Title Page
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Client / Site
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Conducted on
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Prepared by
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Personnel
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This Inspection is an assessment of the conditions and activities on the project worksite at the time of the visit. The conditions & activities are assessed against agreed expectations between PCBU’s, legislative and regulatory requirements and/or industry best practice.
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Assessment Criteria:
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Meets Expectations (ME) = The assessed condition or activity meets current expectations.
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Opportunity For Improvement (OFI) = The assessed condition or activity does not fully meet current expectations.
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At Risk (AR) = The assessed condition or activity does not fully meet current expectations and as a result there is an intolerable level of risk of harm to people, the environment and/or the business.
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Not Checked (NC) = The condition or activity was not checked.
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Not Applicable (NA) = The condition or activity was not present.
1. Pre-Inspection Planning
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What is the Focus for the period:
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Pre-planning Notes:
2. Inspection Criteria
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Select the criteria that is applicable to your site inspection:
- CASE
- Asbestos
- Confined Space
- Power Tools, RCD's & Leads
- Emergency Preparedness & Response
- Environmental
- Hazardous Substances
- Hotwork
- Housekeeping
- PAT's
- PPE/PPC
- Safety Signage
- Silica and Inhalable Dust
- Site Fencing & Security
- Subcontractor SSSP
- Supervision
- Traffic Management
- Worker Facilities
CASE
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QR code in place?
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Signed in using CASE App?
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Self-induction completed?
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Current hazard list relevant?
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Activity Pre-Start completed?
Emergency Preparedness and Response
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Emergency response plan and site layout plan in place and displayed?
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Emergency assembly point identified and sign posted?
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Emergency contact details displayed?
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Is a trained First Aider on site?
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Are adequate First Aid kits available (including eyewash)?
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Are adequate Fire Extinguishers available?
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Spill kit available?
Supervision
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Are subcontractor workers adequately supervised?
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Are PCBU 3 subcontractors adequately supervised?
Safety Signage
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Is warning signage in place at all access points?
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Is a site safety board displayed near the site entry?
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Are the hazards and controls listed on the site safety board relevant?
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Are worksite 'key contact' details displayed at the site entrance?
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Are minimum PPE requirements displayed?
PPE/PPC
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Are minimum PPE requirements complied with?
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Is the correct PPE being worn relevant to the exposure risks?
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Is the PPE in good condition?
Housekeeping
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Is the work area and lay down area clean and free of excess trash or debris?
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Are materials and equipment properly stored or stacked?
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Are scrap materials free of protruding nails or other puncture hazards?
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Are waste bins available and maintained?
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Are waratah end caps installed and maintained?
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Are there any trip hazards i.e., hoses, electrical leads etc.
Hazardous Substances
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Are hazardous substances being used and stored correctly?
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Are the amounts of hazardous substances on site limited to an "in use" amount?
Asbestos
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Has ACM been considered as being present on the worksite?
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Is an ACM plan in place?
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Is the ACM plan being followed?
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Have Worksafe been notified of ACM? (>10sqm friable)
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Are workers handling ACM competent?
Silica and Inhalable Dust
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Are bricks and concrete saws operating with water suppression?
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Is the saw waste water contained to minimise runoff?
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Is the dust from dried waste water being eliminated?
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Are power cutting tools fitted with an 'at-source' extraction system and is it effective?
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Is the vacuum system rated for silica dust ('M' or 'H' class)?
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Are fibre cement sheets cut using the correct tools/ methods i.e. shears or score & snap method?
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Are workers exposed to dust wearing P2 rated dust masks?
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Is the site free from excess settled dust?
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Is a vacuum system used to clean surfaces?
PAT's
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Are PATs used by competent operators?
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Are exclusion zones in place?
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Are warning signs in place?
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Are misfired charges secured and discarded correctly?
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Are the PATs secured when not in use?
Portable Electric Equipment, RCD's & Leads
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Is portable electrical equipment, RCD's and leads in good working order (all guards in place, no damage to casing, no cuts in cable etc.)?
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Are power tools used in accordance with the manufacturers instructions?
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Does electrical equipment have a current test & tag?
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Are temporary power sources fitted with an RCD i.e. Lifeguards?
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Are electrical leads routed neatly and away from water sources?
Environmental
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Are silt fences in place?
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Is the silt fence in good working order?
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Are silt socks/gutter bags in place at stormwater inlets?
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Are the silt socks/gutter bags in good working order?
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Are accessways metalled?
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Is sediment and run-off fully contained with the site boundary?
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Are vehicles/ plant tracking mud into the road reserve?
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Is dust being controlled on the worksite?
Site Fencing & Security
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Is the worksite fully fenced?
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Is the fence in good working order?
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Is site access controlled?
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Are site gates lockable?
Hotwork
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Are hot works being correctly managed?
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Are hot work activities meeting the hot work permit requirements?
Confined Space
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Is there a TRA in place for confined space activities (proof of regular review and communicated to all workers involved)?
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Does the emergency response plan cover confined space rescue?
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Are confined space activities correctly managed and meeting confined space requirements (i.e. permits, competency requirements etc.)?
Worker Facilities
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Appropriate number of toilets onsite (male/ female), clean and hygienic?
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Clean, potable water readily available onsite?
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Smoko shed available for use?
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Traffic management plan in place, current and approved by Road Corridor Authority?
Subcontractor Review
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Subcontractor reviewed:
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Subcontractor SSSP's in place?
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Subcontractor SSSP evaluated and verified by lead contractor?
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Worksafe hazardous work notifications submitted (where required)?
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TA/TRA's in place where required and signed off accordingly?
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Training and competency register in place?
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Plant & Equipment register in place for safety critical plant and equipment?
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Hazardous Substances register in place?
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SDS's in place for all hazardous substances on site?
3. Other Observations
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What was your Observation?
Click on the "+ button" over here ---->--->
Observation
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What was your Worksite Observation?<br>(Select one of the following)
4. Inspection Summary/ Comments
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Inspection Summary: