CFMEU Construction & General Qld/NT Delegates - 2024

• Audit Title

• Employer/Builder

• Employer Representative/ Phone Number/ Position

• Site Address

• Conducted on

  Date

• Prepared by

Incident Report

• Date/Time of incident -

  Date

• Principal contractor -

• Sub-Contractor -

• Health and Safety Representative -

• Primary Cause (select one)

  Select Acess/Egress Air Quality Amenities/Hygiene Asbestos Chemicals Concrete Pumps Confined Spaces Consultation Core Drilling/Concrete Cutting Cranes Demolition Dust Earth Moving Equipment Electrical Emergency Procedures Engineering EWP’s Falls Fatigue Fire Forklifts Formwork Housekeeping Lifts/Hoists Lighting Manual Handling Noise Piling Plant Power/Hand Tools Pre-cast/Tilt-up Panels Pre-stressing/Post-tensioning Radiation Rigging Scaffolding Supervision Sythetic Mineral Fibres Traffic Management Training Trenching/Excavation

  • Acess/Egress
  • Air Quality
  • Amenities/Hygiene
  • Asbestos
  • Chemicals
  • Concrete Pumps
  • Confined Spaces
  • Consultation
  • Core Drilling/Concrete Cutting
  • Cranes
  • Demolition
  • Dust
  • Earth Moving Equipment
  • Electrical
  • Emergency Procedures
  • Engineering
  • EWP’s
  • Falls
  • Fatigue
  • Fire
  • Forklifts
  • Formwork
  • Housekeeping
  • Lifts/Hoists
  • Lighting
  • Manual Handling
  • Noise
  • Piling
  • Plant
  • Power/Hand Tools
  • Pre-cast/Tilt-up Panels
  • Pre-stressing/Post-tensioning
  • Radiation
  • Rigging
  • Scaffolding
  • Supervision
  • Sythetic Mineral Fibres
  • Traffic Management
  • Training
  • Trenching/Excavation

• Incident Type (select one)

  Fatality

  Injury

  Near Miss

• Secondary Cause (select one)

  Select Acess/Egress Air Quality Amenities/Hygiene Asbestos Chemicals Concrete Pumps Confined Spaces Consultation Core Drilling/Concrete Cutting Cranes Demolition Dust Earth Moving Equipment Electrical Emergency Procedures Engineering EWP’s Falls Fatigue Fire Forklifts Formwork Housekeeping Lifts/Hoists Lighting Manual Handling Noise Piling Plant Power/Hand Tools Pre-cast/Tilt-up Panels Pre-stressing/Post-tensioning Radiation Rigging Scaffolding Supervision Sythetic Mineral Fibres Traffic Management Training Trenching/Excavation

  • Acess/Egress
  • Air Quality
  • Amenities/Hygiene
  • Asbestos
  • Chemicals
  • Concrete Pumps
  • Confined Spaces
  • Consultation
  • Core Drilling/Concrete Cutting
  • Cranes
  • Demolition
  • Dust
  • Earth Moving Equipment
  • Electrical
  • Emergency Procedures
  • Engineering
  • EWP’s
  • Falls
  • Fatigue
  • Fire
  • Forklifts
  • Formwork
  • Housekeeping
  • Lifts/Hoists
  • Lighting
  • Manual Handling
  • Noise
  • Piling
  • Plant
  • Power/Hand Tools
  • Pre-cast/Tilt-up Panels
  • Pre-stressing/Post-tensioning
  • Radiation
  • Rigging
  • Scaffolding
  • Supervision
  • Sythetic Mineral Fibres
  • Traffic Management
  • Training
  • Trenching/Excavation

• Description of incident

• Provide photos/supporting evidence

  Media

• Medical treatment required, if any –

  None

  First Aid on-site

  Hospital/Medical Centre

• Has the regulator been notified? (WHS Act s35)

  Yes

  No

  N/A

• Did an inspector attend site

  Yes

  No

  N/A

• Were any notices issued?

  Yes

  No

  N/A

• Upload photo of notice

  Media

• Weather conditions (select one) –

  Select Fine Windy Raining/Wet Low Light Extreme Cold Extreme Heat

  • Fine
  • Windy
  • Raining/Wet
  • Low Light
  • Extreme Cold
  • Extreme Heat

• Was the task classed as high risk construction work? (WHS Regs s291)

  Yes

  No

  N/A

• Was there a safe wok method statement prepared for the work? (WHS Regs s299)

  Yes

  No

  N/A

• Was the safe work method statement being followed? (WHS Regs s300)

  Yes

  No

  N/A

• Outcomes/Corrective Actions -

• Yes

  No

  N/A

• undefined

• undefined

• undefined

• Has a worker been injured on this job?

  Yes

  No

  N/A
• Site address
  Address

• Member's name

• Date of birth (dd/mm/yyyy)

• Time of the injury

• Date of injury

• Activity which caused the injury

• Nature of the injury

• Where in the workplace did the injury occur

• Please provide photo of location for supporting evidence

  Media

• Location of the injury on the body

• If appropriate, please supply supporting image or proof of injury

  Media

• Where was the worker treated for the injury

• If treated by a Doctor please provide picture of medical certificate

  Media

Management Responsibilities

• Has a WHS Management Plan been developed for the workplace? (WHS Regs s309)

  Yes

  No

  N/A

• Does the plan include;

• Names, positions and responsibilities of all persons with WHS duties at the workplace? (WHS Regs 309-2.a)

  Yes

  No

  N/A

• Arrangements for consultation, co-operation and co-ordination at the workplace? (WHS Regs 309-2.b)

  Yes

  No

  N/A

• Arrangements for managing any work health and safety incidents that occur? (WHS Regs 309-2.c)

  Yes

  No

  N/A

• Site-specific safety rules, and arrangements for ensuring all persons are informed? (WHS Regs 309-2.d)

  Yes

  No

  N/A

• Arrangements for collecting, assessing and reviewing SWMS? (WHS Regs 309-2.e)

  Yes

  No

  N/A

Emergency

• Is an Emergency Plan prepared and implemented at the workplace? (WHS Regs 43)

  Yes

  No

  N/A

• Have the workers been consulted on the construction of the Emergency Evacuation Plan. Act 46-49<br>

  Yes

  No

  N/A

• Does the plan include;

• An effective response to an emergency? (WHS Regs 43-1.a.i)

  Yes

  No

  N/A

• Evacuation procedures? (WHS Regs 43-1.a.ii)

  Yes

  No

  N/A

• Processes for notifying emergency services? (WHS Regs 43-1.a.iii)

  Yes

  No

  N/A

• Provisions for medical treatment and assistance? (WHS Regs 43-1.a.iv)

  Yes

  No

  N/A

• Effective communication between the PCBU and all persons at the workplace? (WHS Regs 43-1.a.v)

  Yes

  No

  N/A

• Frequency for testing of emergency procedures? (WHS Regs 43-1-b)

  Yes

  No

  N/A

• A map identifying first aid, fire fighting equipment, routes/exits and a muster point? (AS 3745)

  Yes

  No

  N/A

• Is the map posted in prominent places?

  Yes

  No

  N/A

• Is all fire fighting equipment operational and free from obstructions?

  Yes

  No

  N/A

• Does the Emergency Plan reflect multiple mustering points should access to the primary mustering point be unavailable due to an unforeseen event. (fire, gas leak, structure collapse) WHS Regs 43-3, Safe evacuation in an emergency Regs 40-A<br>

  Yes

  No

  N/A

• Does the Emergency Plan identify secondary emergency wardens to initiate the evacuation emergency plan should the primary wardens be away or effected? WHS Regs 43-1. (a) (v)<br>

  Yes

  No

  N/A

• Have workers been trained and instructed in relation to the implementing the emergency procedure. WHS Regs 43-1 (C)<br>

  Yes

  No

  N/A

• Is anyone assigned to check areas to determine all people have been evacuated AS 3745 4.2.6.1 (planning for emergencies in facilities).<br>

  Yes

  No

  N/A

• Is there a process of accountability at multiple mustering points to evaluate the quality of the roll call? WHS Regs 43-1 (a) (v)<br>

  Yes

  No

  N/A

• Is there a Fire Safety plan Regs 43 and the Australian standards 3745, 2010<br>

  Yes

  No

  N/A

• Is there a Fire Warden Structure on site as per the Australian Standards 3745, 2010<br>

  Yes

  No

  N/A

• Has the fire safety plan been audited Australian standards 4655, 2005 (Fire Safety Audits)<br>

  Yes

  No

  N/A

• WorkCover Checklist - http://www.workcover.nsw.gov.au/formspublications/publications/Documents/emergency-management-plan-checklist-3302.doc

Site Requirements

• Is signage displayed and clearly visible from outside the workplace? (WHS Regs 308)

  Yes

  No

  N/A

• Does it display;

• The principal contractor's name and telephone contact number, Including after hours? (WHS Regs 308-a)

  Yes

  No

  N/A

• The location of the site office? (WHS Regs 308-b)

  Yes

  No

  N/A

• PPE requirements for the site? (WHS Regs s44)

  Yes

  No

  N/A

• The presence of hazardous chemicals?

  Yes

  No

  N/A

• Is the site secure to prevent unauthorised access? (WHS Regs 298-1)

  Yes

  No

  N/A

• Are hazards isolated in the event of unauthorised entry occurring? (WHS Regs 298-2.c)

  Yes

  No

  N/A

• Have necessary permits been obtained? (Council, EPA, WorkCover, RTA etc)

  Yes

  No

  N/A

• Are permits kept on site and available to view?

  Yes

  No

  N/A

• Do all workers on site hold general construction induction cards? (WHS Regs 316)

  Yes

  No

  N/A

• Have workers been site inducted? (WHS Regs 39 & 309-2 (d)

  Yes

  No

  N/A

• Are induction records kept on site available for viewing?

  Yes

  No

  N/A

• Are all visitors inducted into site-specific risks?

  Yes

  No

  N/A

• Are safe work method statements prepared for high risk construction work? (WHS Regs 299)<br><br>(291) Meaning of “high risk construction work”<br><br>In this Chapter, high risk construction work means construction work that:<br>(a) involves a risk of a person falling more than 2 metres, or<br>(b) is carried out on a telecommunication tower, or<br>(c) involves demolition of an element of a structure that is load-bearing or otherwise related to the physical integrity of the structure, or<br>(d) involves, or is likely to involve, the disturbance of asbestos, or<br>(e) involves structural alterations or repairs that require temporary support to prevent collapse, or<br>(f) is carried out in or near a confined space, or<br>(g) is carried out in or near:<br> (i) a shaft or trench with an excavated depth greater than 1.5 metres, or<br> (ii) a tunnel, or<br>(h) involves the use of explosives, or<br>(i) is carried out on or near pressurised gas distribution mains or piping, or<br>(j) is carried out on or near chemical, fuel or refrigerant lines, or<br>(k) is carried out on or near energised electrical installations or services, or<br>(l) is carried out in an area that may have a contaminated or flammable atmosphere, or<br>(m) involves tilt-up or precast concrete, or<br>(n) is carried out on, in or adjacent to a road, railway, shipping lane or other traffic corridor that is in use by traffic other than pedestrians, or<br>(o) is carried out in an area at a workplace in which there is any movement of powered mobile plant, or<br>(p) is carried out in an area in which there are artificial extremes of temperature, or<br>(q) is carried out in or near water or other liquid that involves a risk of drowning, or<br>(r) involves diving work.

  Yes

  No

  N/A

• Are SWMS readily accessible and set out in a way that is easy to understand? (WHS Regs 299-3,b)

  Yes

  No

  N/A

• Are arrangements in place to ensure SWMS are complied with? (WHS Regs 300-1)

  Yes

  No

  N/A

• Is high risk construction work performed in accordance with SWMS? (WHS Regs 300-2)

  Yes

  No

  N/A

• Has work been stopped immediately and resumed only in accordance with the SWMS? (WHS Regs 300-2)

  Yes

  No

  N/A

Consultation

• CODE OF PRACTICE - WORK HEALTH AND SAFETY CONSULTATION, CO-OPERATION AND CO-ORDINATION

• Are there methods for consultation in place? (WHS Regs 309-2,b)

  Yes

  No

  N/A

• Are workers being consulted about ALL matters affecting their health & safety? (WHS Act 47)

  Yes

  No

  N/A

• Is there an up to date list of HSR's displayed? (WHS Act 74)

  Yes

  No

  N/A

• Have HSR's completed training within 28 days of being elected? (WHS Reg 21 & WHS Act 72)

  Yes

  No

  N/A

• Is there a site safety committee? (WHS Act 75)

  Yes

  No

  N/A

• Is at least half of the committee made up of workers not nominated by the PCBU? (WHS Act 76-4)

  Yes

  No

  N/A

• Are names displayed in a prominent place? (WHS Act 74)

  Yes

  No

  N/A

• Are minutes from safety committee meetings posted at the workplace?

  Yes

  No

  N/A

• Are HSR's and/or safety committee being notified and included in incident investigations? (WHS Act 49)

  Yes

  No

  N/A

• Are health & safety concerns being addressed and closed out?

  Yes

  No

  N/A

• Are regular safety walks being conducted? (WHS Act 68)

  Yes

  No

  N/A

Traffic Management

• Is there a site Traffic Management Plan in place? (AS 1742.3-2.2.2, AGTTM/QGTTM - Part 2 - 2.2)

  Yes

  No

  N/A

• Does the plan include;

• Details of the works to be undertaken, impacts on the surrounding traffic and how those impacts will be addressed? (WHS Regs 315-c,AGTTM/QGTTM - Part 3 - 2.1, AGTTM/QGTTM - Part 2 - 2.2)

  Yes

  No

  N/A

• Separation for pedestrians and moving vehicles? (WHS Regs 215-4, AGTTM/QGTTM - Part 3 - 3.10.1)

  Yes

  No

  N/A

• TMP contains traffic guidance scheme/s, where public and pedestrian traffic is affected? (WHS Regs 315-C, AGTTM/QGTTM - Part 2 - 4.7.3)

  Yes

  No

  N/A

• Has the TMP been prepared by a suitably trained person (TMD)? (AGTTM/QGTTM - Part 2 - 2.6.3, AGTTM/QGTTM - Part 8 - Table 5.2)

  Yes

  No

  N/A

• Are signs and devices set out as per the TGS? If compliant adjustments have been made, are they recorded and TMD approved? (AGTTM/QGTTM - Part 6 - 6.1)

  Yes

  No

  N/A

• Are traffic controllers required where changes to conditions affect traffic and pedestrians? (WHS Regs 315-c, AGTTM/QGTTM - Part 7 - 2.4 & 2.8, AGTTM/QGTTM - Part 6 - 7.3)

  Yes

  No

  N/A

• Are "PREPARE TO STOP" and "TRAFFIC CONTROLLER AHEAD" signs in place? (AS 1742.3.10.6, AGTTM/QGTTM - Part 3 - 4.8)

  Yes

  No

  N/A

• Is End of Queue collision management in place? (Queue length assessed, and managed) (AGTTM/QGTTM - Part 3 - 4.8)

  Yes

  No

  N/A

• Do traffic controllers (TC) and traffic management implementors (TMI) have appropriate TTM qualifications? (AS 1742.3-4.10.6, AGTTM/QGTTM - Part 8 - Table 5.2)

  Yes

  No

  N/A

• Are there an adequate number of traffic controllers to control one lane and one direction of traffic each? (AS 1742.3-4.10.1, AGTTM/QGTTM - Part 7 - 2.9.6, 2.9.7, 2.4.7)

  Yes

  No

  N/A

• Do traffic controllers have a clear escape route for emergencies? (AGTTM/QGTTM - Part 3 - 5.10.2, AGTTM/QGTTM - Part 7 - 2.7.3, 2.9)

  Yes

  No

  N/A

• Do traffic controllers have visual, audible communication with each other? (AS 1742.3-4.10.2, AGTTM/QGTTM - Part 7 - 2.3.3)

  Yes

  No

  N/A

• On 70km/hr or higher posted speed limit roads with AADT 500 vpd or more, are PTCDs used in lieu of traffic controllers using STOP / SLOW bat? if not, has the use of traffic controllers been risk assessed? (AGTTM/QGTTM - Part 3 - 5.10.1)

  Yes

  No

  N/A

• Are speed limits no more than 60km/h for a minimum of 150m? (AS 1742.3-4.10.4, AGTTM/QGTTM - Part 3 - Table 5.5)

  Yes

  No

  N/A

• Are traffic controllers wearing high visibility clothing? (AS 1742.3-4.10.2, AGTTM/QGTTM - Part 7 - 2.5.2, Table 2.1, 2.2)

  Yes

  No

  N/A

• Do traffic controllers have adequate breaks of 15 minutes every 2 hours, to manage fatigue? (AS 1742.3-4.10.5, AGTTM/QGTTM - Part 7 - 2.4.7)

  Yes

  No

  N/A

• A Vehicle Movement Plan for movement within the site? (AGTTM/QGTTM - Part 8 - D.8)

  Yes

  No

  N/A

• Does the VMP contain a diagram showing signs, devices, travel paths, entries and exits as well as loading and unloading bays? (AGTTM/QGTTM - Part 8 - D.8)

  Yes

  No

  N/A

• Requirements for vehicles on site, including maintenance, warning devices, guards and communication? (WHS Regs 206-3)

  Yes

  No

  N/A

• Review procedures for changing site conditions? (AGTTM/QGTTM - Part 10 - 3.3)

  Yes

  No

  N/A

• Is the plan being implemented and followed? (AGTTM/QGTTM - Part 10 - 3.3)

  Yes

  No

  N/A

• Are adequate safety barriers installed? (AS 1742.3-2.4.5, AGTTM/QGTTM - Part 3 - 5.3.1)

  Yes

  No

  N/A

• Are barriers installed as per manufacturers specifications and Australian Standards? (AS 3845-2.5, AGTTM/QGTTM - Part 3 - 5.3.1)

  Yes

  No

  N/A

• Are barriers inspected regularly to check for tampering, vandalism and damage? (AS 3845-2.5, AGTTM/QGTTM - Part 6 - 5.1.4, 7.2, 7.4)

  Yes

  No

  N/A

• Do non-rigid systems have protection to stop people or vehicles entering the deflection zone? (AS 3845-4.2, AGTTM/QGTTM - Part 3 - 5.3.1)

  Yes

  No

  N/A

• Are water-filled barriers fully filled as per manufacturers specifications? (AGTTM/QGTTM - Part 10 - Appendix A)

  Yes

  No

  N/A

• Is there a Police and Council Permit (Section 96 Transport Operations Road Use Management Act & Regulations) (Traffic Management Code of Practice 4.1) (AGTTM/QGTTM - Part 10 - Appendix A)

  Yes

  No

  N/A

• Is there a Traffic Guidance Scheme ? (AGTTM/QGTTM - Part 2 - 4.7.3)

  Yes

  No

  N/A

• Is there a risk assessment to support the traffic guidance scheme ? (AGTTM/QGTTM - Part 2 - 3.3)

  Yes

  No

  N/A

• is there a Signage Checklist completed everyday ? (AGTTM/QGTTM - Part 8 - Table 5.9)

  Yes

  No

  N/A

• Are the traffic controllers being relieved of their duty after not more than 2 hours for a period of rest or other duties of at least 15 minutes? ( "Other duties" does not include operation of a stop/slow bat to control traffic or any other duties involving standing in one position). TCASAP 2.4, AGTTM/QGTTM - Part 7 - 2.4.7

  Yes

  No

  N/A

• Is there one traffic controller per open lane? (TCASAP 4.5.2, AGTTM/QGTTM - Part 7 - 2.9.6, 2.9.7, 2.4.7)

  Yes

  No

  N/A

• Are all relevant signs and devices removed or concealed from view as soon as activity is completed or hazard ceases to exist? (AGTTM/QGTTM - Part 3 - Table 5.9)

  Yes

  No

  N/A

• Are signs permanently installed 2.2m high? (AGTTM/QGTTM - Part 3 - 6.10.5)

  Yes

  No

  N/A

• Are traffic controllers located so they are in a position to see approaching vehicles and not have their back to the traffic? (TCASAP 4.3.3, AGTTM/QGTTM - Part 7 - 2.9)

  Yes

  No

  N/A

• Traffic controllers are not directing traffic through a stop/give way sign or traffic lights ? (TCASAP 4.3.16, AGTTM/QGTTM - Part 7 - 2.8.1)

  Yes

  No

  N/A

• Are traffic controllers wearing the correct uniform? Uniform must not be faded or deteriorated (TCASAP 4.1, AGTTM/QGTTM - Part 7 - 2.5.2)

  Yes

  No

  N/A

Site Security

• Is the site fully fenced to restrict unauthorised access? (WHS Regs 298, AS 4687)

  Yes

  No

  N/A

• Is the fencing stable both under normal and adverse conditions? (AS 4687-1.3)

  Yes

  No

  N/A

• Is temporary fencing installed within the boundaries of the worksite?

  Yes

  No

  N/A

• Is fencing installed no more than three degrees out of plumb?

  Yes

  No

  N/A

• Has the fencing been tested to withstand various loads?

  Yes

  No

  N/A

• Are all components in good condition and maintained to prevent injury to public? (AS 4687-1.4)

  Yes

  No

  N/A

• Are maximum infill spaces of mesh no bigger than 75mm? (AS 4687-2.1)

  Yes

  No

  N/A

• Is access blocked underneath the fence?

  Yes

  No

  N/A

• Are braces, counterweights and base plates installed as necessary? (AS 4687-2.1.7)

  Yes

  No

  N/A

• Are hoardings installed?

  Yes

  No

  N/A

• Is plywood a minimum of 12mm thick and painted? (AS 4687-2.2)

  Yes

  No

  N/A

• Has an engineer designed, inspected and signed off the hoarding? (AS 4687-2.2.4)

  Yes

  No

  N/A

• Have fences and hoardings been installed as per manufacturers recommendations and by a competent person?

  Yes

  No

  N/A

Personal Protective Equipment

• Have workers been supplied with appropriate PPE? (WHS Regs 44)

  Yes

  No

  N/A

• Have other control measures been implemented to reduce the amount of PPE needed? (WHS Regs 36)

  Yes

  No

  N/A

• Have workers been consulted about the need for and type of PPE supplied? (WHS Act 49 & Regs s44)

  Yes

  No

  N/A

• Have workers been trained in the use and maintenance of the PPE? (WHS Regs 44)

  Yes

  No

  N/A

• Is the PPE suitable for the work, size, fit and comfort of the worker? (WHS Regs 44)

  Yes

  No

  N/A

• Is storage provided for PPE? (WHS Regs 44)

  Yes

  No

  N/A

• Is the PPE maintained, repaired and replaced as needed? (WHS Regs 44)

  Yes

  No

  N/A

Work Areas

• CODE OF PRACTICE - MANAGING THE WORK ENVIRONMENT AND FACILITIES

• Is there safe access and egress to and from work areas, both under normal conditions and an emergency? (WHS Regs 40)

  Yes

  No

  N/A

• Are there walkways to separate workers from moving plant? (WHS Regs s215-4)

  Yes

  No

  N/A

• Are access routes free of obstructions and stored materials? (WHS Regs s40)

  Yes

  No

  N/A

• Are aisles and walkways at least 600mm wide?

  Yes

  No

  N/A

• Is access to and from work areas adequately lit? (40 lux) (AS 3012)

  Yes

  No

  N/A

• Are there handrails on at least one side of every stairway? (AS 1657)

  Yes

  No

  N/A

• Are work areas adequately lit? (160 lux) (AS 3012)

  Yes

  No

  N/A

• Is there enough space for workers to carry out work without risks to heath and safety? (WHS Regs 40)

  Yes

  No

  N/A

• Are the location of exits clearly marked and are there signs showing directions to exits posted?

  Yes

  No

  N/A

Manual Tasks

• CODE OF PRACTICE - HAZARDOUS MANUAL TASKS

• Has a risk assessment been performed for hazardous manual tasks? (WHS Regs 34)

  Yes

  No

  N/A

• Have other options been explored to avoid heavy lifting?

  Yes

  No

  N/A

• Workers are not repetitively lifting objects heavier than 20kg?

  Yes

  No

  N/A

• Are workers lifting heavy objects suitably?

  Yes

  No

  N/A

• Have workers been trained in correct lifting techniques?

  Yes

  No

  N/A

Amenities

• CODE OF PRACTICE - MANAGING THE WORK ENVIRONMENT AND FACILITIES

• Are there adequate amenities for all workers on site?

  Yes

  No

  N/A

• Are amenities hygienic, ventilated and well lit? (WHS Regs 41)

  Yes

  No

  N/A

• Are there covered walkways to access amenities in the event of inclement weather?

  Yes

  No

  N/A

• Is there enough space to seat all workers on site at one time? (1m2 per person)

  Yes

  No

  N/A

• Are there enough toilets for workers? (1 per 15 workers) (WHS Regs 41)

  Yes

  No

  N/A

• On multi-storey buildings are toilets located on at least every second floor?

  Yes

  No

  N/A

• Are toilets clean, hygienic, well lit and easily accessible? (WHS Regs 41)

  Yes

  No

  N/A

• Are there enough hand-washing basins provided? (1 in 30 workers)

  Yes

  No

  N/A

• Do workers have easy access to cool, clean drinking water?

  Yes

  No

  N/A

• Are workers required to change in and out of clothes?

  Yes

  No

  N/A

• Are change rooms clean, hygienic and well lit?

  Yes

  No

  N/A

• Are change rooms a comfortable temperature for workers to change in?

  Yes

  No

  N/A

• Is there a clear space of 0.5m per worker?

  Yes

  No

  N/A

• Is there enough seating for workers to get changed?

  Yes

  No

  N/A

• Are there mirrors either inside or directly outside?

  Yes

  No

  N/A

• Is there an adequate number of hooks and/or shelves?

  Yes

  No

  N/A

• Does the work undertaken require showers to be supplied?

  Yes

  No

  N/A

• Is there at least 1 shower for every 10 workers?

  Yes

  No

  N/A

• Do showers have a clean, slip-free surface?

  Yes

  No

  N/A

• Is there a floor area of at least 1.8m2?

  Yes

  No

  N/A

• Are partitions at least 1650mm high and no higher than 300mm above the floor?

  Yes

  No

  N/A

• Is there a dressing area containing a seat and hooks?

  Yes

  No

  N/A

• Does every shower have a lockable door?

  Yes

  No

  N/A

First Aid

• CODE OF PRACTICE - FIRST AID IN THE WORKPLACE (SWA)

• Is there adequate first aid facilities at the workplace? (WHS Regs 42)

  Yes

  No

  N/A

• Are first aid locations clearly marked?

  Yes

  No

  N/A

• Are there enough trained first aiders, 1 for every 25 workers? (WHS Regs 42)

  Yes

  No

  N/A

• Is there a first aid room?

  Yes

  No

  N/A

• Is the room hygienic, ventilated and well lit?

  Yes

  No

  N/A

• Is it easily accessible, with a minimum door width of 1m?

  Yes

  No

  N/A

• Is there adequate first aid equipment? (WHS Regs 42)

  Yes

  No

  N/A

• Is the first aid kit regularly checked and restocked?

  Yes

  No

  N/A

• Are first aid records kept on site?

  Yes

  No

  N/A

• CODE OF PRACTICE - MANAGING ELECTRICAL RISKS IN THE WORKPLACE (SWA)

• Is electrical equipment regularly tested and tagged? (WHS Regs 150, AS/NZS 3012-3.1)

  Yes

  No

  N/A

• Are records kept of all testing and tagging? (AS/NZS 3012-3.1)

  Yes

  No

  N/A

• Does wiring have protection against mechanical damage? (AS/NZS 3012 2.5.3)

  Yes

  No

  N/A

• Are distribution boards located so no leads need to be piggy-backed? (AS/NZS 3012-2.3)

  Yes

  No

  N/A

• Is there suitable protection from damage/weather? (AS/NZS 3012-2.3)

  Yes

  No

  N/A

• Do boards have lockable, hinged doors? (AS/NZS 3012-2.3)

  Yes

  No

  N/A

• Are insulated "tie bars" fitted for leads? (AS/NZS 3012 2.3.2)

  Yes

  No

  N/A

• Are RCD's located inside the box with lockable covers? (AS/NZS 3012-2.4)

  Yes

  No

  N/A

• Is there an isolation switch which only a licensed electrician can reset? (AS/NZS 3012-2.4)

  Yes

  No

  N/A

• There is no wiring is attached to temporary fence panels? (AS/NZS 3012-2)

  Yes

  No

  N/A

• Is temporary construction wiring labelled every 4m? (AS/NZS 3012-2)

  Yes

  No

  N/A

• Are leads no longer than 30m? (AS/NZS 3012)

  Yes

  No

  N/A

• Are non-conductive lead stands/hooks in use? (AS/NZS 3012-2.6.9)

  Yes

  No

  N/A

• No leads are used between levels on multi-storey buildings? (AS/NZS 3012 2.6.8)

  Yes

  No

  N/A

• CODE OF PRACTICE - MANAGING THE RISK OF FALLS AT WORKPLACES

• Has a SWMS has been prepared where a worker can fall 2m or more? (WHS Regs 299)

  Yes

  No

  N/A

• Has a risk assessment been performed for all other heights? (WHS Regs 78)

  Yes

  No

  N/A

• Is the highest measure in the hierarchy of control being implemented? (WHS Regs 79)

  Yes

  No

  N/A

• Are controls inspected and maintained? (WHS Regs 37)

  Yes

  No

  N/A

• Are emergency and rescue procedures in place? (WHS Regs 80)

  Yes

  No

  N/A

• Are warning signs in place highlighting the risk of falls? (WHS Regs 79)

  Yes

  No

  N/A

• Is guard rail securely fixed? (WHS Regs 79)

  Yes

  No

  N/A

• Is guard rail between 900mm and 1100mm high and contains a mid rail and toe-boards or mesh infill?

  Yes

  No

  N/A

• Are penetrations covered immediately and securely fixed and marked? (WHS Regs 306(f))

  Yes

  No

  N/A

• Is cover strong enough to prevent persons or objects falling through?

  Yes

  No

  N/A

• Is roofing work being performed?

  Yes

  No

  N/A

• Is guard rail or scaffold installed to suit roof pitch?

  Yes

  No

  N/A

• Is safety mesh installed that complies with AS/NZS 4389?

  Yes

  No

  N/A

• Is mesh lapped 150mm and tied off 4-5 times on each longitudinal wire?

  Yes

  No

  N/A

• Are harnesses being used? (AS/NZS 1891)

  Yes

  No

  N/A

• Are harnesses being used as a last resort?

  Yes

  No

  N/A

• Have workers been trained in using harnesses?

  Yes

  No

  N/A

• Are harnesses in good condition and inspected regularly?

  Yes

  No

  N/A

• Are harnesses only connected to suitable anchorage points? (AS/NZS 1891)

  Yes

  No

  N/A

Ladders

• Are ladders maintained and inspected regularly?

  Yes

  No

  N/A

• Are all ladders rated for industrial use only of at least 120kg? (AS/NZS 1892)

  Yes

  No

  N/A

• Are ladders only used for light duty work for a short duration?

  Yes

  No

  N/A

• Are ladders secured from movement in all directions?

  Yes

  No

  N/A

• Are ladders installed at the correct angle of 4:1?

  Yes

  No

  N/A

• Does the ladder extend at least 1m above the landing?

  Yes

  No

  N/A

• Are three points of contact maintained at all times?

  Yes

  No

  N/A

• Do trestle ladders have a platform width of at least 450mm?

  Yes

  No

  N/A

• No ladders are used on balconies?

  Yes

  No

  N/A

• AS 1576 SCAFFOLDING, AS 1577 SCAFFOLD PLANKS, AS/NZS 4576 GUIDELINES FOR SCAFFOLDING

• Was scaffolding over 4m erected by a competent person? (WHS Regs 225)

  Yes

  No

  N/A

• Has scaffold been inspected and signed off? (WHS Regs 225)

  Yes

  No

  N/A

• Is sign-off tag displayed in a conspicuous location?

  Yes

  No

  N/A

• Are incomplete scaffolds appropriately closed and signage installed to prevent unauthorised access? (WHS Regs s225)

  Yes

  No

  N/A

• Is scaffold erected on firm, level ground?

  Yes

  No

  N/A

• Are mesh/screens installed where objects can fall?

  Yes

  No

  N/A

• Has public protection been provided?

  Yes

  No

  N/A

• Have only compatible components been used?

  Yes

  No

  N/A

• Is there adequate bracing installed, every third bay the full height of the structure?

  Yes

  No

  N/A

• Are ties at no more than 4m vertical intervals and within 2m of the top?

  Yes

  No

  N/A

• Is regular maintenance and inspections carried out by a competent person? (WHS Regs 213)

  Yes

  No

  N/A

• Are records are kept on site? (WHS Regs 237)

  Yes

  No

  N/A

• Are guardrailings, toeboards and mesh screens installed wherever a person or object could fall 2m or more? (AS/NZS 1576 3.5)

  Yes

  No

  N/A

• Is there safe access and egress to and from working platforms? (AS/NZS 1576 3.6, WHS Regs s40)

  Yes

  No

  N/A

• Is the gap between the working face of the scaffold and structure less than 225mm? (AS/NZS 1576 3.5.5, WHS Regs s306E)

  Yes

  No

  N/A

• Are there self-closing access gates/hatches installed at top of ladders?

  Yes

  No

  N/A

• Are ladders/stairs in good condition?

  Yes

  No

  N/A

• Are ladders installed at 1:4 and secured against displacement in any direction? (AS/NZS 1576 3.6.4)

  Yes

  No

  N/A

Mobile Scaffolds

• Mobile scaffolds are erected by a competent person?

  Yes

  No

  N/A

• Are they built according to manufacturers specifications?

  Yes

  No

  N/A

• Is scaffold only accessed via an internal ladder?

  Yes

  No

  N/A

• Are wheels locked when in use?

  Yes

  No

  N/A

• Are mobile scaffolds only used on a firm level surface?

  Yes

  No

  N/A

• Scaffold are not moved while people are on platform?

  Yes

  No

  N/A

• CODE OF PRACTICE - FORMWORK

• Are designer/engineer drawings available on site? (WHS Regs 295)

  Yes

  No

  N/A

• Has an engineer signed off on any modifications?

  Yes

  No

  N/A

• Is appropriate signage erected to restrict unauthorised entry?

  Yes

  No

  N/A

• Are installers properly trained to erect formwork using safe methods?

  Yes

  No

  N/A

• Are braces installed to prevent movement?

  Yes

  No

  N/A

• Timber footings are not used where they can be under water?

  Yes

  No

  N/A

• Are bearers and joists in good condition?

  Yes

  No

  N/A

• Is plywood in good condition and labelled appropriately?

  Yes

  No

  N/A

• Is edge protection installed as soon as possible?

  Yes

  No

  N/A

• Are designated access ways defined?

  Yes

  No

  N/A

• There are no gaps in false decks wider than 250mm?

  Yes

  No

  N/A

• Are work platforms at least 450mm wide?

  Yes

  No

  N/A

• Are penetrations covered immediately, secured and marked? (WHS Regs 306 (f))

  Yes

  No

  N/A

• Has an engineer inspected and signed off before concrete pouring commences?

  Yes

  No

  N/A

• Is access restricted during erection, pours and stripping?

  Yes

  No

  N/A

• Has an engineer signed off before stripping commences?

  Yes

  No

  N/A

• CODE OF PRACTICE - MOVING PLANT ON CONSTRUCTION SITES

• Is there a plant register kept on site?

  Yes

  No

  N/A

• Is a copy of the manufacturers specifications available? (WHS Regs 198)

  Yes

  No

  N/A

• Does it comply with manufacturers recommendations? (WHS Regs 202)

  Yes

  No

  N/A

• Is the design registration readily accessible? (WHS Regs 260)

  Yes

  No

  N/A

• Plant is only used for the purpose which it is designed? (WHS Regs 206)

  Yes

  No

  N/A

• Does the operator/installer have appropriate license/competency? (WHS Regs 81)

  Yes

  No

  N/A

• Are log books kept and up to date? (WHS Regs 237)

  Yes

  No

  N/A

• Has a Safe Work Method Statement (SWMS) been prepared for the work? (WHS Regs s299)

  Yes

  No

  N/A

• Is the SWMS being followed? (WHS Regs s300)

  Yes

  No

  N/A

• Are all controls and instruments clearly labelled, marked and operating correctly - including lights, horn, emergency cutoff, brakes, gauges etc.? (WHS Regs s206)

  Yes

  No

  N/A

• Is there a fire extinguisher fitted? (WHS Regs s203)

  Yes

  No

  N/A

• Has routine maintenance been performed as per manufacturer's specifications?

  Yes

  No

  N/A

• Have the major inspections been completed as per the manufacturer's specifications?

  Yes

  No

  N/A

• There are no obvious signs of oil leaks?

  Yes

  No

  N/A

• Are reverse alarm and warning devices fitted? (WHS Regs 192)

  Yes

  No

  N/A

• Is a seat belt fitted and in use? (WHS Regs 206)

  Yes

  No

  N/A

• Are controls in place to separate pedestrians from moving plant and machinery? (WHS Regs 215)

  Yes

  No

  N/A

Power/Hand Tools

• Are tools being used for their intended purpose?

  Yes

  No

  N/A

• Is adequate storage provided?

  Yes

  No

  N/A

• Are tools in good working condition?

  Yes

  No

  N/A

• Have workers been trained in the correct use of tools? (WHS Regs s39)

  Yes

  No

  N/A

• Are guards and safety devices fitted and not altered? (WHS Regs 208)

  Yes

  No

  N/A

Specific Plant Assessments

• Concrete pumps and placement booms

• Is there a logbook kept on the pump and available for inspection?

  Yes

  No

  N/A

• Is the logbook maintained and kept up to date?

  Yes

  No

  N/A

• Does the logbook show daily pre-operation inspections?

  Yes

  No

  N/A

• Does the logbook show routine maintenance inspections? (WHS Regs s213)

  Yes

  No

  N/A

• Does the logbook show annual inspections?

  Yes

  No

  N/A

• Is the assessment for service (six year major) current?

  Yes

  No

  N/A

• Has pipeline thickness testing been performed regularly (for single wall)?

  Yes

  No

  N/A

• Is there a procedure for pipe discard (twin wall)?

  Yes

  No

  N/A

• Is there an instruction manual kept with the pump unit which includes; set up procedures, operating instructions, clean out procedures, and maintenance procedures?

  Yes

  No

  N/A

• Has the operator received appropriate training, information and instruction for this particular pump? (WHS Regs s39)

  Yes

  No

  N/A

• Has the line hand received the same inductions?

  Yes

  No

  N/A

• Are there documented records of worker training and inductions?

  Yes

  No

  N/A

• Are there any outstanding enforcement notices on the concrete pump?

  Yes

  No

  N/A

• For mobile boom pumps, is there a current plant registration?

  Yes

  No

  N/A

• For mobile boom pumps, does the operator hold the relevant High Risk Work Licence (HRWL)?

  Yes

  No

  N/A

• Does the truck have the appropriate fixed compliance plant and/or certification for its use?

  Yes

  No

  N/A

• Is the operator aware of appropriate exclusion zones for electrical conductors?

  Yes

  No

  N/A

• Is there a Safe Work Method Statement (SWMS)? (WHS Regs s299)

  Yes

  No

  N/A

• Is the work being carried out in accordance with the SWMS? (WHS Regs s300)

  Yes

  No

  N/A

• Does the SWMS identify hazards and appropriate controls?

  Yes

  No

  N/A

• Are warning and operational signs fitted?

  Yes

  No

  N/A

• Is there a warning device fitted that can be operated from the ground near the hopper area?

  Yes

  No

  N/A

• Are there easily accessible emergency stops fitted? (WHS Regs s291)

  Yes

  No

  N/A

• Is there easy, safe access onto the pump?

  Yes

  No

  N/A

• Are there any uncontrolled slip, trip, or protrusion hazards?

  Yes

  No

  N/A

• Do the air reservoir tanks have a pressure gauge fitted?

  Yes

  No

  N/A

• Is there a blow off or safety valve fitted on the tanks?

  Yes

  No

  N/A

• Is there an indication that the module mounting bolts are loose or missing?

  Yes

  No

  N/A

• Are there any visible cracks in the chassis or module?

  Yes

  No

  N/A

• Are all the controls for the boom and outrigger operation clearly marked and visible?

  Yes

  No

  N/A

• Are all pressure gauges and controls clearly marked and functional on the control panel?

  Yes

  No

  N/A

• Is there a safety chain, sling or other retaining device fitted to the drop hose and reducer?

  Yes

  No

  N/A

• Does the drop hose comply with the manufacturers specifications?

  Yes

  No

  N/A

• Are all retaining clamps fitted to quick release pipe clamps?

  Yes

  No

  N/A

• Do the clamps appear to be in good condition?

  Yes

  No

  N/A

• Are the clamps marked with their maximum operating pressure?

  Yes

  No

  N/A

• Are high pressure clamps used at the hopper end?

  Yes

  No

  N/A

• Does the pipeline appear to be in good condition?

  Yes

  No

  N/A

• Are there any visible cracks in the boom?

  Yes

  No

  N/A

• Are there any signs that any boom pins are worn or are there missing retainers or keepers?

  Yes

  No

  N/A

• Are there any visible oil leaks?

  Yes

  No

  N/A

• Are there any damaged hydraulic hoses?

  Yes

  No

  N/A

• Are there any exposed moving parts (eg. fans, shafts, pulleys or unguarded gears)? (WHS Regs s194)

  Yes

  No

  N/A

• Are the stabiliser legs/outriggers in good condition?

  Yes

  No

  N/A

• Are pads/timbers provider under outrigger feet?

  Yes

  No

  N/A

• Can the outriggers be securely locked in place when the pump is in travel mode?

  Yes

  No

  N/A

• If short legging is used, does the manufacturer allow it and are there written procedures?

  Yes

  No

  N/A

• If there is a risk of collision with the boom is there a procedure to help prevent this?

  Yes

  No

  N/A

• Is a hopper grill in place that provides adequate protection from moving parts? (WHS Regs s194)

  Yes

  No

  N/A

• Do the agitator paddles and valve system stop when the grill is lifted?

  Yes

  No

  N/A

• Does the accumulator drop all pressure when the grill is lifted?

  Yes

  No

  N/A

• If compressed air is used for cleaning out the lines, is there a system to indicate when the line is pressurised?

  Yes

  No

  N/A

• Is the dump valve on the blow out head twice the size as the inlet valve?

  Yes

  No

  N/A

• Are controls in place to prevent the sponge ball from becoming a dangerous projectile?

  Yes

  No

  N/A

• Is suitable Personal Protective Equipment (PPE) worn by the operator and the line hand?

  Yes

  No

  N/A

• Is a sufficient and hygienic First Aid kit provided?

  Yes

  No

  N/A

• Is traffic management being conducted in a safe manner?

  Yes

  No

  N/A

• To reduce the risk of hose whip, is there a safety observer in place during pump operation to monitor the level of concrete in the hopper to ensure air is not sucked into the pump system?

  Yes

  No

  N/A

• If the boom is a 32m Daewoo or Everdigm boom, has the issue of boom collapse near the wear plates been addressed?

  Yes

  No

  N/A

• Piling Rigs

• Are Compliance/ID Plates fitted to the machine?

  Yes

  No

  N/A

• Are load charts fitted inside the cabin?

  Yes

  No

  N/A

• Are the tracks in good condition, with no obvious signs of damage to treads or sprockets?

  Yes

  No

  N/A

• Is cabin kept neat and tidy to allow safe operation?

  Yes

  No

  N/A

• Are all chains fitted with tags identifying Safe Working Loads (SWL's), serial numbers and test dates?

  Yes

  No

  N/A

• Does all other lifting equipment have SWL's, serial numbers and test dates clearly marked?

  Yes

  No

  N/A

• Is there means for effective communication in place between the operator, offsiders, supervisors and others?

  Yes

  No

  N/A

• Is there an effective operational safety zone (OSZ) set up?

  Yes

  No

  N/A

• The equipment is not operating within the "no go zone" near overhead powerlines?

  Yes

  No

  N/A

• Are exclusion zones set up within the OSZ to prevent access to high risk areas?

  Yes

  No

  N/A

• Has a competent person (e.g. Geotechnical Engineer) inspected and signed off the piling pads prior to works commencing or after serious weather events?

  Yes

  No

  N/A

• Hoists

• Has the hoist been installed as per engineers recommendations? (WHS Regs s201)

  Yes

  No

  N/A

• Is the mast plumb with no obvious damage to the mast or rollers?

  Yes

  No

  N/A

• Are the mast ties installed at intervals specified in the operations manual or engineering drawings? (WHS Regs 202)

  Yes

  No

  N/A

• Is the hoist power supplied directly from the main switchboard not a sub board? (AS3012 Appendix J)

  Yes

  No

  N/A

• Is electrical equipment/cables contained and protected against mechanical damage? (AS3012)

  Yes

  No

  N/A

• Does the hoist encroach on any "no go zones" for overhead powerlines?

  Yes

  No

  N/A

• Has the operator been trained specifically for the model in operation? (WHS Regs 39)

  Yes

  No

  N/A

• Can the operator describe the method required for resetting the overspeed device? (AS 2550.7-7.2.1)

  Yes

  No

  N/A

• Can the operator describe the procedure for lowering the car in the event of an emergency?

  Yes

  No

  N/A

• Are the make, model, serial number and Safe Working Load (SWL) prominently displayed inside the car? (AS1418.7-4.7)

  Yes

  No

  N/A

• Does the overspeed safety device have a metal plate fitted that is readily visible and marked with the maximum speed in m/sec, the manufacturer and serial number, and the retest date of the gear? (AS1418.7-4.5.7.4)

  Yes

  No

  N/A

• Has the daily pre-operational inspection been completed? (AS2550.7-7.2.2 & 9.2)<br><br>Checks should include;<br>- operating and emergency controls<br>- safety switches and interlocks<br>- structure<br>- cables and wiring<br>- placards, decals, warnings, control markings, operating manuals and logbooks<br>- access provisions<br>- guarding<br>- cleanliness, including build-up of building materials or waste under the platform<br>- freedom of movement of the hoist, including ensuring that there are no external obstructions in the hoists path<br>- items specified by the management

  Yes

  No

  N/A

• Are all safety related problems rectified prior to using the hoist?

  Yes

  No

  N/A

• Is the car free from excessive damage?

  Yes

  No

  N/A

• Is the hoist provided with both normal and emergency lighting? (WHS Regs 40 & AS1418.7-4.6.2.4)

  Yes

  No

  N/A

• Are the operator controls inside the car, functioning as intended, in good condition, and clearly marked? (WHS Regs 210)

  Yes

  No

  N/A

• Are the emergency stops clearly marked and functioning as intended? (AS1418.7-4.5.9)

  Yes

  No

  N/A

• Are the final limit switches functioning correctly? (AS1418.7-4.5.14)

  Yes

  No

  N/A

• Is there adequate access to the roof of the car?

  Yes

  No

  N/A

• Is there adequate compliant handrail on the roof? (WHS Regs 306E & AS1657)

  Yes

  No

  N/A

• Is the floor of the car and all landings free of materials and debris? (WHS Act 20 & 40)

  Yes

  No

  N/A

• is the risk of falling objects adequately controlled at each landing? (WHS Regs 55)

  Yes

  No

  N/A

• Is the risk of falls adequately controlled at each landing? (WHS Regs 78)

  Yes

  No

  N/A

• AS 1418 CRANES, HOISTS AND WINCHES-GENERAL REQUIREMENTS, AS 2550 CRANES, HOISTS AND WINCHES-SAFE USE

• Are cranes in use on site?

  Yes

  No

  N/A

• Is the crane registered? (WHS Regs 266)

  Yes

  No

  N/A

• Are all records kept on site? (WHS Regs 237, AS 2550.1-6.2)

  Yes

  No

  N/A

• Are regular maintenance checks done by a competent person? (WHS Regs 235, AS 2550.1-6.2)

  Yes

  No

  N/A

• Does the crane comply with manufacturers specifications and have no modifications or alterations? (AS 2550.1-6.3)

  Yes

  No

  N/A

• Have daily pre-start checks been completed? (AS 2550.1-6.1)

  Yes

  No

  N/A

• Are log books completed and up to date? (AS 2550.1-7.3)

  Yes

  No

  N/A

• Are clearance zones established around the cranes? (AS 2550.1-4.3)

  Yes

  No

  N/A

• Are no go zones setup for not coming within 6m of powerlines or 3m with a qualified spotter? (AS 2550.1-6.19)

  Yes

  No

  N/A

• Are safe systems and procedures in place to avoid collisions with other cranes, people or plant? (WHS Regs 214, AS 2550.1-4.5)

  Yes

  No

  N/A

• Is 10kPa overhead protection provided to sheds and amenities? (WHS Regs s315K)

  Yes

  No

  N/A

• Are drivers and doggers appropriately licensed? (AS 2550.1-6.2, WHS Regs s81)

  Yes

  No

  N/A

• Are there enough doggers to handle the workload?

  Yes

  No

  N/A

• Are there documented lifting procedures in place for special lifts? (AS 2550.1)

  Yes

  No

  N/A

• Are wind/weather conditions monitored? (AS 2550.1-6.22)

  Yes

  No

  N/A

• Are emergency procedures in place? (AS 2550.1-6.2, WHS Regs s43)

  Yes

  No

  N/A

Mobile Cranes

• Are mobile cranes in use on site?

  Yes

  No

  N/A

• Does the crane have the CraneSafe green sticker displayed?

  Yes

  No

  N/A

• Is the crane setup on firm, level ground rated to take it's load?

  Yes

  No

  N/A

• Is the crane fitted with outriggers?

  Yes

  No

  N/A

• Are they;

• Set correctly according to the manufacturers recommendations?

  Yes

  No

  N/A

• On pads fully supported by ground?

  Yes

  No

  N/A

• Set to lift all wheels off the ground?

  Yes

  No

  N/A

• Is the proper counter weight being used?

  Yes

  No

  N/A

• Are tag lines used for pick and carry operations?

  Yes

  No

  N/A

Vehicle Loading Cranes

• Are vehicle loading cranes being used on site?

  Yes

  No

  N/A

• Is the operator competent?

  Yes

  No

  N/A

• Have stabilisers been setup as manufacturers specifications?

  Yes

  No

  N/A

• Are wheels still on the ground?

  Yes

  No

  N/A

• Is tyre pressure correct, as per manufacturers specifications?

  Yes

  No

  N/A

Tower Cranes

• Are tower cranes erected on site?

  Yes

  No

  N/A

• Has the CFMEU been notified before erection?

  Yes

  No

  N/A

• Have pre-erection inspections been completed?

  Yes

  No

  N/A

• Have pre-commissioning inspections been completed?

  Yes

  No

  N/A

• Has the operator received documented familiarisation training, must be kept by the PCBU and the operator; (section 9.2 Tower Crane code of Practice 2017)

  Yes

  No

  N/A

• Has crane crew undertaken refresher training; section (9.3 Tower Crane Code of Practice 2017)

  Yes

  No

  N/A

• Has the refresher training been undertaken between 2.5-3years of receiving their high risk license or since attending their most recent refresher training. (Section 9.3.1 Tower Crane Code of Practice 2017)

  Yes

  No

  N/A

• Is there a documented record of refresher training? This must be kept in a log book. (section 9.3.2 Tower Crane Code of Practice 2017)

  Yes

  No

  N/A

• Does the documented record of refresher training include? (section 9.3.2 Tower Crane Code of Practice 2017)<br>1. THE PERSONS NAME, ADDRESS, AND SIGNATURE<br>2. THE PERSONS HIGH RISK WORK LICENCE NUMBER<br>3. THE DATES AND TIMES OF THE TRAINING<br>4. DETAILS OF THE TRAINING.

  Yes

  No

  N/A

• Has the operator had fire extinguisher training? (WHS Regs s39)

  Yes

  No

  N/A

• Has there been a ten yearly inspection of the tower crane. (Section 10.7 Tower Crane Code of Practice 2017 and the WHS Regs 235(c))

  Yes

  No

  N/A

• Has an annual inspection been undertaken as part of the registration of the crane? (Section 10.6 Tower Crane Code of Practice 2017)

  Yes

  No

  N/A

• Has all lifting gear, including slings, hooks, and material boxes had an annual inspection with those documents available on site. (Section 7.2.1 Tower Crane Code of Practice 2017)

  Yes

  No

  N/A

• Has synthetic fibre, Round Slings undertaken a three monthly inspection with documented records on site. (Section 7.2.1 Tower Crane Code of Practice 2017)

  Yes

  No

  N/A

• Are there internal handrails on the tower crane landings to prevent falling internally? (Section 7.3.2 Tower Crane Code of Practice 2017)

  Yes

  No

  N/A

• Has there been an emergency plan developed to evacuate the operator from the tower crane. (Section 43 WHS Regs)

  Yes

  No

  N/A

• Has the emergency procedure been tested to evacuate the operator from the tower crane. (section 43 WHS Regs, COP 3.5)

  Yes

  No

  N/A

• Does crane have CraneSafe green sticker displayed?

  Yes

  No

  N/A

• Is base fully enclosed with 1.8m fencing?

  Yes

  No

  N/A

• Do operators have safe access and egress? (AS 2550.1-6.2 and the WHS Regs 40)

  Yes

  No

  N/A

• Is the crane remotely operated?

  Yes

  No

  N/A

• Are the following measures in place; (AS 2550.1-6.3)

• Operator works from a designated area which is close to the crane and can maintain good visibility of the load?

  Yes

  No

  N/A

• Operator remains stationary when the load is in motion?

  Yes

  No

  N/A

• Are Doggmen directing the operator whenever the load is out of sight?

  Yes

  No

  N/A

• The remote control is protected from unauthorised use?

  Yes

  No

  N/A

Lifting Equipment

• AS 4991 LIFTING DEVICES, AS 1353 FLAT SYNTHETIC-WEBBING SLINGS, AS 1380 FIBRE-ROPE SLINGS, AS 1666 WIRE-ROPE SLINGS, AS 4497 ROUNDSLINGS-SYNTHETIC FIBRE, AS 1418 CRANES, HOISTS AND WINCHES-GENERAL REQUIREMENTS

• Is there a register of all lifting equipment?

  Yes

  No

  N/A

• Is the working load limit (WLL) clearly displayed?

  Yes

  No

  N/A

• Is an identification number displayed?

  Yes

  No

  N/A

• Do hooks have operable safety latches fitted?

  Yes

  No

  N/A

• Is the correct lifting equipment being used for the load?

  Yes

  No

  N/A

• Are loads slung correctly and safely?

  Yes

  No

  N/A

• Is equipment stored correctly?

  Yes

  No

  N/A

• Is equipment in good condition and inspected regularly?

  Yes

  No

  N/A

• Are soft slings being used?

  Yes

  No

  N/A

• Are they;

• Inspected before each use and at least once every three months?

  Yes

  No

  N/A

• Proof load tested every twelve months?

  Yes

  No

  N/A

• Free of external wear, cuts and abrasions?

  Yes

  No

  N/A

• Not discoloured from sunlight, high temperatures or chemical exposure?

  Yes

  No

  N/A

• Fitted with undamaged clear labels or tags?

  Yes

  No

  N/A

• Stored in a clean, dry and ventilated place?

  Yes

  No

  N/A

• Slings are not stored on the ground?

  Yes

  No

  N/A

• No slings in use have knots tied in them or are twisted?

  Yes

  No

  N/A

• Is protection in place on sharp edges?

  Yes

  No

  N/A

Man Boxes (AS 2550.1-6.18)

• Is the man box registered? (WHS Regs Schedule 5)

  Yes

  No

  N/A

• Are emergency retrieval plans in place before any workers are lifted?

  Yes

  No

  N/A

• Is the box marked with the safe working load, tare mass and design registration number?

  Yes

  No

  N/A

• Are fall-arrest anchorage points installed?

  Yes

  No

  N/A

• Is the box supplied with lifting slings attached by hammerlocks or moused shackles?

  Yes

  No

  N/A

• Does the work box have an inward opening, self-closing door with a latch to prevent unintentional opening?

  Yes

  No

  N/A

• Is there a first aid cage on site?

  Yes

  No

  N/A

• Does the cage;

• Only get used to retrieve injured people?

  Yes

  No

  N/A

• Sit within the radius of the crane and is easily accessible?

  Yes

  No

  N/A

• Have clear first aid signage?

  Yes

  No

  N/A

• Have an outward swinging door to allow stretcher access?

  Yes

  No

  N/A

• Have fully enclosed sides to prevent falls?

  Yes

  No

  N/A

• Are hazardous chemicals being used on site?

  Yes

  No

  N/A

• Are hazardous materials correctly labelled? (WHS Regs 341)

  Yes

  No

  N/A

• Are current safety data sheets on site and easily accessible? (WHS Regs 344)

  Yes

  No

  N/A

• Is there a hazardous chemicals register kept on site and up to date? (WHS Regs 346)

  Yes

  No

  N/A

• Is there signage to warn of hazardous chemical risks? (WHS Regs 353)

  Yes

  No

  N/A

• Are there measures in place to contain and manage spills? (WHS Regs 357)

  Yes

  No

  N/A

• Is there appropriate fire protection/firefighting equipment for the types of hazardous chemicals on site? (WHS Regs 359)

  Yes

  No

  N/A

• Is correct safety equipment/PPE provided, maintained and accessible? (WHS Regs 362)

  Yes

  No

  N/A

• Are workers trained and supervised in the correct handling of hazardous chemicals? (WHS Regs 379)

  Yes

  No

  N/A

• Has asbestos been discovered at the workplace? (WHS Regs 419)

  Yes

  No

  N/A

• Have WorkSafe QLD been notified of removal? (WHS Regs 466)

  Yes

  No

  N/A

• Has an occupational hygienist been engaged? (WHS Regs 422)

  Yes

  No

  N/A

• Has a licensed removalist been contracted to remove asbestos? (WHS Regs 458)

  Yes

  No

  N/A

• Have workers been trained? (WHS Regs 445)

  Yes

  No

  N/A

• Is there an asbestos management plan in place? (WHS Regs 429)

  Yes

  No

  N/A

• Does the plan include;

• Processes for reviewing and keeping the plan up to date?

  Yes

  No

  N/A

• The identification of asbestos or ACM?

  Yes

  No

  N/A

• Reasons for decisions, about the management of asbestos?

  Yes

  No

  N/A

• Procedures for dealing with asbestos emergencies?

  Yes

  No

  N/A

• Information for workers responsibilities, consultation, information and training?

  Yes

  No

  N/A

• Has an asbestos register been prepared for the workplace? (WHS Regs 425)

  Yes

  No

  N/A

• Does the register include;

• Regular reviews and updating? (WHS Regs 426)

  Yes

  No

  N/A

• Identification of asbestos or ACM presence?

  Yes

  No

  N/A

• The date on which it was identified?

  Yes

  No

  N/A

• The location, type and condition of the asbestos or ACM?

  Yes

  No

  N/A

• Has an asbestos removal control plan been prepared? (WHS Regs 464)

  Yes

  No

  N/A

• Does the plan include;

• Details of how the work will be carried out including method, tools, equipment and PPE?

  Yes

  No

  N/A

• Details of the asbestos to be removed including location, type and condition?

  Yes

  No

  N/A

• Has a copy has been provided to the principal contractor?

  Yes

  No

  N/A

• Has the site been cleared by occupational hygienists? (WHS Regs 473)

  Yes

  No

  N/A

• Is there a clearance certificate on site? (WHS Regs 474)

  Yes

  No

  N/A

• Is there an Environmental Management Plan in place? (ISO 14001)

  Yes

  No

  N/A

• Does the plan include;

• Which licenses, consents and approvals are required?

  Yes

  No

  N/A

• How compliance with environmental legislation will be achieved?

  Yes

  No

  N/A

• Instructions on how contractors must meet obligations?

  Yes

  No

  N/A

• Procedures for dealing with environmental emergencies?

  Yes

  No

  N/A

• Procedures for reviewing and updating the plan?

  Yes

  No

  N/A

Water

• Is there a Water Quality Management Plan in place?

  Yes

  No

  N/A

• Does the plan include;

• Use of silt fences and traps?

  Yes

  No

  N/A

• Procedures for de-watering including testing and permits?

  Yes

  No

  N/A

• Paint, truck and concrete washouts?

  Yes

  No

  N/A

• Plans for collecting and discharging storm-water and ground-water?

  Yes

  No

  N/A

• Measures to avoid the release of contaminates into waterways/drainage systems?

  Yes

  No

  N/A

• Are controls in use and maintained?

  Yes

  No

  N/A

Erosion and Sediment

• Is there an Erosion and Sediment Control Plan in place?

  Yes

  No

  N/A

• Does the plan include;

• Use of sediment fences?

  Yes

  No

  N/A

• Measures for controlling stockpiles?

  Yes

  No

  N/A

• Cattle grids and street sweeping to prevent mud and dirt on the roadways?

  Yes

  No

  N/A

• Sediment control barriers/filtration for drains?

  Yes

  No

  N/A

• Stabilisation of soils that will be exposed for more than 28 days?

  Yes

  No

  N/A

• Are controls in use and maintained?

  Yes

  No

  N/A

Dust and Air

• Is there a Dust and Air Quality Protection Plan in place?

  Yes

  No

  N/A

• Does the plan include;

• Controls so that no dust, fumes, odours or chemical emissions are released beyond site boundaries?

  Yes

  No

  N/A

• Dust suppression measures?

  Yes

  No

  N/A

• Procedures to meet DA requirements and monitoring?

  Yes

  No

  N/A

• Speed limits to lower dust generation?

  Yes

  No

  N/A

• Gravel on haul roads and high traffic areas?

  Yes

  No

  N/A

• Mesh on perimeter fences to act as wind protection and prevent dust from leaving?

  Yes

  No

  N/A

• Maintenance of plant and equipment?

  Yes

  No

  N/A

• Monitoring of vehicle emissions?

  Yes

  No

  N/A

• Covering of loads?

  Yes

  No

  N/A

• Are controls in use and maintained?

  Yes

  No

  N/A

Noise and Vibration

• Is there a Noise and Vibration Management Plan in place?

  Yes

  No

  N/A

• Does the plan include;

• Work is conducted within work hours as defined by council?

  Yes

  No

  N/A

• Noise emission from plant is kept low? (WHS Regs 59)

  Yes

  No

  N/A

• Workers are not exposed to excessive noise, above 85dB/8h or above 140dB? (WHS Regs 57)

  Yes

  No

  N/A

• Workers are provided with audiometric testing? (WHS Regs 58)

  Yes

  No

  N/A

• Excessive vibration is monitored?

  Yes

  No

  N/A

• Neighbours are contacted about excessive noise and vibration?

  Yes

  No

  N/A

• Are controls in use and maintained?

  Yes

  No

  N/A

Waste

• Is there a Waste Management Plan in place?

  Yes

  No

  N/A

• Does the plan include;

• Storage areas for separation, collection and recycling?

  Yes

  No

  N/A

• The use of licensed contractors to remove waste?

  Yes

  No

  N/A

• Recycling of materials from the site office?

  Yes

  No

  N/A

• Receipts are kept for disposal of waste?

  Yes

  No

  N/A

• Waste minimisation measures for contractors?

  Yes

  No

  N/A

• Procedures for dealing with contaminated waste?

  Yes

  No

  N/A

• Are controls in use and maintained?

  Yes

  No

  N/A

• CODE OF PRACTICE - CONFINED SPACES

• Is work being carried out in confined spaces?<br><br>WHS Regulations 2011 section 5 <br>CONFINED SPACE MEANS an enclosed or partially enclosed space that:<br>(a) is not designed or intended primarily to be occupied by a person, and<br>(b) is, or is designed or intended to be, at normal atmospheric pressure while any person is in the space, and<br>(c) is or is likely to be a risk to health and safety from:<br>(i) an atmosphere that does not have a safe oxygen level, or<br>(ii) contaminants, including airborne gases, vapours and dusts, that may cause injury from fire or explosion, or<br>(iii) harmful concentrations of any airborne contaminants, or<br>(iv) engulfment,<br>

  Yes

  No

  N/A

• Has a risk assessment been done by a competent person? (WHS Regs 66)

  Yes

  No

  N/A

• Have signs been erected before and for the duration of works? (WHS Regs 68)

  Yes

  No

  N/A

• Confined space entry permits have been issued? (WHS Regs 67)

  Yes

  No

  N/A

• Does it;

• Identify the confined space to be entered?

  Yes

  No

  N/A

• Contain the names of the people entering?

  Yes

  No

  N/A

• Contain the duration of the work to be done?

  Yes

  No

  N/A

• Show measures that are in place based on the risk assessment?

  Yes

  No

  N/A

• Emergency procedures are in place including rescue? (WHS Regs 66)

  Yes

  No

  N/A

• First Aid and rescue procedures have been tested and are effective? (WHS Regs 74)

  Yes

  No

  N/A

• Are flammable gases, vapours or mist monitored? (WHS Regs 72)

  Yes

  No

  N/A

• Is continuous communication with a worker outside the confined space maintained? (WHS Regs 69)

  Yes

  No

  N/A

• Have workers been issued with and trained to use PPE including respiratory equipment? (WHS Regs 75)

  Yes

  No

  N/A

• MODEL CODE OF PRACTICE - DEMOLITION WORK

• Is there any demolition of a structure or part of a structure that is load-bearing?

  Yes

  No

  N/A

• Has WorkSafe QLD been notified? (WHS Regs 142)

  Yes

  No

  N/A

• Does the demolition contractor hold the appropriate license? (WHS Regs s143)

  Yes

  No

  N/A

• Have the necessary engineer reports been obtained?

  Yes

  No

  N/A

• Is a Demolition Plan in place?

  Yes

  No

  N/A

• Does the plan include;

• The location of the structure to be demolished?

  Yes

  No

  N/A

• The overall height of the structure and the distance from boundaries?

  Yes

  No

  N/A

• The type of structure, it's supports and materials?

  Yes

  No

  N/A

• The proposed methods of demolition and the types of plant/equipment to be used?

  Yes

  No

  N/A

• The proposed methods for handling and disposing of materials?

  Yes

  No

  N/A

• Proposed methods of controlling access and egress to the workplace?

  Yes

  No

  N/A

• The sequence of works and duration of each?

  Yes

  No

  N/A

• The proposed hoardings, scaffolding and fencing?

  Yes

  No

  N/A

• Traffic management plans?

  Yes

  No

  N/A

• Exclusion zones that are established to protect workers?

  Yes

  No

  N/A

• Essential services have been located and disconnected? (WHS Regs 304)

  Yes

  No

  N/A

• The general condition and effect on neighbouring structures and businesses?

  Yes

  No

  N/A

• Emergency arrangements and rescue plans?

  Yes

  No

  N/A

• Has a copy of the asbestos register been obtained? (WHS Regs 450)

  Yes

  No

  N/A

• Has an occupational hygienist inspected the site? (WHS Regs 451)

  Yes

  No

  N/A

• If asbestos or ACM is present, has it been removed before demolition work commenced? (WHS Regs 451)

  Yes

  No

  N/A

• Has a test been conducted for the presence of lead and other hazardous materials?

  Yes

  No

  N/A

• If there are any present, what are they?

• Are control measures in place for working with hazardous materials?

  Yes

  No

  N/A

• There is no over-lapping of demolition work and construction?

  Yes

  No

  N/A

• CODE OF PRACTICE - EXCAVATION WORK

• Are there excavation works taking place?

  Yes

  No

  N/A

• Has current information on underground essential services been obtained? (WHS Regs 304)

  Yes

  No

  N/A

• Does the information contain;

• The services which may be affected?

  Yes

  No

  N/A

• The location, including depth, of any pipes, cables or other plant?

  Yes

  No

  N/A

• Any conditions on the proposed excavation work?

  Yes

  No

  N/A

• Have workers been provided with the information? (WHS Regs 304)

  Yes

  No

  N/A

• Have the ground/soil conditions been assessed by a competent person?

  Yes

  No

  N/A

• Are control measures in place to stop a person from falling into excavations? (WHS Regs 305)

  Yes

  No

  N/A

• Are preventions in place to stop a person working in the excavation from being struck by a falling object? (WHS Regs 305)

  Yes

  No

  N/A

• Have tests/monitoring taken place to prevent anyone being exposed to airborne contaminates? (WHS Regs 305)

  Yes

  No

  N/A

• Is the excavation secured to prevent unauthorised access? (WHS Regs 306)

  Yes

  No

  N/A

• Have measures been put in place, such as shoring, benching or battering to prevent collapse? (WHS Regs 306)

  Yes

  No

  N/A

• Additional Risks/Hazards

  Media

• Notes

• Signed off by

  Sign