CoGB P&NR General OH&S Audit

• Conducted on

  Date
• Location
  Address

• Project/Task

• Project Manager

• Contact person/Supervisor

• Prepared by

1. Public Safety

• 1.1 Traffic & 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 & maintained?

  Yes

  No

  N/A

2. Personal Protective Equipment

• 2.1 In good order & being worn?

  Yes

  No

  N/A

• 2.2 Hi-Vis vest/jacket done up?

  Yes

  No

  N/A

• 2.3 Head, eye and ear protection worn as required?

  Yes

  No

  N/A

• 2.4 Safety footwear adequate?

  Yes

  No

  N/A

• 2.5 Sun protection appropriate?<br>Hat, long sleeves, pants and sunglasses worn?

  Yes

  No

  N/A

• 2.6 Sunscreen available?

  Yes

  No

  N/A

3. Plant

• 3.1 Daily checklist or logbook complete?

  Yes

  No

  N/A

• 3.2 Reversing signal, flashing lights in working order?

  Yes

  No

  N/A

4. Elevated Work Platform specific

• 4.1 Evidence of pre-start checks available

  Yes

  No

  N/A

• 4.2 Elevated Work Platform "Work Checklist" (FM220) signed off by operator.

  Yes

  No

  N/A

5. First Aid Facilities

• 5.1 Kit available & contents appropriate?

  Yes

  No

  N/A

• 5.2 Within use-by date?

  Yes

  No

  N/A

• 5.3 Certified First Aider on site?

  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. Powered equipment/machinery i.e. chainsaws

• 7.1 Branch chipping operations performed in accordance with Work Instruction 9316

  Yes

  No

  N/A

• 7.2 Operator trained and competent in the use of branch chippers?

  Yes

  No

  N/A

• 7.3 Operator trained and competent in the use of a chainsaw?

  Yes

  No

  N/A

8. Fall Protection

• 8.1 Is operator wearing safety harness and lanyard attached to Elevated Work Platform?

  Yes

  No

  N/A

9. Arboriculture Specific

• 9.1 Has arboriculture team member completed the Arboriculture OH&S Checklist prior to task/project commencement?

  Yes

  No

  N/A

• 9.2 Is Elevated Work Platform and other plant/equipment a safe distance from power lines?<br>(Refer WorkSafe Victoria's guidance on no-go zones for overhead electrical power lines)

  Yes

  No

  N/A

• 9.3 Wind conditions appropriate?

  Yes

  No

  N/A

10. Other

• 10.1 Staff amenities appropriate and accessible?

  Yes

  No

  N/A

• 10.2 Is on site storage available?

  Yes

  No

  N/A

• 10.3 Power leads and tools tagged and in date?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 10.5 Site induction carried out (including sub contractors?)

  Yes

  No

  N/A

• 10.6 JSA/SWMS available and completed?

  Yes

  No

  N/A

• 10.7 Emergency procedure in place?

  Yes

  No

  N/A

• 10.8 Licences and registrations current?

  Yes

  No

  N/A

• 10.9 Fall from height controls or procedures in place?

  Yes

  No

  N/A

• Comments/additional safety items:

• Items requiring attention referred to:

• For action by:

• Auditor signature

  Sign

• Auditee signature

  Sign