Information

  • Document No. Rev 4

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Good house keeping/general rubbish in bins provided and site rubbish disposed of (no off cuts on the ground)

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  • Daily sign in register being used by all personnel DAILY

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  • Pre-start meeting being conducted/attended daily by all (including any subcontractors) and signed by Crew Leader

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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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  • All workers and subcontractors signed onto JSA's / SWMS prior to commencing work

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  • JSA 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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  • 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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  • 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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  • Appropriate signs displayed i.e. construction signage, deep excavation , deep water

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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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  • 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. 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

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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

  • High vis clothing worn (no singlets)

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  • Steel capped boots worn

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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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  • Comments or additional information / all main contractor or client specific tasks and requirements being met? (Working on verge, STAR cards etc..)

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  • Corrective actions to be completed and actioned by -

  • Signature of HSE who conducted report

  • Add signature

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