Chorus Health and Safety Site Inspection. Version 3

• Audit Title

• Date

  Date

• Completed by

• Service Provider

• Contractor

• Onsite Supervisor

• Location of works and FFP#
  Address

• WAP#

• B4UDIG Sighted

• Site Photograph

  Media

• Brief Description of Works at the time of report.

General

• Is the worksite clearly visible to oncoming pedestrians and traffic ?

  Yes

  No

  N/A

• Is there a hazard notice board stating the hazards and control measures for the workplace at the site entrance?

  Yes

  No

  N/A

• Personnel wearing compliant PPE. Hard hat, safety boots, hi viz vest, safety eyewear, long pants, long sleeved shirt?

  Yes

  No

  N/A

• Additional PPE available for the task? e.g. full face shield for cutting concrete

  Yes

  No

  N/A

• Hazards identified and controlled?

  Yes

  No

  N/A

• Comments

Organisational

• Appropriate register completed and on site? e.g. SDS plant/equipment/ladders

  Yes

  No

  N/A

• Documented SOP available and being followed?

  Yes

  No

  N/A

• Comments

Process

• Are relevant permits in place e.g. excavation / drilling, working at height?

  Yes

  No

  N/A

• Are relevant consents e.g. close approach, close proximity sighted?

  Yes

  No

  N/A

• Traffic management plan available and current?

  Yes

  No

  N/A

• Coloured A3 plans available onsite?

  Yes

  No

  N/A

• Service mark outs clear and visible?

  Yes

  No

  N/A

• Comments

Plant / Equipment / Vehicles

• Exclusion zone set up around mobile plant and spotters in place?

  Yes

  No

  N/A

• Seat belts being worn on moving plant ?

  Yes

  No

  N/A

• Appropriate licences (WTR) sighted for operator?

  Yes

  No

  N/A

• Daily plant prestart documented by operator?

  Yes

  No

• Vehicles have current WOF and registration?

  Yes

  No

  N/A

• Site equipment in good condition?

  Yes

  No

  N/A

• Portable electrical equipment tested and tagged? e.g. generator

  Yes

  No

  N/A

• Ladders identified and tagged?

  Yes

  No

  N/A

• Safety equipment certified? e.g. harness

  Yes

  No

  N/A

• Compliant safety fences safe and secure?

  Yes

  No

  N/A

• Comments

Environment

• Worksite clean and tidy? - No trip hazards.

  Yes

  No

  N/A

• Dust and noise managed?

  Yes

  No

  N/A

• Sediment controls in place and effective?

  Yes

  No

  N/A

• Spill kits available?

  Yes

  No

  N/A

• Hazardous substances stored safely in bunded trays and SDS available?

  Yes

  No

  N/A

• Comments

If any of the following safety critical areas are not compliant the the work at the site should be postponed until the area of concern is addressed

• Permits/consents of work not in place. e.g. working at heights, excavating/drilling, confined space work.

• Traffic management plan not in place.

• Breech of SOP (not following procedure )

• Unsafe behaviour where potential to injure a person

• Comments

Sign off

• Signature

  Sign