Title Page

  • CBE-OHS-028

  • Weekly HSE Inspection

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel Audited

  • Tasks being performed

General Items

  • Warning & safety signs displayed and adequate? (NR - Location) (Attach photo)

  • Vehicles parked in suitable locations with flashing lights & radio functional?

  • Barriers, fencing, bunting in place & effective?

  • Prestart & Risk Assessments completed & signed?

  • Plant prestart checks completed?

  • Toolbox talk completed, documented & signed this week?

PPE, Kits & Equipment

  • First aid & spill kit available? (NR - Location, size & condition) (Attach photo)

  • First aid equipment in date? (NR - Expiry date) (Attach photo)

  • Is there a qualified first aid representative onsite? (NR - Name & expiry date of training)

  • Fire extinguishers available? (NR - Location, size, type, quantity, In test?) (Attach photo)

  • What PPE is being used/ available to all staff?

  • All electrical equipment inspected, tested, tagged & registered?

  • Lifting gear, harnesses & ladders inspected, tested, tagged & registered?

Documentation

  • Site folder with SWMS and other required documents available? (Attach photo)

  • SWMS & Risk assessment completed and signed by all? (Attach photo)

  • Have all services been located in the area? (NR - List DBYD reference number and date)

  • iPad available, charged and functional? (Attach photo)

  • Ask employee to find SWMS, MSDS etc. on iPad

Environmental

  • Environmental controls checked, monitored and are effective? (Attach photo)

  • Fuels and chemicals are in minimum quantities, stored correctly and have MSDS onsite? (Attach photo)

  • Is vehicle and pedestrian control in place? Is it adequate and effective? (Attach photo)

  • Sediment controls are in correct location & free of damage?

  • Waste & recycling is separated & controlled adequately?

Manual Tasks

  • What Hazardous Manual tasks are being performed?

  • What controls are being used to mitigate the risks involved with the tasks nominated above?

  • Are the controls in place and effective for the task?

Work activities

  • Attach a photo of current excavation/ trench or current work activity

  • Current trench depth in meters?

  • If over 1.5m deep how is the excavation controlled?

  • Are all excavations, trenches & holes protected and access maintained to them for workers?

  • Sharp, protruding objects capped or covered?

  • Are spotters being used?

  • Are they within swing/ crush zones?

  • Attach photo of plant & spotters in place

Electrical

  • What type of electrical work is currently being undertaken?

  • Are all persons working with electricity authorised and licences to do so?<br>

  • Is there a trained safety observer?<br>

  • Is any LV Rescue gear being used? If so list number and test date.

  • Have correct and compliant isolation and lock out practices been used?<br>

  • Have all electrical exclusion zones been identified on the risk assessment?<br>

  • See exclusion zone chart

    Exclusion zone chart

Sign off

  • Any incident reports/ NCRs issued as a result of this audit? If yes please provide details?

  • Has there been any NCRs that have happened since last audit? If yes please provide details.

  • Any other comments or observations?

  • Person completing inspections signature

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