Information
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Document No. Rev 4
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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
General site and documentation
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Good house keeping/general rubbish in bins provided and site rubbish disposed of (no off cuts on or in the ground)
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Daily sign in register being used by all personnel DAILY? Signing IN and OUT?
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Pre-start meeting being conducted/attended daily by all (including any subcontractors) which includes Job Hazard Analysis done for all works? Signed by all personnel in crew?
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Excavation Permit (on reverse of pre start meeting) is being competed for EACH excavator, and not just for the crew/site
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Are all Buckby employees inducted into main contractor documents ANd Buckby induction paperwork?
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All all sub contractors inducted into main contractor and Buckby documents?
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All workers and subcontractors signed onto SWMSs and Site Risk Assessment prior to commencing work
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JHA and/or SWMS amended or changed to reflect the scope of works, different/new tasks which are not included in the document are assessed and managed, and all personnel re-signed on?
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Required permits and licenses in place and copy on site/with each person (working near existing services plus personnel white cards/operator tickets etc)
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Plant and vehicle pre start sheets being completed
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Plant and vehicle flashing lights operational
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Plant reversing alarm working
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Site HSEQ board displayed and up to date info shown
Emergency Management
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All fire extinguishers inside 6 monthly test
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First aid kit in company cars and fully stocked
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Qualified first aid personnel on site
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Site HSEQ board in office or sea container with hospital map and policies etc displayed?
Excavation Code of Practise
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Appropriate signs displayed i.e. construction signage, deep excavation , deep water, danger keep out
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All existing services and assets protected? Both underground and overhead services protected, located, cable locates image on site, current one calls (Dial Before You Dig) on site, marker tape/colour etc used
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Are all Buckby installed services also protected? All steel plates and lids pegged or bunted off, and pegged off outside of road verge and road pegs?
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500mm exclusion zone being applied to all services, and only hand digging inside this area? Once located, found and protected, 200mm exclusion zone to be applied.. No digger or bucket to come closer than 200mm to an existing asset
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Access/egress - ramp positioned no more than every 30m along the trench and angle not exceeding 45 degrees, or steps cut into the excavation every 30m
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Excavation - <br>1. All excavation 1.2m to 1.5m benched/battered<br>2. Bunting around excavations visible from a distance<br>2. Barrier around excavation work adjacent to schools and other public facilities/roads<br>3. Barrier around excavation that poses a fall hazard to workers and the public
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Is there delineation between pedestrian and vehicle tracks/paths and excavation
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Pedestrian and plant interface suitable? Plant exclusion zones being adhered to?
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Excavated materials, plant and equipment / personnel set back 600mm from edge of excavation
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Works undertaken on/or adjacent to public road have valid TMP? Are sufficient colour copies of the TMP on site? Are the signs laid out as per the plan? Has the SWMS been completed, the daily diary and other relevant paperwork?
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Hard temporary fencing has galv clamps, concrete feet, signage assembled and in appropriate order AND water filled barriers and cones suitable for specific road/footpath in immediate vicinity
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Any risk of objects falling/collapsing on members of the public is managed
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Any risk of trip hazards to the public is managed
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Fall arrest kit being used or extension ladders with cones/barriers to form an exclusion zone around works deeper than 1.5m
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Confined space and Work Safety at Heights training completed for personnel working with fall arrest kits
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Slip, slop, slap mentality for summer months (no singlets)
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Hard hats worn when required (when in the sling/slew zone of plant, when in excavation 1.5m or deeper, when slinging, when in rocky conditions, when in a trench box or when there is the potential for objects to fall). Or when client/main contractor requires.
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Chains and slings tagged, tag is readable, and last test is within last 12 months. In good condition and fit for purpose
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All electrical items tested and tagged quarterly (Dec-Feb = Red / Mar-May = Green / Jun-Aug = Blue / Sept-Nov = Yellow)
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MSDS or SDSs on site and readily available for all? Location of documents is known to personnel? How?
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Subcontractor works - are they all safe/complaint with all aspects of their works?
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Additional site specific considerations
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ASS, dust control, noise, site specific rules or requirement: are they being complied with? Anything else to note following the inspection?
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Comments - all main contractor or client specific tasks and requirements being met? (Working on verge, STAR cards etc..)
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Site safety file
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Is the site safety file on site? Is it readily accessible?
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Is the Management Plan reviewed and updated as the site works continue? Has it been communicated and acknowledged by site personnel?
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Is the site specific risk assessment and company general risk assessment in the file? Are they communicated to site personnel?
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If RJV is the RTCW and PTD in the file or somewhere easily accessible?
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Does the file include training matrix, MSDS, cable locates image, subby information etc
Corrective and preventative actions
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Corrective / preventative actions to be completed and actioned by -
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Signature of HSE who conducted inspection and compiled report
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