Information
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Audit Title
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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
1. Positions of workers and people on site?
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1.1. Workers and people are clear of falling objects?
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1.2. Workers clear of entangled in machinery? (sufficient exclusion zones are in place)
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1.3. Workers are clear of moving objects? (they cannot get caught between objects in motion)
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1.4 Workers are adopting good postural positions? (not straining, over reaching or over exerting body parts)
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1.5 Site is free of slip/trip/fall hazards?
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1.6 Workers are free from exposure to hazardous substances?
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1.7 Workers on site are safe from UV exposure? (compliance with Sun Care Policy)
2. Traffic Management
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2.1 An adequate Traffic Management Plan (TMP) has been developed for the site?
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2.2 Suitably trained workers are onsite to initiate TMP or to make changes to the TMP as needed?<br>(contractors and visitors)
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2.3 TMP control measures are suitable for the worksite? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
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2.4 Correct signs have been placed?
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2.5 Location of signage is correct as per TMP?
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2.6 Delineation of the worksite is adequate?
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2.7 Adequate pedestrian / traffic thorough fares in place?
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2.8 Workers on stop/slow duties are rotated regularly and have adequate rest breaks?
3. Plant and Equipment
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3.1 Plant/equipment in use on site is serviceable and free from damage? (including missing or damaged guards)
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3.2 Correct plant / equipment for the job is being utilised? ( eg. size and type of plant, hand tools versus power tools )
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3.3 Lifting chains and slings are in test date and in good condition?
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3.4 Correct attachments are being used with plant/equipment? (attachments in use are in a safe condition)
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3.5 Exclusion zones have been placed around moving plant / machinery
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3.6 All operators hold the appropriate licences?
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3.7 Safe work instructions are available on site?
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3.8 Plant pre start checks are performed and logged?
4. Documentation / procedures required for site
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4.1 Service location documentation is available on site?
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4.2. Site construction plans are available on site?
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4.3 A Look out hazard ID / SWMS have been completed for works on site?
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4.4 Traffic management record/form has been completed?
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4.5. Trenching excavation form completed? ( if required )
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4.6 Permit to work - Hot work / Confined space entry form completed? (if required )
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4.7 All workers on site hold a White Card?
5. Personal protective equipment
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5.1. All Workers are wearing Hi Vis uniform?
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5.2. All Workers are wearing correct footwear?
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5.3. Workers are wearing eye protection? ( if appropriate )
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5.4 Workers are wearing hearing protection? ( if appropriate )
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5.5. Workers are wearing hard hat? ( if appropriate )
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5.6. Workers are wearing respiratory protection? ( if appropriate )
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5.7 All PPE is in a serviceable condition? ( clean and well maintained )
6. Working at height
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6.1 Fall prevention controls are in place to prevent works falling? ( either from height or into an excavation etc)
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6.2 Ladders in use are appropriate for the task? ( load rated and set up correctly )
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6.3 Fall prevention control measures are adequate? ( eg. Edge protection, barricades etc.)
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6.4 Exclusion zones are in place beneath overhead workers?
7. Tools and equipment
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7.1 Appropriate tools are available on site?
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7.2. Tools are being used correctly?
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7.3. Tools in use are in a safe condition?
8. Hazardous Manual Tasks
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8.1 Heavy loads /objects are handled correctly?
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8.2 Awkward / unbalanced loads are handled correctly?
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8.3 Job rotation is adopted to prevent exertion and fatigue of workers?
9. Hazardous Chemical (including fuel and oil)
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9.1 Safe storage location of hazardous substances? (e.g. Stored flammables away ignition sources, spills prevented from entering stormwater drains, etc)
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9.2 Separation/segregation of Incompatible chemicals?
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9.3 Adequate spill containment measures and equipment are available on site?
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9.4 Safety Data Sheets are accessible on site?
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9.5 Chemicals stored in appropriate containers?
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9.6. Chemical containers correctly labelled?
10 Electrical Hazards
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10.1 Electrical Leads are in a safe condition? (eg. not damaged, out of test date or untested)
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10.2 Electrical power tools are in good condition?
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10.3 Underground assets have been identified and control measures adopted? (Eg. when digging use a spotter)
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10.4 Over head electrical lines have been identified and control measures adopted? (Eg. Green safety cones, spotter, exclusion zone, etc.
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10.5 Electrical equipment is operated clear of water sources?
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10.6 Electrical equipment is operated clear of flammables?
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10.7 Electrical equipment is operated and stored away from chemicals that could cause damage?
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10.8 Electrical leads are run out of the way of moving machinery parts or plant to prevent damage? (eg. leads driven over by vehicles etc.)
11 General Work Environment
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11.1 Amenities are adequate for the site and type of works being undertaken? (Eg.toilets, wash areas, lunch rooms, etc)
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11.2 Amenities are kept clean and tidy? (good housekeeping)
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11.3 Correct location of amenities in relation to worksite?
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11.4 First Aid kit is available on site and is adequately stocked?
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11.5 Trained first aid person on site?
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11.5 Fire extinguisher is available in amenities and in test date?
Unsafe Acts Observed / Corrective Actions
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Enter any corrective actions that will be undertaken
General observations / comments
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Enter any comments
Sign Off
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On site representative
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Auditor's signature
