HSER Self Assessment - Install Plus

• Site name (eg. Henderson trade branch)

• Prepared by

• Location
  Address

• Personnel

• Conducted on

  Date

• What was the last audit score?

Health and Safety Meeting Minutes

• Are meeting minutes covering content in each section?

  Yes

  No

  N/A

• Have meeting minutes been distributed to the Regional HSER Advisor and Regional Manager?

  Yes

  No

  N/A

• Are meeting minutes up to date for the last meeting?

  Yes

  No

  N/A

• Are staff being recognised for the right action and behaviour? If so, list the details.

  Yes

  No

  N/A

Training Matrix

• What is the current completion percentage on the training matrix?

  0-79.9%

  80-89.9%

  90-99.9%

  100%

• Is the training matrix saved to the intranet?

  Yes

  No

  N/A

SOP training records

• Review a number of training files, are they up to date?

  Yes

  No

  N/A

Health and Safety Nominations and Elections (if relevant)

• Is the paperwork being kept and up to date?

  Yes

  No

  N/A

• Are fire warden training records being kept up to date?

  Yes

  No

  N/A

Health and Safety Representatives

• Are copies of representative certificates being kept and up to date?

  Yes

  No

  N/A

Health and Safety Constitution

• Has this been completed and rolled out to staff?

  Yes

  No

  N/A

Vehicle Checks

• Are vehicle, forklifts, trucks, trailers, light vehicles checks and log books being completed in full?

  Yes

  No

  N/A

Other Check Sheets

• Are ladder, bench saw and key cutting machine checks being completed?

  Yes

  No

  N/A

Contractor Management

• In advance of works have contractors been pre-qualified and documentation available as evidence?

  Yes

  No

  N/A

• During the works have contractors been monitored and documentation available as evidence?

  Yes

  No

  N/A

• Following the works have annual reviews been completed for contractors and documentation available as evidence?

  Yes

  No

  N/A

Investigations

• For simple investigations, are corrective action (s) effective in managing the risk? Could more be done?

  Yes

  No

  N/A

• For full investigations, are they being completed on time (within 10 days)?

  Yes

  No

  N/A

• Have events been communicated to staff in person, via email, toolbox talk, staff meeting to close out the feedback loop?

  Yes

  No

  N/A

Traffic Management

• Have all relevant staff signed a motor vehicle policy?

  Yes

  No

  N/A

Truck Paperwork Packs

• Are these in each truck and up to date? <br>Check that strops and chains are up to date and of good condition <br>Check that log books are being used correctly against NZTA requirements

  Yes

  No

  N/A

Housekeeping

• Is the general housekeeping of the site acceptable?

  Safe

  At Risk

  N/A

• Is the site sign in book as per the Intranet Template, with appropriate up to date information?

  Yes

  No

  N/A

• Are all emergency exits and routes clear?

  Yes

  No

  N/A

Risk Manager Actions

• Have all Risk manager actions been completed on time?

  Yes

  No

Claims Privacy

• Is all claim information being appropriately managed?

  Yes

  No

  N/A

Area Manager Site Review

• In reviewing the latest area manager site review, are there any actions outstanding?

  Yes

  No

  N/A

Change Management

• Where a change has occurred within the workplace, is there evidence in place showing consultation with affected parties?

  Yes

  No

  N/A

Mezzanines

• Are the gates being locked and secure?

  Yes

  No

  N/A

• Does the site have the HCP on display at the entrance and is it correct?

  Yes

  No

  N/A

Racking, Stacking and Storage

• Is product being strapped or wrapped above 2 metres?

  Yes

  No

  N/A

• Is any product being stacked in an un safe manner?

  Yes

  No

Services Safety

• Is it possible to open electrical cabinets, is it possible to touch cabling with a finger?

  Safe

  At Risk

  N/A

• Is the cabinet clean in and around? Has a corrective action been added in Risk Manager for a regular clean down?

  Safe

  At Risk

  N/A

Work on section - no weighting to these elements

• Is there a PPE register for expiring equipment (Risk Manager)

  Yes

  No

  N/A

Close out section

• Any other observations, comments or feedback? Remember to be positive too :)

  Yes

  No

  N/A

• Sign to close out this inspection :)

  Sign