Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Work Environment
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Are all work area clean and dry?
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Rubbish removed daily?
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Are roadways, walkways, doorways, and exit routes kept clear and unobstructed?
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Are all MSDS on site in an area that is readily accessible to all employees?
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Are measures in place to protect the public from exposure to work activities and equipment?
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Is a notice board readily available to all employees in the workplace displaying the following information
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If you are injured poster
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Emergency information relevant to the site
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Site First Aiders
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Site HSR
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Minutes of Toolbox meeting which includes Safety Issues
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Issue Resolution process
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Are weekly "tool box" safety meetings held and documented with sign in sheets?
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Is material piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?
First Aid and Emergency Equipment
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Do staff know what to do in an emergency?
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Are emergency telephone numbers posted on the job site?
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Is there at least one person on site trained in first aid and CPR?
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Are first aid kits easily accessible, inspected, and stocked at least monthly?
Fire Protection and Prevention
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Are fire extinguishers available to all work areas?
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Are fire extinguishers clearly visible and unobstructed at all times?
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Are fire extinguishers inspected and tagged?
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Are fuel gas cylinders and oxygen cylinders secured and stored correctly?
Portable Ladders
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Are all ladders maintained in good condition and inspected before each use? Are broken and defective ladders taken out of service immediately?
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Are ladders being used for their designed purpose only? (Step ladders/Extension ladders)
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Are ladders placed on dry, stable footing, and properly secured?
Electrical
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Are all electrical leads tested and tagged?
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Are all electrical cords inspected and in good working condition (i.e. no splices, frays, or the ground prong is removed)?
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Are unused switches, receptacles, and junction boxes covered with tight-fitting covers or plates
Gas
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Cylinders
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In test date?
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In good condition?
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Connections checked for leaks?
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Free from leaks?
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Cylinders are secured?
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Cylinder hose assembly in good condition?
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Located away from flammable material?
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Cylinder not blocking path or exit - will not be knocked over?
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Regulator & Hose Connection
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Regulators in good condition?
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Hoses in good condition?
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Protected from accident damage?
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Hoses less than 3m in length - no joiners?
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Appliances
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Only Certified Appliances in use?
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In good working condition - taps & nobs in good condition & marked?
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Not on a combustible surface?
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Clearance from LPG Cylinder - clearance from combustible material?
Hand and Power Tools
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Are all tools maintained in safe condition?
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Are damaged and defected tools removed from service and repaired or replaced as soon as the damage or defect is found?
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Are grinders, saws, and other tools with moving parts, equipped with appropriate safety guards to prevent physical contact with moving parts?
Traffic Control
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Are proper signs placed on road to alert drivers of construction danger ahead?
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Have traffic management personnel been properly trained and have appropriate certification of this?
Plant & Equipment
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Is operator licences / certified to operate machinery?
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Are there available on site Risk Assessment for all plant & equipment on site?
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Are maintenance records available for all plant & equipment on site?
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Is a pre-start checklist conducted for all plant & equipment on site?
Site documents
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Is a Site Project Management Plan available on site?
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Are SWMS, JSAs, or SOPs singed by the persons undertaking the activities?
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Have all site personnel been inducted?
Actions
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1.
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3.
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4.
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5.
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6.
Sign as discussed outcomes
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Auditee Signature
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Auditor Signature