Cardinia WorkSite Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• NOTE: All fields must be checked “YES” or “NO”. If a question does not apply, mark N/A in column. If “NO”, provide details in comments section at bottom of form.Activities Undertaken

• Activities Undertaken

• Please insert Site Photos

  Media

• Permit to Work

  Yes

  No

  N/A

1.SITE OHS DOCUMENTATION ( SWMS, JSA, POLICY, PROCEDURES )

• Have staff completed site specific SWMS/JSA?

  Yes

  No

  N/A

• Have all persons on site signed onto SWMS/JSA?

  Yes

  No

  N/A

• Were you asked to sign onto the SWMS/JSA before entering site?

  Yes

  No

  N/A

• Are staff aware of any restrictions or OHSE requirements specific to this site?

  Yes

  No

  N/A

• Are safe work procedures available for all items of plant and equipment?

  Yes

  No

  N/A

• Have all hazards associated with the task or project been identified and controlled as far as reasonably practicable?

  Yes

  No

  N/A

• Has all staff been briefed on known hazards and controls which may impact on their work?

  Yes

  No

  N/A

• Hazard reporting system in use?

  Yes

  No

  N/A

• Any incidents or injuries reported to Shire OHS?

  Yes

  No

  N/A

2. TRAINING

• Competencies are current and available for all staff?

  Yes

  No

  N/A

• High Risk License current for all High Risk activities?

  Yes

  No

  N/A

• Note Licence numbers and expiry dates

  Yes

  No

  N/A

• Please insert Photos of Competency Tickets

  Media

3. SAFE WORKING

• Have PPE requirements been identified, and suitable PPE provided for workers?

  Yes

  No

  N/A

• Is PPE in good condition and being worn by all staff?

  Yes

  No

  N/A

• PPE in date eg Hard hats < 3yrs, Harness, lifting slings

  Yes

  No

  N/A

• High visibility clothing appropriate for conditions used and worn correctly?

  Yes

  No

  N/A

• Have Manual Handling tasks been identified and controlled?

  Yes

  No

  N/A

• Has Working at Heights been identified and controlled?

  Yes

  No

  N/A

• Safe Operating Procedures on site?

  Yes

  No

  N/A

• Site amenities available? Eg toilets, potable water

  Yes

  No

  N/A

• Adequate first aid kits available and in date?

  Yes

  No

  N/A

• Qualified first aider on site?

  Yes

  No

  N/A

4. PLANT AND EQUIPMENT

• Please Insert photos of plant items

  Media

• Daily plant/equipment checklist available and completed?

  Yes

  No

  N/A

• Certified operators as required?

  Yes

  No

  N/A

• Is evidence provided of testing and tagging of electrical equipment?

  Yes

  No

  N/A

• All Plant and Equipment in date for testing, calibration, maintenance schedules?

  Yes

  No

  N/A

• Identified Faults signed off as completed?

  Yes

  No

  N/A

• Flashing lights/reversing cameras/proximity warning devices/reversing alarms operational

  Yes

  No

  N/A

• Communications in place for reversing vehicles?

  Yes

  No

  N/A

• Overhead powerlines in vicinity identified? Is qualified spotter available and being used?

  Yes

  No

  N/A

• Lifting Equipment tested and in date?

  Yes

  No

  N/A

• Fire extinguisher on site, inspected and in date?

  Yes

  No

  N/A

5. EXCAVATIONS

• Have all Underground assets been located?

  Yes

  No

  N/A

• Copy of indate Dial Before You Dig plans available onsite?

  Yes

  No

  N/A

• Any > 1.5 m adequately supported

  Yes

  No

  N/A

• Any < 1.5 m adequately protected

  Yes

  No

  N/A

• < 1.5 support/stepping if unstable soil

  Yes

  No

  N/A

• Drains protected from potential run off

  Yes

  No

  N/A

• Public safety issues adequately controlled

  Yes

  No

  N/A

• Spoil away from excavations >1.5

  Yes

  No

  N/A

6. ON-SITE SECURITY AND TRAFFIC MANAGEMENT

• Are provisions made for site security during and after work hours?

  Yes

  No

  N/A

• Have adequate provisions been made for the movement of plant and vehicles on and to and from the site?

  Yes

  No

  N/A

• Has staff been briefed regarding emergency response procedures for site?

  Yes

  No

  N/A

• Has Traffic Management Plan been selected or provided?

  Yes

  No

  N/A

• Is plan available for inspection?

  Yes

  No

  N/A

• Is the plan relevant to the work?

  Yes

  No

  N/A

• Approved MOA available?

  Yes

  No

  N/A

• Are traffic controllers trained and current?

  Yes

  No

  N/A

• Are documented changes (if any) to the traffic management plan available for inspection?

  Yes

  No

  N/A

• Are all signs and devices installed according to the TMP?

  Yes

  No

  N/A

• Are all signs and devices free from damage and defect? Easy to read?

  Yes

  No

  N/A

• Are clearance between worker, pedestrians and traffic being maintained?

  Yes

  No

  N/A

• Are pedestrians, cyclists and wheelchair access being catered for on site?

  Yes

  No

  N/A

• Are pedestrians being asked to cross roads in safe locations?

  Yes

  No

  N/A

7. STORAGE AND HANDLING OF HAZARDOUS SUBSTANCES

• Are current MSDSs available and provided for all substances?

  Yes

  No

  N/A

• All containers correctly labelled and appropriate?

  Yes

  No

  N/A

• Appropriate spill and other emergency response available?

  Yes

  No

  N/A

Environmental

• Sediment and Erosion control required/considered?

  Yes

  No

  N/A

• Recycling, Waste Management considerations in place?

  Yes

  No

  N/A

• Noise and Dust Managed/Considered?

  Yes

  No

  N/A

• Actions Taken

• Inspectors Signature

  Sign

• Site Supervisor Signature

  Sign

• Crew Signatures

  Sign