Chorus Health & Safety Snapshot Form - Exchange and Building

• Date

  Date

• Audit Title

• Serco

  Visionstream

  Downer

  Transfield

  UCG

• Contractor

• Completed by

• Location
  Address

• Job Number (FFP, iTools, VS etc)

• WAP#

• Onsite Supervisor

• Brief description of works at time of inspection

General

• Hazard Notice Board at the site entrance(s)?

  Yes

  No

  N/A

• Personnel/visitors inducted and signed onto daily prestart?

  Yes

  No

  N/A

• Personnel wearing compliant PPE? <br>(E.g. Hard hat, safety boots, hi viz vest, safety eye wear, hearing protection, long pants, long sleeved shirt)

  Yes

  No

  N/A

• Additional PPE available for the task?<br>(E.g. full face shield/dust mask for cutting concrete)

  Yes

  No

  N/A

• Hazards identified and controlled?

  Yes

  No

  N/A

Organisational

• Appropriate registers completed and on site? (E.g. SDS, Plant/Equipment/Ladders)

• Documented Work Plan and drawings available and being followed?

Process

• Are relevant permits in place?<br>(E.g. Hot works permit)

  Yes

  No

  N/A

• Fit for purpose fire extinguishers in close proximity?

  Yes

  No

  N/A

• Portable electrical equipment tested and tagged?<br>(E.g. Drills and leads)

  Yes

  No

  N/A

• Ladders identified and labelled?

  Yes

  No

  N/A

• Safety equipment certified?<br>(E.g. Harness points and fall arrest equipment checked)

  Yes

  No

  N/A

• Fall arrest equipment being used if required?

  Yes

  No

  N/A

Environment

• Worksite clean and tidy - No trip hazards?<br>Good Housekeeping

  Yes

  No

  N/A

• Dust and airflow managed?

  Yes

  No

  N/A

• Environmental conditions are suitable, I.e. Lighting levels and ventilation?

  Yes

  No

  N/A

• Spill kits available where required?

  Yes

  No

  N/A

• Hazardous substances being used/stored as per SDS recommendations?

  Yes

  No

  N/A

Plant / Equipment

• Exclusion/Protection Zone(s) set up around working area(s)?

  Yes

  No

  N/A

• Lifters being used as per OEM (original Equipment Manufacturer) recommendations; appropriate for the weight?

  Yes

  No

  N/A

• Live bars/terminals mechanically protected when exposed, I.e. Wrapped in high density foam rubber?

  Yes

  No

  N/A

• Emergency Evacuation paths clear and unobstructed?

  Yes

  No

  N/A

• Appropriate steps are in place to properly and securely store plant and equipment overnight?

  Yes

  No

  N/A

• End of day, all Fire Walls/Floor sealed with temporary Fire Bags and blankets?

  Yes

  No

  N/A

Critical Safety Checks

• If any of the following safety critical areas are not compliant then 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, excavation / drilling, confined space work

• Site Hazard Board and a induction/Sign in process

• Egress Routes Impeded

• Breach of SOP (not following procedures)

• Isolation Procedures as per AS/NZS3000

• Unsafe behaviour where potential to injure a person

• Extra worksite photo

  Media

• Actions required? (State by who and by when)

• Chorus representative:

  Sign

• Positive behaviours

• Any other comments?