Information
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Conducted on
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Service Provider (if applicable):
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Contractor Company:
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Inspection Completed by:
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Address of location of Works:
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Onsite Supervisor:
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Permit to Work?
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Brief description of works at time of inspection:
Safety Critical Areas
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If any of the following safety critical areas are not compliant then work at the site should be postponed and escalated to People Leader & Regional HS Advisor:
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Are Permit / Consents in place?
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Are escape routes clear?
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Are safety plans being followed?
General
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Hazard Notice Board or similar notice at site entrance(s) <br>Photograph a copy and attach to report
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Process in place to ensure personnel/visitors are inducted and signed onto daily prestart?
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Personnel wearing specified PPE as per hazard notices? <br>State what PPE
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Hazard identification (SWMS or similar) has been completed and is appropriate for the task being conducted?<br>Take photo of SWMS for evidence
Documentation
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Hazard Registers completed and on site, appropriate to the task being completed? <br>state what was included in register and if appropriate, take photo
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Documented Work Plan and drawings available and being followed?<br>Photo as evidence
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Are relevant Permits in place e.g. Hot Work Permit, Confined Space, WAH etc?<br>State what type and take photo
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Were persons undertaking work suitably trained & competent?<br>Indicate what training evidence they had available for inspection- NOTE: If not available then follow up directly with Contractor Co. for evidence of competencies.
Equipment
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Portable electrical equipment tested and tagged?
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State date of last test
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Ladders and working at height equipment tagged and inspected? Who by?
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State date of test/inspection
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Safety equipment certified? e.g. harness points and fall arrest equipment checked? Who by?
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State date of test/inspection
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All equipment in use in good condition with relevant safety devices fitted correctly? E.g. guards on grinders<br>State type of equipment in use and safety devices evidenced
Environment
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Worksite clean and tidy - No trip hazards? Acceptable level of housekeeping?
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Dust and other contaminants correctly managed?<br>State type and controls being implemented
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Containment measures in place to prevent seepage into drains etc? <br>State types of measures in place
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Hazardous substances being used/stored as per SDS recommendations<br>State type of substance and how it was being controlled
Summary
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Positive Behaviours demonstrated:
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Any other comments/observations: