Information
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
1. Working at Heights
-
1.1. Fall risks of 2m or more? (including voids, pits, and trenches)
-
1.2. Lack of edge protection?
-
1.3. Unsafe or incomplete edge protection?
2. Plant and Equipment
-
2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)
-
2.4. Unlicensed operators?
-
2.5. Lack of safe work instructions?
-
2.8. Lack of inspection regime?
3. Scaffolds
-
3.1. Unlicensed persons erecting scaffold above 4m?
-
3.2. Unsafe or incomplete scaffold?
-
3.3. Lack of inspection protocol for scaffold?
-
3.4. Incompatible scaffold components? Unlabelled or do not meet AS?
-
3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)
4. Lifting Equipment
-
4.1. Unsafe or damaged plant?
-
4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?
-
4.3. Lack of maintenance, testing and inspection?
-
4.5. Lack of daily inspection protocol?
-
4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?
-
4.8. Unlicensed operators?
5. Harness and Equipment
-
5.1. Unsafe or damaged harness or equipment?
-
5.3. Unlabelled or does not meet AS?
-
5.4. Unsafe or uncertified anchor points?
6. Ladders
-
6.1. Unsafe or damaged ladders?
-
6.2. Unsafe positioning of ladders?
-
6.3. Ladder not properly secured?
8. Hazardous Chemical (including fuel and oil)
-
8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
-
8.2. Incompatible chemicals stored near each other?
-
8.3. Inadequate spill containment equipment?
-
8.4. Safety Data Sheets not accessible on site?
-
8.6. Excessive quantities stored on site or in vehicles?
-
8.8. Insufficient, or incorrect, PPE?
-
8.9. Unsuitable storage containers? (unlabeled or stored in food containers)
9. Emergency Response
10. Traffic Management
-
10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?
-
10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)
-
10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
11. Personal Protective Equipment (PPE)
-
11.1. Lack of, or inadequate PPE (including sun protection)
13. Electrical Hazards
-
13.1. Unsafe electrical leads? (damaged, out of test date or untested)
-
13.4. Contact with overhead electrical lines?
-
13.5. Overloading outlets?
-
13.6. Leads placed on ground or on metal structures?
-
13.8. Electrical equipment near flammables?
15. Administrative Procedures
-
15.1. Lack of/or inadequate Site Safety Plan?
-
15.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)
Corrective Actions
-
Enter any corrective actions that will be undertaken
Sign Off
-
On site representative
-
Auditor's signature
