Information

  • Audit Title

  • Employer/Builder

  • Employer Representative/ Phone Number/ Position

  • Site Address
  • Conducted on

  • Prepared by

  • Entry to inquire suspected contraventions under section 117 WHS Act 2012

  • SafeWork SA reference number for 117 entry:

  • SafeWork SA attendance requested? Name of inspector?

Entry Permit

Entry Permit

  • Name of entry permit holder representing the Construction Forestry Mining Energy Union, giving notice pursuant to s119 of the Work Health and Safety Act 2012, reasonably suspecting that you are in contravention of the Work Health and Safety Act 2012 - s19 and the Work Health and Safety Regulations 2012 - c35, in circumstances that make it likely that the contravention will continue or be repeated.

  • Entry under (tap to select) -

  • Was entry refused or delayed? (s144)

  • Have you been hindered or obstructed while exercising any rights? (s145)

  • So far as is reasonably practicable, the particulars of the suspected contravention to which this notice relates are -

  • Your attention is drawn to (Legislation, Australian Standard, COP, guideline, etc where relevant) -

Incident Report

Incident Report

  • Date/Time of Incident -

  • Principal Contractor -

  • Sub-Contractor -

  • Health and Safety Representative -

  • Incident Type (tap to select) -

  • Primary Cause (select one) -

  • Secondary Cause (select one) -

  • Description of Incident -

  • Photos

  • Medical Treatment Required (select one) -

  • Has the regulator been notified? (s35)

  • Did an Inspector attend site?

  • Were any notices issued?

  • Weather Conditions (select one) -

  • Was the task classed as high risk construction work?

  • Was there a safe wok method statement prepared for the work?

  • Was the safe work method statement being followed?

  • Outcomes/Corrective Actions -

Management Responsibilities

Site Requirements

  • Photo of site signage -

  • Is signage displayed on ALL sides and clearly visible from outside the workplace? (clause 308 WHS Regulation 2012)

  • Does it display;

  • The principal contractor's name and telephone contact number, Including after hours? (c308-a)

  • The location of the site office? (c308-b)

  • PPE requirements for the site?

  • The presence of hazardous chemicals? (c349)

  • Is the site secured to prevent unauthorised access? (c298-1)

  • Are hazards isolated in the event of unauthorised entry occurring? (c298-2,c)

  • Have workers been site inducted? (c39)

  • Are induction records kept on site available for viewing?

  • Do all workers on site hold general construction induction cards? (c316)

  • Are all visitors inducted into site-specific risks?

  • Have necessary permits been obtained and are available on site? (Council, EPA, Regulator, Traffic etc)

Management Responsibilities

  • Has a WHS Management Plan been prepared for the workplace before commencement? (c309)

  • Does the plan include;

  • Names, positions and responsibilities of all persons with WHS duties at the workplace? (c309-2,a)

  • Arrangements for consultation, co-operation and co-ordination at the workplace? (c309-2,b)

  • Arrangements for managing any work health and safety incidents that occur? (c309-2,c)

  • Site-specific safety rules, and arrangements for ensuring all persons are informed? (c309-2,d)

  • Arrangements for collecting, assessing and reviewing SWMS? (c309-2,e)

  • Are safe work method statements prepared for high risk construction work? (c299)<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.

  • Are SWMS readily accessible and set out in a way that is easy to understand? (c299-3,b)

  • Are arrangements in place to ensure SWMS are complied with? (c300-1)

  • Is high risk construction work performed in accordance with SWMS? (c300-2)

  • Has work been stopped immediately and resumed only in accordance with the SWMS? (c300-2)

Consultation

  • Are there methods for consultation in place? (c309-2,b)

  • Are workers being consulted about ALL matters affecting their health & safety? (section 47 WHS Act 2012)

  • Is there an up to date list of HSR's displayed? (s74)

  • Have HSR's requested and completed training within 3 months of making request? (s72)

  • Is there a site safety committee? (s75)

  • Has a constitution been prepared and agreed by workers and the PCBU? (s76-1)

  • Is at least half of the committee made up of workers not nominated by the PCBU? (s76-4)

  • Are names displayed in a prominent place? (s74)

  • Are minutes from safety committee meetings posted at the workplace? (s77)

  • Are HSR's and/or safety committee being notified and included in incident investigations? (s70)

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

  • Are regular safety walks being conducted? (s68)

  • Are any Improvement Notices issued by HSR's displayed in a prominent place? (s97)

  • Has the Improvement Notice been complied with in the specified time? (s99)

Amenities/First Aid

Amenities

  • Are there adequate amenities for all workers on site? (c41-3)

  • Are amenities hygienic, ventilated and well lit? (c41-2)

  • Are there covered walkways to access amenities in the event of inclement weather? (c40-a)

  • Is there 1m2 available to seat each worker at one time? (c41-1)

  • Are there enough toilets to suit 1 per 15 males? (c41-1) (pans)

  • Are there enough urinals to suit 1 per 20 males, or 600mm of trough each? (c41-1)

  • Are there enough toilets to suit 1 per 10 females? (c41-1)

  • On multi-storey buildings are toilets located on at least every second floor? (c41-2 Regs) & (COP - managing work environment & facilities)

  • Are toilets clean, hygienic, well lit and easily accessible? (c41-2)

  • Are there enough hand-washing basins provided to suit 1 per 30 workers? (c41-1)

  • Do workers have easy access to cool, clean drinking water? (c41-1)

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

  • Are change rooms clean, hygienic and well lit?

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

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

  • Is there enough seating for workers to get changed?

  • Are there mirrors either inside or directly outside?

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

  • Does the work undertaken require showers to be supplied?

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

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

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

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

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

  • Does every shower have a lockable door?

First Aid

  • Is there adequate first aid facilities at the workplace? (c42)

  • Are first aid locations clearly signed and marked? (c42 Regs)

  • Are there enough trained first aiders, 1 per 25 workers, or 1 per 10 for remote workplaces? (c42)

  • Do workers have an effective means of communicating with first aiders such as 'nurse calls'? (c42-3)

  • Is there a first aid room? (c42-1)

  • Is the room hygienic, ventilated and well lit? (c41-2)

  • Is it easily accessible, with a minimum door width of 1m? (c41-2)

  • Is there adequate first aid equipment? (c42-1)

  • Is there an Automated External Defibrillator (AED) on site?

  • On multi-storey buildings is there a first aid kit on every second floor?

  • Is the first aid kit regularly checked and restocked? (c42-1)

  • Are first aid records kept on site? (s38-7)

  • Are first aiders and witnesses to serious incidents provided with counselling services? (s19)

Emergency

Emergency Plan

  • Has an Emergency Plan been prepared and implemented at the workplace? (c43)

  • Have the workers been consulted on the preparation of the Emergency Plan? (s49)<br>

  • An effective response to an emergency? (c43-1,a,i)

  • Is there a Fire Warden Structure on site? (AS 3745-2010, 5.7)<br>

  • Are there backup procedures in place in the event key personnel are absent or effected? (AS 3745-2010, 5.6.5)

  • Is anyone assigned to check areas to determine all people have been evacuated? (AS 3745-2010, 4.2.6.1)

  • Are there restrictions on plant, machinery and vehicular movement during an emergency? (AS 3745-2010, 4.2.19)

  • Are there multiple or alternate assembly areas in the event the primary mustering point is unsuitable? (AS 3745-2010, 4.2.6.5)

  • Evacuation procedures? (c43-1,a,ii)

  • Is there an Evacuation Diagram posted in prominent places at a height between 1200mm and 1600mm above the ground? (AS 3745-2010, 3.5)

  • Does the Evacuation Diagram contain;

  • An accurate pictorial representation of the floor area? (AS 3745-2010, 3.5.5a)

  • The title 'EVACUATION DIAGRAM'? (AS 3745-2010, 3.5.5b)

  • The 'YOU ARE HERE' location? (AS 3745-2010, 3.5.5c)

  • The designated exits marked in green? (AS 3745-2010, 3.5.5d)

  • Fire extinguishers, hose reels, blankets, and hydrants marked in red? (AS 3745-2010, 3.5.5)

  • The location of assembly areas? (AS 3745-2010, 3.5.5m)

  • A legend reflecting all the symbols and colours used? (AS 3745-2010, 3.5.5n)

  • Processes for notifying emergency services? (c43-1,a,iii)

  • Provisions for medical treatment and assistance? (c43-1,a,iv)

  • Effective communication between the PCBU and all persons at the workplace? (c43-1,a,v)

  • Frequency for testing of emergency procedures? (c43-1,b)

  • Information, training and instruction for ALL workers in relation to implementing emergency procedures? (c43-1,c)

  • Has the emergency plan been maintained to ensure it remains effective? (c43-2)

Emergency Preparedness

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

  • Are extinguishers to suit Class A,B & C fires, located on each storey at every exit? (BCA Part E1.9)

  • Have extinguishers been tested at regular 6 month intervals? (AS 1851-2012, 1.11.1)

  • Are signs installed 2m above floor level showing the location of extinguishers? (AS 2444-2001, 3.3.4)

  • Are extinguishers mounted at a height of 1200mm maximum to the top and at least 100mm above the ground? (AS 2444-2001, f3.2)

  • Are extinguishers protected from aggressive environments such as sun, UV, wind, rain, dust or vibration? (AS 2444-2001, 3.9)

  • If the building has reached 12m, are the required hydrants and hose reels installed except the 2 uppermost storeys? (BCA Part E1.9)

  • Are required booster connections installed? (BCA Part E1.9)

  • Is there emergency backup lighting at a level of 20 lux for at least one hour? (c40-d i & AS 3012-2010, 2.7.3)

  • Is there battery backed up emergency evacuation signage in the event of power failure? (AS 3012-2010, 2.7.3)

  • Have ALL workers been trained to use fire fighting equipment on site? (c43-1c & AS 3745-2010, 6.3.3)

Inclement weather

Inclement weather

  • Does the site have an inclement weather policy

  • Has consultation occurred between work groups / HSR's and management? <br>

  • Has the site health and safety committee endorsed the policy?

  • Has the policy been adhered to?

  • If no inclement weather policy - has the workgroup/s affected completed a risk assessment or Safe Work Method Statement addressing extreme conditions?

  • Does the risk assessment / SWMS have provisions for:

  • Protection from elements i.e. Shade, shelter, air conditioning

  • Readily accessible cool, clean water

  • Extra breaks in air conditioned room

  • First aid officer

  • Covered walkways in event of rain

  • PLEASE NOTE: As per the construction award - section 23.13 additional wet weather procedure.

  • Are the workers familiar with and understand the inclement weather policy / risk assessment?

Work Environment

Site Security

  • Is the site fully fenced to restrict unauthorised access? (c298, AS 4687-2007)

  • Is the fencing stable both under normal and adverse conditions? (AS 4687-2007, 1.3)

  • Is temporary fencing installed within the boundaries of the worksite? (AS 4687-2007, 1.3)

  • Is fencing installed no more than three degrees out of plumb? (AS 4687-2007, 3.3)

  • Are all components in good condition and maintained to prevent injury to public? (AS 4687-2007, 1.4)

  • Are maximum infill spaces of mesh no bigger than 75mm? (AS 4687-2007, 2.1)

  • Is access blocked underneath the fence? (c298)

  • Are braces, counterweights and base plates installed as necessary? (AS 4687-2007, 2.1.7)

  • Are additional braces installed where signs or shadecloth have been installed? (AS 4687-2007, 3.7)

  • Baseplates are installed in a manner that doesn't provide a trip hazard or obstruct pedestrians? (AS 4687-2007, 3.8)

  • Are hoardings installed?

  • Is plywood a minimum of 12mm thick and painted? (AS 4687-2007, 2.2)

  • Has an engineer designed, inspected and signed off the hoarding? (AS 4687-2007, 2.2.4)

  • Have fences and hoardings been installed as per manufacturers recommendations and by a competent person? (AS 4687-2007, 3.1)

  • Are protections in place to prevent collision with the fence or hoarding? (AS 4687-2007, 3.2)

Personal Protective Equipment

  • Have workers been supplied with appropriate PPE? (c44-2)

  • Have other control measures been implemented to reduce the amount of PPE needed? (c36)

  • Have workers been consulted about the need for and type of PPE supplied? (s49)

  • Have workers been trained in the use and maintenance of the PPE? (c44-4)

  • Is the PPE suitable for the work, size, fit and comfort of the worker? (c44-3)

  • Is storage provided for PPE? (c44-4)

  • Is the PPE maintained, repaired and replaced as needed? (c44-3)

Work Areas

  • Is there safe access and egress to and from work areas, both under normal conditions and an emergency? (c40-a)

  • Are there walkways to separate workers from moving plant? (c215-4)

  • Are access routes free of obstructions and stored materials? (c40-a)

  • Is access to and from work areas adequately lit to a minimum of 40lux? (c40-d,ii & AS/NZS 3012-2010, 2.7.1)

  • Are work areas adequately lit to a minimum of 160lux? (c40-d,i & AS/NZS 3012-2010, 2.7.1)

  • Is there enough space for workers to carry out work without risks to heath and safety? (c40-b)

  • Are the location of exits clearly marked and are there signs showing directions to exits posted? (c40-a)

Hazardous Work

  • Has a risk assessment been performed for hazardous manual tasks? (c60-1)

  • Have postures, movements, forces and vibration in relation to the task been assessed? (c60-2,a)

  • Has the duration and frequency of the task been assessed? (c60-2,b)

  • Have any environmental concerns affecting the task or the worker been assessed? (c60-2,c)

  • Has the design of the work area been assessed? (c60-2d)

  • Has the layout of the workplace been assessed? (c60-2,e)

  • Have the systems of work been assessed? (c60-2,f)

  • Has the nature, size, weight and/or number of persons involved been taken into account? (c60-2,g)

  • Have workers been trained in correct manual handling techniques? (c39-2)

  • Are workers exposed to excessive levels of noise, either 8 hours above 85dB or 140dB peak? (c56-1)

  • Is exposure to noise being managed in accordance with the hierarchy of control? (c57-1)

Traffic Management

Traffic Management

  • Is there a site Traffic Management Plan in place? (AS 1742.3-2.2.2)

  • Details of the works to be undertaken, impacts on the surrounding traffic and how those impacts will be addressed? (c315-c)

  • Separation for pedestrians and moving vehicles? (c215-4)

  • A Vehicle Movement Plan for movement within the site?

  • Does the VMP contain a diagram showing signs, devices, travel paths, entries and exits as well as loading and unloading bays?

  • Requirements for vehicles on site, including maintenance, warning devices, guards and communication? (c206-3)

  • Review procedures for changing site conditions?

  • Is the plan being implemented and followed?

  • Are adequate safety barriers installed? (AS 1742.3, 2.4.5)

  • Are barriers installed as per manufacturers specifications and Australian Standards? (AS 3845, 2.4)

  • Are barriers inspected regularly to check for tampering, vandalism and damage? (AS 3845, 2.5)

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

  • Are water-filled barriers fully filled as per manufacturers specifications?

  • Is there an exclusion zone set up to allow for the barrier deflection as per the manufacturers specifications?

  • A Traffic Control Plan, where public and pedestrian traffic is affected? (c315-c)

  • Has the TCP been prepared by a suitably trained person?

  • Does it contain a diagram showing signs, devices, speed zones and pedestrian routes?

  • Are signs and devices set out as per the TCP?

  • Are traffic controllers required where changes to conditions affect traffic and pedestrians? (c315-c)

  • Are "PREPARE TO STOP" and "TRAFFIC CONTROLLER AHEAD" signs in place? (AS 1742.3, 3.5.2)

  • Do traffic controllers have certification from an RMS approved training course? (AS 1742.3, 4.10.6)

  • Are there an adequate number of traffic controllers to control one lane and one direction of traffic each? (AS 1742.3, 4.10.1)

  • Do traffic controllers have a clear escape route for emergencies?

  • Do traffic controllers have visual, audible communication with each other? (AS 1742.3, 4.10.2)

  • Are speed limits no more than 60km/h for a minimum of 150m? (AS 1742.3, 4.10.4)

  • Are traffic controllers wearing high visibility clothing? (AS 1742.3, 4.10.2)

  • Do traffic controllers have adequate breaks of 15 minutes every 2 hours, to manage fatigue? (AS 1742.3, 4.10.5)

Electrical

Electrical

  • Is electrical equipment regularly tested and tagged? (c150, AS/NZS 3012-2010, 3.1)

  • Are records kept of all testing and tagging? (AS/NZS 3012-2010, 3.1)

  • Does wiring have protection against mechanical damage? (AS/NZS 3012-2010, 2.5.3)

  • Are switchboards readily accessible and protected from damage? (AS/NZS 3012-2010, 2.3.1.1)

  • Are switchboards marked so as to identify the source of supply? (AS/NZS 3012-2010, 2.3.1.1)

  • Are distribution boards located so no leads need to be run between levels? (AS/NZS 3012-2010, 2.3.1.2)

  • Is there suitable protection from damage/weather? (AS/NZS 3012-2010, 2.3.2.1a)

  • Are all live parts protected from contact with workers? (AS/NZS 3012-2010, 2.3.2.1c)

  • Are insulated 'tie bars' fitted for leads? (AS/NZS 3012-2010, 2.3.2.1d)

  • Do boards have lockable, hinged doors and means to hold in the open position? (AS/NZS 3012-2010, 2.3.2.1e)

  • Is there space for safe entry of leads and signage stating 'KEEP CLOSED - RUN ALL LEADS THROUGH BOTTOM'? (AS/NZS 3012-2010, 2.3.2.1e)

  • Are RCD's located inside the box with lockable covers to control resetting by unauthorised persons? (AS/NZS 3012-2010, 2.3.2.1)

  • Is there an accessible isolation switch? (AS/NZS 3012-2010, 2.3.2.1)

  • Are switchboards secured to prevent movement? (AS/NZS 3012-2010, 2.3.3)

  • Are all socket outlets protected by a 30mA RCD? (AS/NZS 3012-2010, 2.4.6.2)

  • Is all wiring protected against mechanical damage? (AS/NZS 3012-2010, 2.5.3)

  • Any suspended wiring is supported by means of a catenary and is suitably marked? (AS/NZS 3012-2010, 2.5)

  • There is no wiring is attached to temporary fence panels? (AS/NZS 3012-2010, 2.5.3)

  • Is temporary construction wiring labelled every 5m? (AS/NZS 3012-2010, 2.5.4)

  • Are leads no longer than 30m? (AS/NZS 3012-2010 T1)

  • Are non-conductive lead stands/hooks in use? (AS/NZS 3012-2010, 2.6.9)

  • No domestic rated power boards are in use? (AS/NZS 3012-2010, 2.6.12)

  • Is all unsafe electrical equipment disconnected or isolated and not reconnected until repaired? (c149)

  • Is there an electrical register of all equipment and testing kept on site? (AS/NZS 3012-2010, 3.10)

Working At Heights

Falls From Heights

  • Has a SWMS has been prepared where a worker can fall 2m or more? (c299)

  • Has a risk assessment been performed for all other heights? (c78)

  • Is the highest measure in the hierarchy of control being implemented? (c79)

  • Are control measures inspected and maintained? (c37)

  • Is edge protection securely fixed and installed as per the manufacturers specifications? (c79)

  • Is edge protection between 900mm and 1100mm high and contains a mid rail and toe-boards or mesh infill? (AS 4994.3-2010, 4.2.1)

  • Is edge protection positioned no more than 300mm from the outside edge? (AS 4994.3-2010, 4.2.1b)

  • Has the edge protection been inspected and a handover certificate provided? (AS 4994.3-2010, 5.3)

  • Are emergency and rescue procedures in place when using a fall arrest system? (c80-2)

  • Have all relevant workers been trained in the emergency procedures? (c80-4)

  • Have the emergency procedures been tested so that they are effective? (c80-3)

  • Does the installation of anchorage points comply with the manufacturers specifications? (AS/NZS 1891.4-2009)

  • Are warning signs in place highlighting the risk of falls? (c79)

  • Are penetrations covered immediately and securely fixed and marked?

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

  • Is roofing work being performed?

  • Is safety mesh installed as per manufacturers instructions? (AS/NZS 4389-1996)

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

  • Are there control measures in place to minimise the risk of falling objects? (c55)

Ladders

  • Are ladders maintained and inspected regularly? (AS/NZS 1892.5-2000, 3.2)

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

  • Are ladders only used as a means of access and egress or light duty work of short duration?

  • Are ladders secured from movement in all directions? (AS/NZS 1892.5-2000, 2.5)

  • Are ladders installed at the correct angle of 4:1? (AS/NZS 1892.5-2000, 2.3)

  • Are ladders only used on a firm level surface? (AS/NZS 1892.5-2000, 2.4)

  • Does the ladder extend at least 1m above the landing? (AS/NZS 1892.5-2000, 2.6)

  • Are three points of contact maintained at all times? (AS/NZS 1892.5-2000, 2.8)

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

  • No ladders are used on balconies?

Scaffolding

Scaffolding

  • Has written confirmation been received from a competent person stating that scaffolding over 4m is complete? (c225)

  • Has scaffold been inspected and signed off monthly, or following an incident or any alterations? (c225)

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

  • Are incomplete scaffolds appropriately closed and signage installed to prevent unauthorised access? (c225-5)

  • Has documentation been provided identifying the components and the supplier? (AS/NZS 1576.1-2010, 1.6.1)

  • Have instruction on erection, dismantling, servicing and inspection been provided? (AS/NZS 1576.1-2010, 1.6.1)

  • Does the documentation contain the weight of each component, duty loadings, maximum heights and number of working platforms? (AS/NZS 1576.1-2010, 1.6.1)

  • Are the design installation drawings available on site? (AS/NZS 1576.1-2010, 2.6.3)

  • Is scaffold erected on firm, level surface including the type of soleplates used? (AS/NZS 1576.1-2010, 2.9)

  • Have only compatible components been used? (AS/NZS 1576.1-2010, 2.4)

  • Are mesh/screens installed where objects can fall? (c55)

  • Are platforms slip resistant, free of trip hazards, and protected against uplift? (AS/NZS 1576.1-2010, 3.4)

  • There are no gaps in platforms greater than 10mm? (AS/NZS 1576.1-2010, 3.4)

  • Where materials are stored on a platform, there is unobstructed access of at least 450mm? (AS/NZS 1576.1-2010, 3.5)

  • Clear headroom of 1.85m is maintained on platforms? (AS/NZS 1576.1-2010, 3.7.4)

  • Working platforms are installed with transverse slopes of no more than 3 degrees? (AS/NZS 1576.1-2010, 3.8.1)

  • Access platforms installed at longitudinal slope of no more than 20 degrees? (AS/NZS 1576.1-2010, 3.8.2)

  • Has public protection been provided?

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

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

  • Are guardrailings, toeboards and mesh screens installed wherever a person or object could fall 2m or more? (AS/NZS 1576.1-2010 3.10.2)

  • The gap between the platform and the toeboard is no more than 10mm? (AS/NZS 1576.1-2010, 3.10.2.4)

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

  • Is the gap between the working face of the scaffold and structure less than 225mm? (AS/NZS 1576.1-2010, 3.10.4.1)

  • Is the gap less than 100mm where it is not a working face? (AS/NZS 1576.1-2010, 3.10.4.1)

  • Is the surface of the floor no more than 300mm vertically from the platform? (AS/NZS 1576.1-2010, 3.10.4.2)

  • Are there self-closing access gates/hatches installed at top of ladders? (AS/NZS 1576.1-2010, 3.10.3)

  • Are stretcher stairs installed where required for emergency evacuation? (AS/NZS 1576.1-2010, 2.5.3.3.3)

  • Are ladders/stairs in good condition? (AS/NZS 1892)

  • Are ladders installed at 1:4 and secured against displacement in any direction? (AS/NZS 1892)

Mobile Scaffolds

  • Mobile scaffolds are erected by a competent person?

  • Are they built according to manufacturers specifications?

  • Is scaffold only accessed via an internal ladder?

  • Are wheels locked when in use? (AS/NZS 1576.1-2010, 3.12.1)

  • Are mobile scaffolds only used on a firm level surface? (AS/NZS 1576.1-2010, 3.12.3)

  • Scaffolds are not moved while people are on platform? (AS/NZS 1576.1-2010, 3.12.5)

Formwork

Formwork

  • Are designer/engineer drawings available on site? (c202 & AS 3610-1995, 2.3)

  • Has an engineer inspected and signed off on any modifications? (c295 & AS 3610-1995, 4.2)

  • Is appropriate signage erected to restrict unauthorised entry? (AS 3610-1995, 5.3.3.2)

  • Are installers properly trained to erect formwork using safe methods? (AS 3610-1995, 5.3.3.1)

  • Are braces installed to prevent movement as per manufacturers specifications? (AS 3610-1995, 5.3.4)

  • Are bearers and joists in good condition? (AS 3610-1995, 5.3.5)

  • Is plywood in good condition and labelled with the manufacturers name, the AS, surface quality, grade, bond, and stress grade? (AS 6669-2007, 1.11)

  • Is edge protection installed as soon as possible? (c78)

  • Are designated access ways defined? (c40)

  • Are work platforms at least 450mm wide? (c79)

  • Are penetrations covered immediately, secured and marked? (c78)

  • Is access restricted during erection, pours and stripping? (c55)

  • Has an engineer signed off before stripping commences? (AS 3610-1995, 2.3)

Jump Forms

  • Is there at least two forms of access and egress to the jump form? (c40)

  • Ladders are only used as a secondary means of access and egress or where no other means are practicable? (c40)

  • Is there safe access and egress in the event of an emergency including retrieval of injured persons? (c43)

  • Is there adequate lighting (40 lux) for access and egress for the jump form? (c40)

  • Is there emergency backup lighting at a level of 20 lux for at least one hour? (c40-d i & AS 3012-2010, 2.7.3)

  • Have emergency procedures including retrieval of injured persons been tested? (c43)

  • Have workers been trained in implementing emergency procedures in the event emergency services are unavailable? (c43)

  • Does the jump form have adequate fire fighting equipment? (c43)

  • Is access to first aid readily available? (c42)

  • Are procedures in place to cease jump form work in the event of inclement weather? (c40, 43 & AS2550)

  • Is there adequate lighting (160 lux) to carry out work in the jump form? (c40)

  • Is there sufficient ventilation enabling workers to carry out work safely? (c40-f)

  • Do workers have access to cool, clean drinking water? (c41)

  • Do workers have reasonable access to toilets? (c41)

Plant & Equipment

Plant

  • Is there a plant register kept on site? (c237)

  • Is a copy of the manufacturers specifications available? (c198)

  • Does the plant comply with manufacturers recommendations? (c202)

  • Is the design registration readily accessible? (c260)

  • Plant is only used for the purpose which it is designed? (c206)

  • Does the operator/installer have appropriate license/competency? (c81)

  • Are log books kept and up to date? (c237)

  • Has a Safe Work Method Statement (SWMS) been prepared for the work? (c299)

  • Is the SWMS being followed? (c300)

  • Are all controls and instruments clearly labelled, marked and operating correctly - including lights, horn, emergency cutoff, brakes, gauges etc.? (c210)

  • Is there a fire extinguisher fitted? (c43)

  • Has routine maintenance been performed? (c213)

  • Have the major inspections been completed as per the manufacturer's specifications? (c213)

  • There are no obvious signs of oil/fluid leaks? (c214)

  • Are reverse alarm and warning devices fitted? (c212)

  • Is a seat belt fitted and in use? (c206)

  • Are controls in place to separate pedestrians from moving plant and machinery? (c215)

Power/Hand Tools

  • Are tools being used for their intended purpose? (c206)

  • Is adequate storage provided?

  • Are tools in good working condition?

  • Have workers been trained in the correct use of tools? (c39)

  • Are any guards and safety devices fitted and not altered? (c208)

Specific Plant Assessments

  • Concrete pumps and placement booms

  • Is there an instruction manual kept with the pump unit which includes; set up procedures, operating instructions, clean out procedures, and maintenance procedures? (c198)

  • Is there a logbook kept on the pump and available for inspection? (c237)

  • Is the logbook maintained and kept up to date?

  • Does the logbook show daily pre-operation inspections?

  • Does the logbook show routine maintenance inspections?

  • Does the logbook show annual inspections?

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

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

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

  • Has the operator received appropriate training, information and instruction for this particular pump? (c39)

  • Has the line hand received the same inductions? (c39)

  • Are there documented records of worker training and inductions?

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

  • For mobile boom pumps, is there a current plant registration? (c260)

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

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

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

  • Are warning and operational signs fitted?

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

  • Are there easily accessible emergency stops fitted?

  • Is there easy, safe access onto the pump?

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

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

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

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

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

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

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

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

  • Does the drop hose comply with the manufacturers specifications?

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

  • Do the clamps appear to be in good condition?

  • Are the clamps marked with their maximum operating pressure?

  • Are high pressure clamps used at the hopper end?

  • Does the pipeline appear to be in good condition?

  • Are there any visible cracks in the boom?

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

  • Are there any visible oil leaks?

  • Are there any damaged hydraulic hoses?

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

  • Are the stabiliser legs/outriggers in good condition?

  • Are pads/timbers provider under outrigger feet?

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

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

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

  • Is a hopper grill in place that provides adequate protection from moving parts?

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

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

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

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

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

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

  • Is a sufficient and hygienic First Aid kit provided?

  • Is traffic management being conducted in a safe manner?

  • 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?

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

  • Piling Rigs

  • Are Compliance/ID Plates fitted to the machine?

  • Are load charts fitted inside the cabin?

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

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

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

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

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

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

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

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

  • Has a competent person (e.g. Geotechnical Engineer) inspected and signed off prior to works commencing?

  • Hoists

  • Has the hoist been installed as per engineers recommendations? (c237)

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

  • Are the mast ties installed at intervals specified in the operations manual or engineering drawings? (c202)

  • Is the hoist power supplied directly from the main switchboard not a sub board? (AS/NZS 3012-2010, Appendix J)

  • Is electrical equipment/cables contained and protected against mechanical damage? (AS/NZS3012-2010)

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

  • Has the operator been trained specifically for the model in operation? (c39)

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

  • Can the operator describe the procedure for lowering the car in the event of an emergency? (c43)

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

  • 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)

  • 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

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

  • Is the car free from excessive damage?

  • Is the hoist provided with both normal and emergency lighting? (c40 & AS1418.7, 4.6.2.4)

  • Are the operator controls inside the car, functioning as intended, in good condition, and clearly marked? (c210)

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

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

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

  • Is there adequate compliant handrail on the roof? (c306 & AS1657)

  • Is the floor of the car and all landings free of materials and debris? (s20 & c40)

  • is the risk of falling objects adequately controlled at each landing? (c55)

  • Is the risk of falls adequately controlled at each landing? (c78)

Cranes

All Cranes

  • Is the crane registered? (c266)

  • Are all records kept on site? (c237 & AS 2550.1, 6.2)

  • Are regular maintenance checks done by a competent person? (c235 & AS 2550.1, 6.2)

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

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

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

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

  • Are no go zones setup for not coming within 6m of powerlines or 3m with a qualified spotter? (c166 & AS 2550.1, 6.19)

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

  • Is 10kPa overhead protection provided to sheds and amenities? (c55)

  • Are drivers and doggers appropriately licensed? (AS 2550.1-6.2)

  • Are there enough doggers to handle the workload?

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

  • Are emergency procedures in place? (AS 2550.1-6.2)

Mobile Cranes

  • Does the crane have the CraneSafe green sticker displayed?

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

  • Is the crane fitted with outriggers?

  • Are they;

  • Set correctly according to the manufacturers recommendations?

  • On pads fully supported by ground?

  • Set to lift all wheels off the ground?

  • Is the proper counter weight being used?

  • Are tag lines used for pick and carry operations?

Vehicle Loading Cranes

  • Is the operator competent?

  • Are stabilisers extended?

  • Are wheels still on the ground?

  • Is tyre pressure correct, as per manufacturers specifications?

Tower Cranes

  • Have pre-erection inspections been completed?

  • Have pre-commissioning inspections been completed?

  • Does crane have CraneSafe green sticker displayed?

  • Is base fully enclosed with 1.8m fencing?

  • Do operators have safe access and egress? (AS 2550.1-6.2)

  • Is the crane remotely operated?

  • 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?

  • Operator remains stationary when the load is in motion?

  • Have doggers to direct the operator whenever the load is out of sight?

  • The remote control is protected from unauthorised use?

Lifting Equipment

  • Is there a register of all lifting equipment?

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

  • Is an identification number displayed?

  • Do hooks have operable safety latches fitted?

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

  • Are loads slung correctly and safely?

  • Is equipment stored correctly?

  • Is equipment in good condition and inspected regularly?

  • Are soft slings being used?

  • Are they;

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

  • Proof load tested every twelve months?

  • Free of external wear, cuts and abrasions?

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

  • Fitted with undamaged clear labels or tags?

  • Stored in a clean, dry and ventilated place?

  • Slings are not stored on the ground?

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

  • Is protection in place on sharp edges?

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

Man Boxes (AS 2550.1-6.18)

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

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

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

  • Are fall-arrest anchorage points installed?

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

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

  • Is there a first aid cage on site?

  • Does the cage;

  • Only get used to retrieve injured people?

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

  • Have clear first aid signage?

  • Have an outward swinging door to allow stretcher access?

  • Have fully enclosed sides to prevent falls?

Hazardous Chemicals

Hazardous Chemicals

  • Are hazardous materials correctly labelled? (c341)

  • Are current safety data sheets on site and easily accessible? (c344)

  • Is there a hazardous chemicals register kept on site and up to date? (c346)

  • Is there signage to warn of hazardous chemical risks? (c353)

  • Are there measures in place to contain and manage spills? (c357)

  • Is there appropriate fire protection/firefighting equipment for the types of hazardous chemicals on site? (c359)

  • Is correct safety equipment/PPE provided, maintained and accessible? (c362)

  • Are workers trained and supervised in the correct handling of hazardous chemicals? (c379)

Asbestos

Asbestos

  • Have workers been trained in asbestos awareness? (c39 & c445)

  • Has asbestos been discovered at the workplace? (c419)

  • Have WorkCover been notified of removal? (c466)

  • Has an occupational hygienist been engaged? (c422)

  • Has a licensed removalist been contracted to remove asbestos? (c458)

  • Have workers been trained? (c445)

  • Is there an asbestos management plan in place? (c429)

  • Does the plan include;

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

  • The identification of asbestos or ACM?

  • Reasons for decisions, about the management of asbestos?

  • Procedures for dealing with asbestos emergencies?

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

  • Has an asbestos register been prepared for the workplace? (c425)

  • Does the register include;

  • Regular reviews and updating? (c426)

  • Identification of asbestos or ACM presence?

  • The date on which it was identified?

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

  • Has an asbestos removal control plan been prepared? (c464)

  • Does the plan include;

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

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

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

  • Has the site been cleared by occupational hygienists? (c473)

  • Is there a clearance certificate on site? (c474)

Confined Spaces

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>

  • Has a risk assessment been done by a competent person? (c66)

  • Have signs been erected before and for the duration of works? (c68)

  • Confined space entry permits have been issued? (c67)

  • Does it;

  • Identify the confined space to be entered?

  • Contain the names of the people entering?

  • Contain the duration of the work to be done?

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

  • Emergency procedures are in place including rescue? (c66)

  • First Aid and rescue procedures have been tested and are effective? (c74)

  • Are flammable gases, vapours or mist monitored? (c72)

  • Is continuous communication with a worker outside the confined space maintained? (c69)

  • Have workers been issued with and trained to use PPE including respiratory equipment? (c75)

Demolition

Demolition

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

  • Has WorkCover been notified? (c142)

  • Does the demolition contractor hold the appropriate license?

  • Have the necessary engineer reports been obtained?

  • Is a Demolition Plan in place?

  • Does the plan include;

  • The location of the structure to be demolished?

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

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

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

  • The proposed methods for handling and disposing of materials?

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

  • The sequence of works and duration of each?

  • The proposed hoardings, scaffolding and fencing?

  • Traffic management plans?

  • Exclusion zones that are established to protect workers?

  • Essential services have been located and disconnected? (c304)

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

  • Emergency arrangements and rescue plans?

  • Has a copy of the asbestos register been obtained? (c450)

  • Has an occupational hygienist inspected the site? (c451)

  • If asbestos or ACM is present, has it been removed before demolition work commenced? (c451)

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

  • If there are any present, what are they?

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

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

Excavation

Excavation

  • Are there excavation works taking place?

  • Has current information on underground essential services been obtained? (c304)

  • Does the information contain;

  • The services which may be affected?

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

  • Any conditions on the proposed excavation work?

  • Have workers been provided with the information? (c304)

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

  • Are control measures in place to stop a person from falling into excavations? (c305)

  • Are preventions in place to stop a person working in the excavation from being struck by a falling object? (c55 & c305)

  • Have tests/monitoring taken place to prevent anyone being exposed to airborne contaminates? (c305)

  • Is the excavation secured to prevent unauthorised access? (c306)

  • Have measures been put in place, such as shoring, benching or battering to prevent collapse? (c306)

Environmental

Environmental

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

  • Does the plan include;

  • Which licenses, consents and approvals are required?

  • How compliance with environmental legislation will be achieved?

  • Instructions on how contractors must meet obligations?

  • Procedures for dealing with environmental emergencies?

  • Procedures for reviewing and updating the plan?

Water

  • Is there a Water Quality Management Plan in place?

  • Does the plan include;

  • Use of silt fences and traps?

  • Procedures for de-watering including testing and permits?

  • Paint, truck and concrete washouts?

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

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

  • Are controls in use and maintained?

Erosion and Sediment

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

  • Does the plan include;

  • Use of sediment fences?

  • Measures for controlling stockpiles?

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

  • Sediment control barriers/filtration for drains?

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

  • Are controls in use and maintained?

Dust and Air

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

  • Does the plan include;

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

  • Dust suppression measures?

  • Procedures to meet DA requirements and monitoring?

  • Speed limits to lower dust generation?

  • Gravel on haul roads and high traffic areas?

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

  • Maintenance of plant and equipment?

  • Monitoring of vehicle emissions?

  • Covering of loads?

  • Are controls in use and maintained?

Noise and Vibration

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

  • Does the plan include;

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

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

  • Workers are not exposed to excessive noise, above 85dB/8h or above 140dB? (c57)

  • Workers are provided with audiometric testing? (c58)

  • Excessive vibration is monitored?

  • Neighbours are contacted about excessive noise and vibration?

  • Are controls in use and maintained?

Waste

  • Is there a Waste Management Plan in place?

  • Does the plan include;

  • Storage areas for separation, collection and recycling?

  • The use of licensed contractors to remove waste?

  • Recycling of materials from the site office?

  • Receipts are kept for disposal of waste?

  • Waste minimisation measures for contractors?

  • Procedures for dealing with contaminated waste?

  • Are controls in use and maintained?

Sign-off

Sign-off

  • Additional Photos

  • Notes

  • Signed off by

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