City of Greater Dandenong Site Inspection for CGD Employees

• Contract / Project Managers Site Inspection Form

• Contractor / Project Name

• Conducted on

  Date

• Auditor Name

GENERAL INFORMATION

• Site name or address.

• Site Supervisor or contact names

• Specific task being audited.

• Is this a follow up audit?

  Yes

  No

  N/A

• Any vehicles being used? - types

• Vehicle registration (current)

• Is the driver licensed for this type of vehicle (is the license current)?

  Yes

  No

  N/A

SITE SAFETY DOCUMENTATION

• Have site specific risk assessments been performed and hazards identified?

  Yes

  No

  N/A

• Are Task Risk Assessment and Safety Procedures available and been followed?

  Yes

  No

  N/A

• Are Dangerous Goods or Hazardous Substances being used?

  Yes

  No

  N/A

• Are safety data sheets available and current? (within 5 years)

  Yes

  No

  N/A

RELEVANT PERMITS AND APPROVALS OBTAINED

• Have building permits, working at heights, hot works, confined space entry, or other relevant permits required and obtained?

  Yes

  No

  N/A

• Daily plant checklist or driver report sheet completed?

  Yes

  No

  N/A

SITE PROTECTION MEASURES INCLUDING TRAFFIC MANAGEMENT

• Has the site been barricaded, clearly defining the work area? (cones, barrier tape, temporary fencing)

  Yes

  No

  N/A

• Traffic management plans available?

  Yes

  No

  N/A

• Site has advanced warning signage?

  Yes

  No

  N/A

• Traffic management measures employed?

  Yes

  No

  N/A

• Traffic management systems being used provides adequate protection for pedestrians or bystanders?

  Yes

  No

  N/A

• Are flashing lights operational?

  Yes

  No

  N/A

• Are hazard warning lights operational?

  Yes

  No

  N/A

WORKING ENVIRONMENT

• Are sun smart / UV protection measures in place and being followed? (hats, sun cream, clothing)

  Yes

  No

  N/A

• Housekeeping adequate for the tasks being performed?

  Yes

  No

  N/A

• Is the remaining working environment clean?

  Yes

  No

  N/A

• Are first aid provisions available and items up to date?

  Yes

  No

  N/A

• Are fire control systems available? (fire extinguishers fully charged)

  Yes

  No

  N/A

PLANT, TOOLS AND EQUIPMENT

• Communication device available? (mobile phone, two way)

  Yes

  No

  N/A

• Mobile plant in good condition?

  Yes

  No

  N/A

• Are lights, horn, seat belt, flashing lights fitted and operational?

  Yes

  No

  N/A

• All the guarding fitted and operational?

  Yes

  No

  N/A

• Decal warning stickers in place and in good condition?

  Yes

  No

  N/A

• All electrical hand tools tested and tagged? (current)

  Yes

  No

  N/A

• Lifting equipment tested, tagged and in good condition?

  Yes

  No

  N/A

• Reversing alarm fitted and operational?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT AVAILABILITY

• Are Hard hats required and being worn?

  Yes

  No

  N/A

• Steel capped footwear being worn?

  Yes

  No

  N/A

• Is eye protection required and being worn?

  Yes

  No

  N/A

• Hand protection required and being worn?

  Yes

  No

  N/A

• HI visibility clothing or vests in good condition and being worn (Vic Roads standard on major roads)

  Yes

  No

  N/A

• Hearing protection required and being worn?

  Yes

  No

  N/A

• Any site specific PPE&C required? (harness, lifeline, ladders, respirators)

  Yes

  No

  N/A

OBSERVATIONS AND RECOMMENDATIONS

• Comments

FOLLOW UP ACTIONS REQUIREMENTS

• List any action or follow up items?

• Name and signature of employee on site

  Sign

• Name and signature of assessment officer

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