Commercial Construction Audit 2016 (V2.1)

• Document No.

• Site, month and year audit undertaken

• Conducted on

  Date

• This report has been completed based on the observations on the date given and all finding (non conformances) have been verbally advised and reported to the LT McGuinness Health and Safety manager

• Personnel

• Have all previous Non-Conformances and recommendations been closed out<br>ADD THE FOLLOWING QUESTIONS; Has the PCG being sent to the Health and safety manager (Monthly)<br>Provide evidence that the monthly man hours have been provided o the Health and safety manager<br>

  Yes

  No

  N/A

• Add media

  Media

1. LTM Administration

• (*) Has project Pre-start checklist located in the Health and Safety folder been completed and returned to the Health and Safety manage

  Yes

  No

  N/A

• (*) Post incident Action plan completed with client and filed in section 31

  Yes

  No

  N/A

• (*) Is there a LTM Site Specific Safety Plan in the Health and Safety Folder (Section 3)

  Yes

  No

  N/A

• (*) Site Supervisor/ Safety supervisors Obligations read and signed by all LTM site supervisors (Section 2)

  Yes

  No

  N/A

• (*) Has Ltm Serious Harm Procedure (EM 5) been completed (Section 27)

  Yes

  No

  N/A

• (*) Has Notifiable work been notified to Work Safe NZ (Section 17)

  Yes

  No

  N/A

• (*) Has the Company Health and Safety Policy been put on the wall (Section 1)

  Yes

  No

  N/A

• (*) Has the LTM Card System signage been erected (Section 18)

  Yes

  No

  N/A

• Sign in area established

  Yes

  No

  N/A

• Morning briefing sheet completed and posted at sign in area (MEET 4)

  Yes

  No

  N/A

• Blank Health and Safety Improvement form (FORM 3) available at sign in area (Section 7)

  Yes

  No

  N/A

• Is there adequate site signage

  Yes

  No

  N/A

• Do all ltm Supervisors of Notifiable work have a current Site Safe Gold Card (Section 22)

  Yes

  No

  N/A

• Are Site Specific inductions being carried out for all staff (Section 4. INDUCT 1)

  Yes

  No

  N/A

• Site safe passport number or other construction competency provided

  Yes

  No

  N/A

• Are the Emergency procedures in place and is it up to date? (Section 12)

  Yes

  No

  N/A

• Has a trial evacuation taken place in the last 6 months (Section 25. FORM 2)and recorded

  Yes

  No

  N/A

• Are regular site Safety and enviromental meetings held and minuted at the frequency noted in the Site Specific Safety Plan ? <br>(Section 5. MEET 2)

  Yes

  No

  N/A

• Have the last health and safety meeting minutes been posted at the sign in desk

  Yes

  No

  N/A

• Has the Site Hazard register been reviewed and signed by the PM, SM or the Safety Officer in the last month (Section 8. REG 8)

  Yes

  No

  N/A

• Is there a Safety and Enviromental Hazard board with current hazards recorded and updated at least weekly

  Yes

  No

  N/A

• Weekly inspections completed? (Section 14. INSPECT 1)

  Yes

  No

  N/A

• Weekly gas leak testing being completed on Oxygen/Acetylene welding gear and the result filed (Section 14. INSPECT 3)

  Yes

  No

  N/A

• Is the LT McGuinness permit system in place? permits include height, hot work, confined spaces, ladder, J20 permit and concrete cutting and penetrations (Section 9. PERMIT 6)

  Yes

  No

  N/A

• Are permits being completed correctly and authorised (Section 9. PERMIT 1 to 11)

  Yes

  No

  N/A

• Is their evidence of a JHA (Job Hazard Analysis) /Risk assessment being completed for all significantly (High risk) hazardous works, including Notifiable works. (Section 10. SOP 1) Ref: SOP 1 Consequence matrix.

  Yes

  No

  N/A

• Heights equipment register in the H&S file on site (Section 21. REG 4)

  Yes

  No

  N/A

2. Heights Administration

• 6 monthly inspection being undertaken on heights equipment (Section 21. REG 4)

  Yes

  No

  N/A

• Emergency plan in place, briefed and signed by the teams working at height (Filed with SWMS and signed. Section 12. EM 6)

  Yes

  No

  N/A

3. Scaffold Administration (Scaffolders Subcontractor file)

• Engineers design and sign off available and design limits provided on shrink wrap scaffolds

  Yes

  No

  N/A

• Has a copy of the scaffolders Certificate of Competency been provided

  Yes

  No

  N/A

• Are scaffold fit for purpose handover certificates being complete by the scaffolding representative.

  Yes

  No

  N/A

• Is the Handover Certificate being signed by the LTM supervisor. Refer Best Practice Guidelines page 174

  Yes

  No

  N/A

• Scaf tag/Acu log /register up to date. Inspections weekly

  Yes

  No

  N/A

• Are weekly fixed scaffold inspection reports being provided by scaffold company

  Yes

  No

  N/A

3.1 Special Scaffolds

• Has a Registered Engineer designed the "Special Scaffold"

  Yes

  No

  N/A

• Is there a copy of a Registered Engineers Design Certificates for the "Special Scaffolds"

  Yes

  No

  N/A

• Has an "Advanced Certified Scaffolder" erected the Special Scaffold

  Yes

  No

  N/A

3.2 Suspended Scaffold (Swinging Stage)

• Roof suspension rigs been provide with engineers certificate

  Yes

  No

  N/A

• Roof suspension rigs have current certificate

  Yes

  No

  N/A

• Wire ropes, basket and shackles etc inspection list provided

  Yes

  No

  N/A

• Daily pre use inspection list provided and being completed

  Yes

  No

  N/A

• Emergency plan in place, briefed and signed by the teams working on Swinging Stage

  Yes

  No

  N/A

• Risk assessment or method statement completed for the tasks involving the Swinging Stage

  Yes

  No

  N/A

• Is the operators manual available on site

  Yes

  No

  N/A

• Has training been completed and a register put in place showing who is competent to operate the swinging stage

  Yes

  No

  N/A

• Has the maximum wind speed for operating the Swinging Stage been provide

  Yes

  No

  N/A

• Is there a wind speed meter available for use?

  Yes

  No

  N/A

4. Asbestos Administration (Ref: SOP 7 & SOP 7A)

• Asbestos register requested and provided by the building owner

  Yes

  No

  N/A

• Work Safe NZ notification provided for the removal of the Asbestos

  Yes

  No

  N/A

• Certificate of competency of asbestos removal supervisor supplied to site

  Yes

  No

  N/A

• Site specific Safety plan/all task analysis and removal check sheet in place and completed

  Yes

  No

  N/A

• Specific inductions provided to those who need to enter the contaminated area

  Yes

  No

  N/A

• Up to date plan of where asbestos has been found on site

  Yes

  No

  N/A

• Asbestos added to the Hazard board and Hazard register

  Yes

  No

  N/A

• Evidence of maintenance provided on decontamination unit and negative air pressure unit

  Yes

  No

  N/A

• Air test results provided

  Yes

  No

  N/A

• Disposal documentation avaliable

  Yes

  No

  N/A

5. Elevated Work Platform Administration

• All operators have suitable training and or competency records in the safe use and operation of the ewp. Mandetory Hirer training is the minimum amount of training allowed.

  Yes

  No

  N/A

• Risk assessment or method statement completed for the tasks involving an EWP

  Yes

  No

  N/A

• Emergency procedure developed in case of loss of power or operator incapacitation

  Yes

  No

  N/A

6. Forklift Administration

• Operator properly trained with evidence of (F) endorsement when driving on the road

  Yes

  No

  N/A

• Daily inspection sheet H&S being completed (Section 14. INSPECT 7)

  Yes

  No

  N/A

7. Cranes, Lifting gear and Equipment Administration

• Craned load earthquake Procedure developed, crane crew inducted on procedure and procedure signed by crane crew (Section 12)

  Yes

  No

  N/A

• Is there a current test certificate for the crane (Section 29)

  Yes

  No

  N/A

• Has the lifting gear been added to the register (Section 21. REG 5)

  Yes

  No

  N/A

• Foundation certificate from engineer (Section 29)

  Yes

  No

  N/A

• Statement confirming seismic and wind loadings for the crane configuration for both in and out of service (Section 29)

  Yes

  No

  N/A

• Daily inspection on cranes and equipment being completed (Provide Evidence) (Section 29. INSPECT 5)

  Yes

  No

  N/A

• Lift Plan completed daily when using LT McGuinness cranes (Section 10. SOP 9 Complicated lifts)

  Yes

  No

  N/A

• Are weekly inspections being carried out (Provide evidence)

  Yes

  No

  N/A

• Maeda pre-start crane check completed (Section 29. INSPECT 4)

  Yes

  No

  N/A

8. Powder Actuated Tool Administration

• Training and competency available for labour only subs, LTM employees and Sub contractors (check Section 22 of red folder plus Subs folders)

  Yes

  No

  N/A

• J20 Permits completed (Not required for SpitFire. Section 9. PERMIT 6)

  Yes

  No

  N/A

9. Ladder and Podium Step Administration

• Ladder permit being used (Section 9. PERMIT 7)

  Yes

  No

  N/A

• Ladder Inspection completed in the last 6 months (Section 14. INSPECT 2)

  Yes

  No

  N/A

• Safe Work Method Statement completed for the use of ladder (Section 10. SOP 3)

  Yes

  No

  N/A

• Ladder register completed with unique identifications logged. (Section 14. REG 3)

  Yes

  No

  N/A

10. HASNO Administration

• Existing Hazardous substances identified (lead, asbestos) and added to Hazard register (section 13)

  Yes

  No

  N/A

• Material Safety Data sheets available on site (Section 13) (or produced electronically within 5 minutes from request)

  Yes

  No

  N/A

• Hazardous substances register completed (Section 13)

  Yes

  No

  N/A

• Is PPE available, dust masks,hearing protection,eye protection and gloves for chemicals and general work

  Yes

  No

  N/A

• Task Analysis or Safe Work Method Statement completed for the use of the chemicals and substances (Section10)

  Yes

  No

  N/A

11. Excavations and Trenches Administration

• Has a Safe Work Method Statement/ Task Analysis been completed for the work and those involved been briefed and signed it

  Yes

  No

  N/A

• Is there a Traffic Management Plan in place for works outside of the construction zone that impact on road or pedestrians

  Yes

  No

  N/A

• Is there an emergency plan in place for trench collapse, contact with overhead services, in rush of water or exposure to hazardous substances in place and been briefed and signed by all involved in the process

  Yes

  No

  N/A

• Has contaminated ground sampling been done, contaminated ground removed documented and re checks been undertaken to ensure contaminant free

  Yes

  No

  N/A

• Work Safe NZ notified if excavation is in excess of 1.5m, has a depth greater than the horizontal width at the top, a vertical height of more than 5m or has an average slope steeper than a ratio of 1 horizontal to 2 vertical.

  Yes

  No

  N/A

• Daily inspections of the excavation being carried out and documented by competent person at the start of the shift or if weather conditions effect the stability of the excavation

  Yes

  No

  N/A

• Registered Engineer sign off of ground condition if approved benching battering or shields not used in all ground condition types where applicable

  Yes

  No

  N/A

• Underground services identified by referencing the councils utilities plans/marked and located before digging. Are plans updated showing exact location

  Yes

  No

  N/A

12. Transport and Mobile Plant Administration

• Wheels tracks and rollers licence endorsement (if working on the road only)

  Yes

  No

  N/A

• Operator of excavator has unit standard 17310 for operating hydraulic excavator on construction sites or has had competency training by there employer

  Yes

  No

  N/A

• Operator has 22281 unit standard "operate an excavator for facing and benching" or has had competency training by there employer

  Yes

  No

  N/A

• Task Analysis/SWMS completed for tasks involving mobile plant , signed by operator and banksman

  Yes

  No

  N/A

• Daily pre start checks being completed on the machine

  Yes

  No

  N/A

• Evidence that plant and equipment is being regularly serviced

  Yes

  No

  N/A

• Lifting chains/ slings registered and inspected

  Yes

  No

  N/A

13. Confined Space Administration

• Confined Space management plan in place including permit

  Yes

  No

  N/A

• Gas testing equipment available for use and calibration date not exceeded

  Yes

  No

  N/A

14. Falsework and Formwork Administration

• Is there safe access (Concrete placement)

  Yes

  No

  N/A

• If access scaffold attached, has it been erected by a certified scaffolder and been signed off in the register

  Yes

  No

  N/A

• Is there safe access to the form work

  Yes

  No

  N/A

• Bearers wedged centrally in fork heads

  Yes

  No

  N/A

• Steel bearer being used, timber not permitted by (LTM)

  Yes

  No

  N/A

• Screw jacks within maximum extension allowed

  Yes

  No

  N/A

• Fork heads for bearer supports

  Yes

  No

  N/A

• Correct pins and props

  Yes

  No

  N/A

• Panel props using fasteners as per propping design

  Yes

  No

  N/A

• Acrow props vertical and secured

  Yes

  No

  N/A

• Support shore loading frames and props plumb

  Yes

  No

  N/A

• False work and propping designed and approved by a suitably qualified person

  Yes

  No

  N/A

• Falsework and propping designed and approved by a suitably qualified/competent person

  Yes

  No

  N/A

15. Concrete Pumping Administration

• Plant operator and hose hand training and competency provided

  Yes

  No

  N/A

• Task analysis/Safe Work Method Statement or Hazard assessment completed and signed by all involved in the task. Emergency procedure evident also

  Yes

  No

  N/A

• Emergency procedure available

  Yes

  No

  N/A

• Emergency procedure signed by pump crew

  Yes

  No

  N/A

• Daily maintenance and pre start inspections being carried out

  Yes

  No

  N/A

• TMP in place if truck is set up outside of construction site boundary

  Yes

  No

  N/A

• Individual components have unique numbers, bends have been ultra sound tested as per ACOP. Register provided

  Yes

  No

  N/A

16. Sub-contractor Performance

• Has the sub-contractor performance form been completed and sent to the LTM Safety Manager for subs that have completed there contracted work? (View evidence in Section 28)

  Yes

  No

  N/A

17. Accidents and Incidents

• Is there an accident/incident register and is it up to date (Section 11)

  Yes

  No

  N/A

• Have all accident/incident reports been sent to the Health and Safety Manager

  Yes

  No

  N/A

• Have all incidents been reported and recorded

  Yes

  No

  N/A

• Is their a detailed description of what happened

  Yes

  No

  N/A

• Has the actual cause of the accident/incident been established

  Yes

  No

  N/A

• Have recommended actions been provided

  Yes

  No

  N/A

• Has the preventative action been completed and the report closed out

  Yes

  No

  N/A

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18. Sub-contractors (Separate Folders)

• Name of Subcontractors whose paperwork was reviewed during the Audit. Pick three subs new and old

  Yes

  No

  N/A

• Are the Sub-Contractors Site Specific Safety Plans in place and Signed by both subcontractor and LT McGuinness supervisor (Section 1)

  Yes

  No

  N/A

• Are sub-contractors completing toolbox talks and providing the information to the Safety Forum/meeting (Section 2)

  Yes

  No

  N/A

• Are Sub-contractor Self inspections being carried out ( Section 3)

  Yes

  No

  N/A

• Do Sub-contractors have evidence of competency training for their employees ( Section 4) (For the type of work being undertaken)

  Yes

  No

  N/A

• Do all sub-contractors Supervisors of Notifiable work have a current Gold Card or NZQA unit standard in a Safety (Section 4)

  Yes

  No

  N/A

• Do all workers on site have a current Site Safe card or equivalent (Section 4)

  Yes

  No

  N/A

• Is task Analysis done for All Significant work, including the use of chemicals ( Section 5)

  Yes

  No

  N/A

• Have Sub-contractors provided a plant and equipment register including ladders (Section 6)

  Yes

  No

  N/A

• 6 monthly inspections taking place on heights equipment (Section 6)

  Yes

  No

  N/A

• Have sub-contractors provided a hazard register ( Section 7)

  Yes

  No

  N/A

• Do Sub-contractors have the MSD Sheets Avaliable and a hazardous substances register in place (Section 8)

  Yes

  No

  N/A

• Has Emergency planning been completed for all work requiring one. Includes working and harnesses, confined space, excavations and removing tower crane driver etc. (Section 9)

  Yes

  No

  N/A

• Have the TA's been signed by the workers (Section 9)

  Yes

  No

  N/A

• Have Sub-contractors Notified Work Safe NZ for notifiable work, provide evidence. (Section 10)

  Yes

  No

  N/A

• Excluding the inspections and toolbox talks, is the site Specific Safety Plan being actively managed on site check hazard register updating and TA's/risk assessment reviews have been undertaken in the last month (Section 7)

  Yes

  No

  N/A

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19. Facilities

• Site Office clean and tidy

  Yes

  No

  N/A

• Toilet areas clean and tidy

  Yes

  No

  N/A

• Lunch room & food prep area clean and tidy

  Yes

  No

  N/A

• Hot water provided for washing hands

  Yes

  No

  N/A

• Fire Extinguishers charged and current (serviced in the previous 12 months)

  Yes

  No

  N/A

• Adequate general lighting

  Yes

  No

  N/A

• First Aid kits in place and well stocked (Within expiry date)

  Yes

  No

  N/A

• Spill kit avaliable for Chemical Spills and signage installed

  Yes

  No

  N/A

• Sprinkler/flood control kits avaliable and signage installed

  Yes

  No

  N/A

• Perimeter fences secure

  Yes

  No

  N/A

• Hoardings painted white and in good condition

  Yes

  No

  N/A

• Access to fire fighting equipment

  Yes

  No

  N/A

20. Housekeeping

• Public Protection in place

  Yes

  No

  N/A

• No radios, Ipods, MP3 players or phones playing music

  Yes

  No

  N/A

• Adequate Lighting( including provision for both general and task lighting)

  Yes

  No

  N/A

• Work areas clean and tidy, slips and trips controlled

  Yes

  No

  N/A

• Access ways clear including stairs

  Yes

  No

  N/A

• Materials stacked safely, at least 2m from open edges

  Yes

  No

  N/A

• Rubbish bins provided and in suitable quantity

  Yes

  No

  N/A

• Enclosed material waste chutes being used

  Yes

  No

  N/A

• Nets being used to cover bins where rubbish may be blown away

  Yes

  No

  N/A

• Combustable materials stowed

  Yes

  No

  N/A

• Hazardous materials controlled

  Yes

  No

  N/A

• All vertical reinforcing steel bars capped and horizontal ones where applicable

  Yes

  No

  N/A

• All materials adequately secured (weighing ply down with blocks in not sufficient) ratchet ties must be used

  Yes

  No

  N/A

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21. Personal Protective Equipment

• Hard Hats worn (Where mandatory, or over head hazard within 5 meter radius where required)

  Yes

  No

  N/A

• Hi visibility clothing being worn

  Yes

  No

  N/A

• Adequate Safety footwear worn

  Yes

  No

  N/A

• Safety glasses/goggles being worn (Where required)

  Yes

  No

  N/A

• Respirators or masks worn (Where required)

  Yes

  No

  N/A

• Hearing Protection worn (in excess of 85db)

  Yes

  No

  N/A

• Protective clothing being worn

  Yes

  No

  N/A

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22. Asbestos

• PPE being worn and spares available

  Yes

  No

  N/A

• Viewing station provided

  Yes

  No

  N/A

• Asbestos awareness signage installed with contact name and phone number

  Yes

  No

  N/A

• Minimum 3 zone decontamination unit provided with signage stating dirty,clean and buffer zone

  Yes

  No

  N/A

• Enclosure air tight

  Yes

  No

  N/A

23. Excavations and Trenches

• PPE being worn including hearing Protection by the banksman and the operator of the excavator

  Yes

  No

  N/A

• Is gas monitoring required in the excavation?

  Yes

  No

  N/A

• Deep excavation signage installed on fences to warn workers of hazard

  Yes

  No

  N/A

• If required, has the appropriate permit to dig been issued

  Yes

  No

  N/A

• Trench shields/sides battered or benched for excavations deeper than 1.5meters or if friable ground conditions found

  Yes

  No

  N/A

• Plant and spoil no closer than 1m from excavated edges unless excavation face is specifically shored to take loading

  Yes

  No

  N/A

• Wheel stops installed to prevent plant getting within 1m of excavated face.

  Yes

  No

  N/A

• Safe access to excavations provided by secure ladder, ramp or scaffold

  Yes

  No

  N/A

• Protection barriers and toe boards provided, mandatory requirement for excavations 1m in depth or deeper

  Yes

  No

  N/A

• Secured 1.8 m fences and signage installed on excavation in public areas

  Yes

  No

  N/A

• Services location clearly marked, above and below ground

  Yes

  No

  N/A

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24. Falsework/Formwork

• Support shore loading frames and props plumb

  Yes

  No

  N/A

• Acrow props vertical and secured by lacing or bolting in position

  Yes

  No

  N/A

• Panel props using fasteners as per propping design

  Yes

  No

  N/A

• Correct pins in props

  Yes

  No

  N/A

• Fork heads for bearer supports

  Yes

  No

  N/A

• Screw jacks within maximum extension allowed

  Yes

  No

  N/A

• Steel bearer being used, timber is not allowed by LTM

  Yes

  No

  N/A

• Bearers wedged centrally in fork heads

  Yes

  No

  N/A

• Is there safe access to the formwork

  Yes

  No

  N/A

• If access scaffold attached, has it been erected by a certified scaffolder and been signed off in the register

  Yes

  No

  N/A

• Is there safe access for concrete placing

  Yes

  No

  N/A

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25. Welding, gas cutting and torch down

• Welding screens,signs, area underneath barricaed to prevent access

  Yes

  No

  N/A

• Are gas bottles secured in use and/or stored correctly? Do not lay Acetylene bottles down.

  Yes

  No

  N/A

• Flash back arrestors fitted to the regulator end on both the Oxygen and fuel gas bottles. (N/A propane torch down)

  Yes

  No

  N/A

• Hoses in good condition with no perishing or burn marks

  Yes

  No

  N/A

• Guages/ regulators in full working order and not damaged (Where fitted)

  Yes

  No

  N/A

• Fire extinguishers/Fire hose reel available for gas cutting/welding, refer LTM Site Specific Safety Plan for requirements

  Yes

  No

  N/A

• Fire hose reel or charged hose pipe at torch down. Company policy and is a mandatory requirement

  Yes

  No

  N/A

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26. Confined Spaces

• Is a confined spaces permit in place

  Yes

  No

  N/A

• Air monitored in Confined Spaces

  Yes

  No

  N/A

27. Health

• Correct PPE and PPC being worn when using chemicals or exposed to hazardous substances (dehydration, environmental, dust, noise)

  Yes

  No

  N/A

28. Work at Height

• People using harnesses are trained and competent or under direct supervision

  Yes

  No

  N/A

• Rescue Plan in place and team briefed.

  Yes

  No

  N/A

• Task Analysis completed for height works being undertaken

  Yes

  No

  N/A

• Anchors/static lines installed by a qualified and competent person with NZQA 15757

  Yes

  No

  N/A

• Harnesses used and fitted correctly (connected to anchor points)

  Yes

  No

  N/A

• Fall restraint being adopted in preference to fall arrest

  Yes

  No

  N/A

• Are fall hazards controlled

  Yes

  No

  N/A

• Guardrails in place where required

  Yes

  No

  N/A

• Holes and floor penetration covered or barricaded

  Yes

  No

  N/A

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29. Penetrations in excess of 300mm square

• Penetration covers secured and display suitable signage stating "DO NOT REMOVE HOLE BELOW SEE LTM SAFETY OFFICER"

  Yes

  No

  N/A

• Have task analysis been submitted for removal of floor and penetration covers

  Yes

  No

  N/A

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30. Standard Fixed Length Ladders

• Is the ladder required for the task? Could an alternative and safer means of access/platform be used

  Yes

  No

  N/A

• Only being used for short duration work, i.e. less than 5 mins

  Yes

  No

  N/A

• Are ladders in good condition with no damage to rungs or sides

  Yes

  No

  N/A

• Industrial rated

  Yes

  No

  N/A

• Being used correctly so that 3 points of contact may be maintained ( two feet one hand, two feet and body area above the hips, one foot two hands.

  Yes

  No

  N/A

• Is secured (base and/or top)

  Yes

  No

  N/A

• At correct angle- 4 up to 1 out

  Yes

  No

  N/A

• Does it Project 1 meter above step off point

  Yes

  No

  N/A

• Is registered and has unique ID markings

  Yes

  No

  N/A

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31. Step Ladders

• Is a step ladder required for the task? Could an alternative and safer means of access/platform be used

  Yes

  No

  N/A

• Only being used for short duration work less than 5 minutes

  Yes

  No

  N/A

• Industrial rated

  Yes

  No

  N/A

• Are ladders in good condition. feet, rivots etc.

  Yes

  No

  N/A

• Set up on firm level ground

  Yes

  No

  N/A

• Set up correctly with ladder lock bars and stays in place

  Yes

  No

  N/A

• Is the correct length so that 3 points of contact may be maintained ( two feet one hand, two feet and body area above the hips, one foot two hands.

  Yes

  No

  N/A

• has unique ID markings (Tagged)

  Yes

  No

  N/A

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32. Podium Steps

• Are podium steps in good condition. feet, bolts, rail, free from defects

  Yes

  No

  N/A

• Step up on firm level ground

  Yes

  No

  N/A

33. Fixed Scaffolds

• Scaff tag/Acu log clearly displayed

  Yes

  No

  N/A

• Suitable for the job (light, medium or heavy weight duty)

  Yes

  No

  N/A

• Access to the scaffold is adequate

  Yes

  No

  N/A

• Ladders on scaffolds suitable- 4 up to 1 out, secured1m past the step off or suitable hand holds

  Yes

  No

  N/A

• Ladder protrudes 1m past the step off area or suitable hand holds

  Yes

  No

  N/A

• Tortured path provided or gate at entry to each scaffold levels where a ladder is used

  Yes

  No

  N/A

• Scaffold hatches closed to prevent falls. (Note that hatches may be left open if tortured path is provided)

  Yes

  No

  N/A

• Hand (Top) rail between 1.1m and 900mm

  Yes

  No

  N/A

• Mid Rail between 450mm and 550mm

  Yes

  No

  N/A

• Gap between the scaffold and the work face greater than 300mm has hand and mid rails and toe boards fitted or plank installed

  Yes

  No

  N/A

• Debris netting in place, lapped correctly as per Scaffolding Best Practice Guidelines and no holes

  Yes

  No

  N/A

• Platforms adequate. 3 planks minimum, butted and secured or 2 plank wide on Layher system

  Yes

  No

  N/A

• Toe boards in place and more than 150mm high

  Yes

  No

  N/A

• Material guards in place and secured if material stacked higher than the toe board

  Yes

  No

  N/A

• Adequate base plates/sole boards and they are fully grounded with no gaps under

  Yes

  No

  N/A

• Scaffold decks clear of rubbish, plant and equipment

  Yes

  No

  N/A

34. Suspended Scaffold (Swinging Stage)

• Are sufficient counter weights secured in place

  Yes

  No

  N/A

• Are operations within the Safe a Working Load (SWL) of the platform

  Yes

  No

  N/A

• Are roof suspension rigs secured against movement

  Yes

  No

  N/A

• Is the power cable prevented from becoming dislodged or damaged

  Yes

  No

  N/A

• Are operators all using a safety harness

  Yes

  No

  N/A

• Are workers connected to independent safety line or engineered anchor system

  Yes

  No

  N/A

• Are warning notices and barricades at ground level

  Yes

  No

  N/A

• Has the safe operating wind speed been posted on the swinging stage

  Yes

  No

  N/A

• Is there a wind speed meter available in the basket for the workers to use

  Yes

  No

  N/A

35. Mobile Scaffolds

• Suitable for the job

  Yes

  No

  N/A

• Set up on firm level ground

  Yes

  No

  N/A

• Wheels locked

  Yes

  No

  N/A

• Access hatch to deck is closed when in use

  Yes

  No

  N/A

• Fully decked and decks are secured

  Yes

  No

  N/A

• Hand (top) Rails between 900mm and 1100mm

  N/S

  N/A

  Yes

  No

• Mid Rails between 450mm and 550mm

  Yes

  No

  N/A

• Scaffold being accessed from inside via ladder or frames

  Yes

  No

  N/A

• No higher than 3 times the base width

  Yes

  No

  N/A

• If scaffold is more than 3 times the base width outriggers are out riggers fitted

  Yes

  No

  N/A

• Narrow scaffolds 1m wide or less at the base may only erected to twice there high without the use of outriggers

  Yes

  No

  N/A

• Scaf tag/Aculog clearly displayed (Ref: Regulation 56)

  Yes

  No

  N/A

• Signage installed to LTM mobiles stating "Scaffold is not to be altered or erected by persons who are untrained or are not competent".

  Yes

  No

  N/A

• No mixed scaffold part. Tube a clip scaffold connectors/clips may not be used on Aluminium Mobile scaffolds.

  Yes

  No

  N/A

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36. Special Scaffolds

• Has a Registered Engineer Designed the Special Scaffold

  Yes

  No

  N/A

• Stable and secured support structure

  Yes

  No

  N/A

• Hand rails installed between 900mm and 1100mm

  Yes

  No

  N/A

• Mid rails installed between 450mm and 550mm

  Yes

  No

  N/A

• Toe boards fitted

  Yes

  No

  N/A

• Platform minimum width 675mm (3 planks)

  Yes

  No

  N/A

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37. Concrete Pumps/Concrete Pours

• Plant operator and hose hand trained and competent

  Yes

  No

  N/A

• Concrete pumps Wind rating is not exceeded

  Yes

  No

  N/A

• Pipe connection points secured and pipe is straight to avoid unnecessary bends

  Yes

  No

  N/A

• Pipe clamp pins in place and tether in place from boom to first flexible pipe

  Yes

  No

  N/A

• Isolations in place to keep pedestrians away from work activity

  Yes

  No

  N/A

• Concrete line position designed to limit trips and excessive pipe requirements

  Yes

  No

  N/A

• Spotter in place to assist driver when positioning plant, spotter in position where driver can see him and not standing between the hopper and the concrete delivery truck

  Yes

  No

  N/A

• Workers wearing correct PPE for wet concrete. Includes hard hat, waterproof foot ware, goggles, gloves and long clothing.

  Yes

  No

  N/A

• Workers wearing hearing protection

  Yes

  No

  N/A

• Truck/pump exhaust positioned to blow outside to limit exposure to fumes. Engineered controls if necessary

  Yes

  No

  N/A

• Concrete pump boom at least 4m away from electrical lines

  Yes

  No

  N/A

• Concrete pumping truck set up so that its outriggers when fully extended are the depth of the excavation plus 1m i.e 1.5m deep excavation means truck stabiliser must be 2.5m back

  Yes

  No

  N/A

• Ground adequately compacted or pad used under stabilisers on soft ground

  Yes

  No

  N/A

• Hopper guard in the closed and unable to be opened unless special tool used position

  Yes

  No

  N/A

• Area under the boom isolated to ensure no one goes under it

  Yes

  No

  N/A

• Hose length long enough so that it does not need stretching to required location. Hose is vertical

  Yes

  No

  N/A

• Pump hand familiar with hand signals

  Yes

  No

  N/A

• Warning signs clear and in good condition

  Yes

  No

  N/A

• Person standing on hopper guard? Unsafe act mark as non compliant

  Yes

  No

  N/A

• Log book and maintenance manual in the truck and completed, records should include record of defects and inspection of equipment must be carried out by a chartered engineer

  Yes

  No

  N/A

• Delivery pipeline supported and secured

  Yes

  No

  N/A

• Cranes/ hoist towers, scaffold and formwork not to be used to secure pipelines to unless they are engineered for the purpose

  Yes

  No

  N/A

• Pipe bends that go from horizontal to vertical are bolted down

  Yes

  No

  N/A

38. Elevated Work Platforms (EWP)

• Owners inspection carried out in the last 3 months or when brought to site

  Yes

  No

  N/A

• Copy of last inspection sheet held in the waterproof pouch

  Yes

  No

  N/A

• Before use inspections being carried out and log book completed

  Yes

  No

  N/A

• Task Analysis/SWMS or written Hazard assessment completed for tasks being undertaken from MEWP

  Yes

  No

  N/A

• Machine isolated from other workers

  Yes

  No

  N/A

• Set up on firm level ground, support legs out

  Yes

  No

  N/A

• Inspected and tested within the last 6 months

  Yes

  No

  N/A

• Must be kept at least 4m away from over head power lines

  Yes

  No

  N/A

• Is EWP deck clear of debris/buckets used to store tools and bolts etc. to reduce trip hazards

  Yes

  No

  N/A

• Fall Restraint harness and lanyard being worn (n/a scissor hoist)

  Yes

  No

  N/A

• Emergency procedure developed in case of loss of power or operator incapacitation

  Yes

  No

  N/A

• Harness lanyard just long enough

  Yes

  No

  N/A

• Workers requiring to wear Fall restraint Harness trained and competent to do so or under direct supervision of person who has NZQA 15757

  Yes

  No

  N/A

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39. Transport and Mobile Plant

• Effective HGV truck movements controlled keeping pedestrians away from vehicle movements

  Yes

  No

  N/A

• Work area isolated and safe path for workers provided

  Yes

  No

  N/A

• HGV and plant at least the depth of excavation plus 1m away from trench/excavation sides if 45 degree angle drawn. i.e 1.5m excavation should have clear distance to plant and HGV of 2.5m.

  Yes

  No

  N/A

• Ask operator to provide daily pre start check on the machine

  Yes

  No

  N/A

• Machine operating at least 4 meters from power lines

  Yes

  No

  N/A

• Safe approach to machine being used by workers, blind spots in front and behind being managed

  Yes

  No

  N/A

• Quick hitch working correctly and locking pin in place where applicable

  Yes

  No

  N/A

• No excessive wear on pivot points on machine

  Yes

  No

  N/A

• Hydraulic hoses in good order with no excessive leaks

  Yes

  No

  N/A

• Seat belt effective and in good repair and being used by the operator

  Yes

  No

  N/A

• Seat belt being worn by operator

  Yes

  No

  N/A

• Warning beacon turned on when operating on the road

  Yes

  No

  N/A

• Warning Beacon in full working order

  Yes

  No

  N/A

• Machine movement warning devices present active, include audible alarm and flashing lights

  Yes

  No

  N/A

• Reversing aids fitted were appropriate

  Yes

  No

  N/A

• If Mirrors are in place are they in full working order

  Yes

  No

  N/A

• If machine has rear camera is it in full working order

  Yes

  No

  N/A

• Disengaged buckets stored safely

  Yes

  No

  N/A

• Machines working a safe distance from the edge of the excavation. (depth of excavition plus 600mm minimum)

  Yes

  No

  N/A

• Fitted with operator protective structures

  Yes

  No

  N/A

• ROPS/ FOPS/OPS structure in good repair

  Yes

  No

  N/A

• Lifting chart available in the machine for operator use.

  Yes

  No

  N/A

• Lifting points on excavator certified and in good condition

  Yes

  No

  N/A

• Person attaching chains/slings to load and excavator have correct dogging/ slinging / rigging qualifications

  Yes

  No

  N/A

• Lifting being undertaken as per Approved Codes of Practice Load Lifting Rigging

  Yes

  No

  N/A

• Burst protection valves fitted if digger is in excess of seven Tonnes or more (after 1 Jan 2016)

  Yes

  No

  N/A

• 3 points of contact being used to enter and exit the excavator

  Yes

  No

  N/A

• Vehicles securely loaded

  Yes

  No

  N/A

• Vehicle warning signs displayed

  Yes

  No

  N/A

• Chains and slings in good order and inspection tags are current

  Yes

  No

  N/A

• Reversing vehicles are controlled by spotters

  Yes

  No

  N/A

40. Electrical Tools

• All electrical equipment set up correctly and secured in place where required

  Yes

  No

  N/A

• Tool guards secure and in good order

  Yes

  No

  N/A

• Angle grinders guard secure and both handles on the machines in use

  Yes

  No

  N/A

• Materials being worked by hand tools secured correctly

  Yes

  No

  N/A

• Second handle on Dynadrill in place and tool being used correctly

  Yes

  No

  N/A

• automatic operating switch or Dead Mans Switch in place and working

  Yes

  No

  N/A

• Bench saw- riving knife and crown guard in good order

  Yes

  No

  N/A

• Draw saw/Drop saw in good order and guards working freely

  Yes

  No

  N/A

• All operatives wearing the correct PPE (including full face shield and/or goggles for use of angle grinder

  Yes

  No

  N/A

• Blades and discs are sharp fit for purpose and not deformed

  Yes

  No

  N/A

• Plugs on equipment are heavy duty. Hard plastic plugs sometimes referred to as domestic plugs are not allowed to be used on equipment or tools except battery chargers kept in the site office

  Yes

  No

  N/A

41. Compressed Air Tools and Equipment

• Compressed air-matched and secured connections

  Yes

  No

  N/A

• Whip arresters in place and fitted correctly on air hoses and tools

  Yes

  No

  N/A

• Hoses in good order, no perishing, splits or leaks

  Yes

  No

  N/A

• Dust being controlled by use of vacuums when scrabbling concrete

  Yes

  No

  N/A

• All operatives wearing the correct PPE (including full face shield and/or goggles)

  Yes

  No

  N/A

42. Cranes and Lifting Appliances

• Emergency evacuation for operator have been established

  Yes

  No

  N/A

• Emergency harness and ropes in cab of crane available for use and emergency rescue team established

  Yes

  No

  N/A

• Operator decal legible

  Yes

  No

  N/A

• Daily Lift Plan completed for general lifts, LTM H&S 49

  Yes

  No

  N/A

• Full Safe work Method Statement completed for complicated lifts

  Yes

  No

  N/A

• Tag lines being used to control load

  Yes

  No

  N/A

• Operators manual and hand signal chart with the crane

  Yes

  No

  N/A

• Test weights available for tower crane weekly limit checks

  Yes

  No

  N/A

• Drawings, manuals, specifications, certificates, operational procedures, rating sheet available for viewing

  Yes

  No

  N/A

• Mobile crane set up level and true

  Yes

  No

  N/A

• Approved safe load indicator is set to maximum capacity of foundation design

  Yes

  No

  N/A

• Crush zone on mobile cranes isolated and signage installed

  Yes

  No

  N/A

• Crane wind speed meter fully operational

  Yes

  No

  N/A

• Lifting capacity chart with the crane

  Yes

  No

  N/A

• Overload Warning devices and voices in English

  Yes

  No

  N/A

• Outriggers fully deployed on mobile cranes

  Yes

  No

  N/A

• Check that slider locking pins are deployed

  Yes

  No

  N/A

• Signage in place warning of overhead loads and restricted access signage in loading zone

  Yes

  No

  N/A

• Check slings, chains, turfers and chain blocks certified and in good order

  Yes

  No

  N/A

• Check that the crane driver and the dogman trained appropriately and competent

  Yes

  No

  N/A

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43. Forklift

• Seat belt in good repair

  Yes

  No

  N/A

• Seat belt being used by operator

  Yes

  No

  N/A

• Drivers and operators properly trained with evidence of certificate and licence (F) endorsement if driving on the road (Section 22)

  Yes

  No

  N/A

• Vehicle securely loaded

  Yes

  No

  N/A

• Forklift operating warning signs displayed

  Yes

  No

  N/A

• Reversing controlled by spotters if drivers line of site impeded

  Yes

  No

  N/A

• Fitted with operator protective structures

  Yes

  No

  N/A

• Protective structure in good repair

  Yes

  No

  N/A

• Safety warning devices including lights and horn in full working order

  Yes

  No

  N/A

• Forklift stored/parked and or being charged in a suitable location away from pedestrian thoroughfares

  Yes

  No

  N/A

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44. Powder Actuated Tools

• Isolation and signage in accordance with ACOP

  Yes

  No

  N/A

• Check Tool has 6 monthly certificate

  Yes

  No

  N/A

• Tool and charges securely stored when not in use

  Yes

  No

  N/A

• 3 second verbal warning given

  Yes

  No

  N/A

• Hearing and eye protection being worn

  Yes

  No

  N/A

• Check Permit has been completed where required

  Yes

  No

  N/A

• Miss fires being collected and put in approved container ready to send back to Ramset/Hilti

  Yes

  No

  N/A

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45. Electrical

• Main switchboard door locked

  Yes

  No

  N/A

• 3 phase power socket installed at the electrical distribution board for connecting a 3 Phase Lifeguard

  Yes

  No

  N/A

• Lifeguard units tagged 3 monthly

  Yes

  No

  N/A

• No damage evident on tool housing, electrical plugs and cords

  Yes

  No

  N/A

• Tools and Leads tagged 3 monthly

  Yes

  No

  N/A

• Leads protected in traffic areas

  Yes

  No

  N/A

• Leads clear of water/elevated/taped down at door ways and are against the walls to reduce trip hazards

  Yes

  No

  N/A

• Industrial splitter boxes and double adaptors only in use with RCD's

  Yes

  No

  N/A

• RCD protection used on portable generators

  Yes

  No

  N/A

• RCD protection used with internal power points (minimum IP 33)

  Yes

  No

  N/A

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46. Environmental

• Is there an environmental emergency response plan in place and displayed in a central location

  Yes

  No

  N/A

• Is there an environmental plan in place for this site

  Yes

  No

  N/A

• Are relevant environmental impacts and control strategies detailed upon the site Environmental Hazard Board

  Yes

  No

  N/A

• Is construction noise being controlled in accordance with the requirements of the conditions of contract

  Yes

  No

  N/A

• Have environmental incidents been registered in the accident/incident register

  Yes

  No

  N/A

• Is the project recycling waste products

  Yes

  No

  N/A

• Are there silt controls in place

  Yes

  No

  N/A

• Is there a spill kit on site

  Yes

  No

  N/A

• Is dust controlled

  Yes

  No

  N/A

• Is there a truck tyre wash system in place

  Yes

  No

  N/A

• Wash area provided for paint, plaster and concrete

  Yes

  No

  N/A

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47. Traffic Management

• Is there a (CAR) TMP for this site and within date range

  Yes

  No

  N/A

• Is there a copy of the TMP on site

  Yes

  No

  N/A

• Is there a qualified traffic controller on site

  Yes

  No

  N/A

• Is traffic signage as per the TMP

  Yes

  No

  N/A

• Are there controls in place to isolate pedestrians from construction and vehicular operations beyond the site boundary

  Yes

  No

  N/A

• Spotters in place for reversing vehicles

  Yes

  No

  N/A

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48. Completion

• Safety Behavioural Observations (optional)

  Yes

  No

  N/A

• Signed by Site Representative

  Sign

• Signed by Auditor

  Sign

• Signed and dated by Site Supervisor to confirm action items and Non-conformances have been closed out

  Sign