yes

  N/A

  Pending Worksite

  No

• Drills, routers, saws and other similar type equipment fitted with LEVs?.

  Yes

  N/A

  Pending Worksite

• Sign(s) displayed identifying silica dust hazard at this worksite?

  Yes

  N/A

  Pending Worksite

• Correct PPE worn for the task?

  Yes

  N/A

  Pending Worksite

• Respirator types and other protective equipment for the task.

  Select P2 Mask (firm fit) PAPR - Hood and head top type Filtered mask Other Eye protection Hearing protection Gloves Apron

  • P2 Mask (firm fit)
  • PAPR - Hood and head top type
  • Filtered mask
  • Other
  • Eye protection
  • Hearing protection
  • Gloves
  • Apron

• Is the respirator a good close fit to the face?

  Yes

  N/A

  Pending Worksite

• Water feed attached to equipment?

  Yes

  N/A

  Pending Worksite

• Is water suppression method being used?

  Yes

  N/A

  Pending Worksite

• Adequate number of water feeds directed at the material with a consistent water flow?

  Yes

  N/A

  Pending Worksite

• Guards fitted to mitigate mist containing silica?

  Yes

  N/A

  Pending Worksite

• Site, clothing, plant and equipment cleaned or disposed of to ensure silica dust is not generated when dried out?

  Yes

  N/A

  Pending Worksite

WHS Officer

• Overall summary and rating

  Compliant

  Partial Compliance

  Not Compliant

• Name and signature of person conducting compliance audit

  Sign

Site Supervisor

• Comments

• Name and signature of person in charge of worksite

  Sign