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
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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
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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 -
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Signature of HSE who conducted report
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