CoGB OHS Audit

• Conducted on

  Date

• Project No:

• Location
  Address

• Foreman

• Site Contact

• Company/contractor

• Prepared by

1. Public Safety

• 1.1 Traffic and pedestrians taken into consideration

  Yes

  No

  N/A

• 1.2 Signage is appropriate for scope of works?

  Yes

  No

  N/A

• 1.3 Traffic management plan completed, submitted and maintained?

  Yes

  No

  N/A

• 1.4 Copy of speed limit form (Memorandum of Authorisation) with foreman/office?

  Yes

  No

  N/A

2 Personal Protection Equipment

• 2.1 In good order and being worn?

  Yes

  No

  N/A

• 2.2 Hi-vis vest/jacket done up?

  Yes

  No

  N/A

• 2.3 Head, eye or ear protection worn?

  Yes

  No

  N/A

• 2.4 Safety clothing / footwear adequate?

  Yes

  No

  N/A

• 2.5 Sun protection appropriate? Hat, long sleeves, long pants, sunglasses.

  Yes

  No

  N/A

3 Plant

• 3.1 In good order?

  Yes

  No

  N/A

• 3.2 Reversing signal, flashing lights in working order?

  Yes

  No

  N/A

• 3.3 Daily checklist or logbook complete?

  Yes

  No

  N/A

4 First Aid Facilities

• 4.1 Kit available and appropriate contents?

  Yes

  No

  N/A

• 4.2 Dates within use-by?

  Yes

  No

  N/A

• 4.3 Certified first aider on site?

  Yes

  No

  N/A

5 Trenching

• 5.1 CoGB trenching procedures complied with?

  Yes

  No

  N/A

• 5.2 is soil pile toe at least 0.5m from trench?

  Yes

  No

  N/A

• 5.3 Are supports over stressed?

  Safe

  At Risk

  N/A

• 5.4 Are tension cracks appearing along the top of the tench?

  Safe

  At Risk

  N/A

• 5.5 Are pipes, tools, spoil pile, mobile plant too close to the trench?

  Safe

  At Risk

  N/A

• 5.6 Is anyone climbing the toms instead of using a ladder?

  Safe

  At Risk

  N/A

• 5.7 Are safety helmets being worn at all times in and around trenches?

  Yes

  No

  N/A

• 5.8 Is anyone working alone in a trench?

  Safe

  At Risk

  N/A

• 5.9 If trench is more than 1.5m deep has it been stepped out?

  Yes

  No

  N/A

• 5.10 Are trenches barricaded from traffic and pedestrians?

  Yes

  No

  N/A

• 5.11 Services locations and protection identified (including spotters and any permits required)?

  Yes

  No

  N/A

6 Chemicals

• 6.1 MSDS register on site?

  Yes

  No

  N/A

• 6.2 Is MSDS register up to date?

  Yes

  No

  N/A

• 6.3 Dangerous goods storage appropriate (including fuels)?

  Yes

  No

  N/A

7 Other

• 7.1 Are staff amenities appropriate?

  Yes

  No

  N/A

• 7.2 Is on site storage available?

  Yes

  No

  N/A

• 7.3 Power leads and tools tagged?

  Yes

  No

  N/A

• 7.4 Site induction carried out? Including subcontractors?

  Yes

  No

  N/A

• 7.5 JSA/SWMS available & completed?

  Yes

  No

  N/A

• 7.6 Emergency procedure in place?

  Yes

  No

  N/A

• 7.7 Licences and registrations current?

  Yes

  No

  N/A

• 7.8 Confined space procedures in place?

  Yes

  No

  N/A

• 7.9 Fall from height controls or procedures in place?

  Yes

  No

  N/A

• Comments/Additional safety items:

• Items requiring attention referred to:

• For action by:

  Date

• Auditor signature

  Sign

• Auditee signature

  Sign