Title Page
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CBE-OHS-028
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Weekly HSE Inspection
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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 Audited
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Tasks being performed
General Items
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Warning & safety signs displayed and adequate? (NR - Location) (Attach photo)
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Vehicles parked in suitable locations with flashing lights & radio functional?
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Barriers, fencing, bunting in place & effective?
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Prestart & Risk Assessments completed & signed?
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Plant prestart checks completed?
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Toolbox talk completed, documented & signed this week?
PPE, Kits & Equipment
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First aid & spill kit available? (NR - Location, size & condition) (Attach photo)
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First aid equipment in date? (NR - Expiry date) (Attach photo)
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Is there a qualified first aid representative onsite? (NR - Name & expiry date of training)
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Fire extinguishers available? (NR - Location, size, type, quantity, In test?) (Attach photo)
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What PPE is being used/ available to all staff?
- Long sleeve shirt & pants
- Hard hat
- Hard hat brim
- Safety glasses AS1337
- Gloves
- Approved safety boots
- Dust or respiratory equipment
- Face shield
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All electrical equipment inspected, tested, tagged & registered?
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Lifting gear, harnesses & ladders inspected, tested, tagged & registered?
Documentation
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Site folder with SWMS and other required documents available? (Attach photo)
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SWMS & Risk assessment completed and signed by all? (Attach photo)
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Have all services been located in the area? (NR - List DBYD reference number and date)
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iPad available, charged and functional? (Attach photo)
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Ask employee to find SWMS, MSDS etc. on iPad
Environmental
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Environmental controls checked, monitored and are effective? (Attach photo)
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Fuels and chemicals are in minimum quantities, stored correctly and have MSDS onsite? (Attach photo)
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Is vehicle and pedestrian control in place? Is it adequate and effective? (Attach photo)
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Sediment controls are in correct location & free of damage?
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Waste & recycling is separated & controlled adequately?
Manual Tasks
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What Hazardous Manual tasks are being performed?
- Cable hauling
- Manual excavation
- Loading/ unloading materials
- Access in and out of a trench
- Standing poles
- Working off a ladder
- Repetitive use of hand tools
- Repetitive use of powered tools
- Use of wacka packer/ vibe plate
- Kneeling, bending or squatting for longer periods
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What controls are being used to mitigate the risks involved with the tasks nominated above?
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Are the controls in place and effective for the task?
Work activities
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Attach a photo of current excavation/ trench or current work activity
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If over 1.5m deep how is the excavation controlled?
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Are all excavations, trenches & holes protected and access maintained to them for workers?
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Sharp, protruding objects capped or covered?
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Are spotters being used?
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Are they within swing/ crush zones?
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Attach photo of plant & spotters in place
Electrical
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What type of electrical work is currently being undertaken?
- No Live work
- Work on Low Voltage Network
- Work on High Voltage Network
- Work on Low and High Voltage (Switching)
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Are all persons working with electricity authorised and licences to do so?<br>
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Is there a trained safety observer?<br>
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Is any LV Rescue gear being used? If so list number and test date.
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Have correct and compliant isolation and lock out practices been used?<br>
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Have all electrical exclusion zones been identified on the risk assessment?<br>
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See exclusion zone chart
Sign off
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Any incident reports/ NCRs issued as a result of this audit? If yes please provide details?
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Has there been any NCRs that have happened since last audit? If yes please provide details.
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Any other comments or observations?
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Person completing inspections signature