Title Page
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Document No.
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Audit Title
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Client / Site
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Company Name
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Conducted on
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Prepared by
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Site Name/Location
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Company MD or CEO
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Project Manager
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HSE Responsible Person
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Safety Representative
Administration Documents
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Mandatory agreement signed (Sec 37(2))
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Notification of Constuction Work to Department of Labour (CR 4(1))
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Is the Letter of Good Standing valid (CR 5(1)(j))
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Valid untill which Date
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LOG Registration Number
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WCL2 or FEM forms available
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Legal registered name of company
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Company Organogram on file?
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Health and Safety plan approved? (CR7(1)(b))
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Health and Safety file complete in full (CR 5(1)(s))
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Client Health and Safety Specs on file? (CR 5(1)(b)
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Contractor Appointment in place? (CR 7(1)(v))
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Updated and recent copy of OHS Act and Regulations (GAR 4)
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Health and Safety policy available? (Sec 7)
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Enviromental Policy available?
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Spill procedure in place?
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Substance Abuse Policy?
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Traffic Management Plan
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On Site Emergency Plan?
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Waste Management Plan?
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Valid Public Liability Insurance (Sec 37(2))
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Audit Arrangements
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List of Sub-Contractors
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Sub-Contractor Procurement procedure in place?
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Roles and Responsibilities documented and signed?
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Assistant to the CEO (Sec 16(2))
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Health and Safety Representative (20 employees+) (Sec 17(1))
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Health and Safefty Commitee member (Sec 19(3))
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Incident Investigator (GAR 9(2))
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First Aider (GSR 3(4))
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Ladder Inspector (GSR 13A)
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Construction Manager (CR 8(1))
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Assistant Construction Manager (CR 8(2)
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Construction Supervisor (CR 8(7))
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Assistant Construction Supervisor ((CR 8(8))
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PPE inspector
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Housekeeping
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Safety Officer (CR 8(5))
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Full Time or Part Time
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What is the visit frequency
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Competency available for Safety Officer
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Risk assessor (CR 9(1))
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Portable Electrical Inspector
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Construction Vehicle Inspector (CR23)
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Excavation Supervisor (CR13)
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Stacking & Storage (CR28(a))
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Fire Equipment Inspector (CR 29(h)
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Hazardous Chemical Substances
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Emergency Co- ordinators
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Fire Fighters (CR 29)
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Hand Tool Inspector
Risk Assessment
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Risk Assessment Procedure in place
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Risk Register in place
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Risk Assessments done and on file (CR 9)
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Monitoring and Review plan in place
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Proof of communication to employees
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Risk Matrix available and in use
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Baseline Risk assessment on file
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Task sspecific risk assessments on file
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Task Specific risk assessments signed off
Inductions
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Company training induction available? (CR7(5))
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Attendance register available as proof
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Was the induction done by the client?
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Was induction given to visitors and sub-contractors? (CR 7(6))
Fall Protection
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Fall Protection Plan on file (CR 10(1)(a))
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Fall Protection Plan Developer competency
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Risk Assessment available?
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Plan and Risk Assessment communicated?
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Checklist on equipment done?
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Supervisor in possesion of the Fall Protection plan
Medical Fitness
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All Employees in possession of a valid medical
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Medicals done annually?
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Medicals done by a Medical Health Practitioner?
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Practitioner practise stamp and registration number on fitness certificate?
Checklists and Registers
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Hand Tool Register
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Hand Tool Checklist
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Enviromental
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PPE Monthly
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Hygiene and Housekeeping
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Fire Extinguisher Register
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Fire Extinguisher Checklist
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Housekeeping
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Stacking & Storage
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SHE Rep monthly checklist
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PPE
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Hazardous Chemical Substances
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Mobile Machinery
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Excavations
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First Aid Box
General
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Hazardous Chemical Substances list available (HCS Regs)
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MSDS' available?
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MSDS' communicated
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MSDS' consisting of 16 points
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Toolbox Talks done once a week
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Proof of communication of toolbox talks on file
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PTO schedule in place
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PTOs done regularly by supervisor
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Daily safe task analysis done
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Daily safe task analysis signed off
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Incident reporting procedure
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Incident flash reports on file
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Incidents reported immediately
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Incident register available
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Near Miss reporting done
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PPE issue register available
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Proof of previous PPE issues available on file
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PPE awareness training done
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PPE Policy on file
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Is PPE SABS approved,proof?
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SHE Legal Register available?
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Management of change procedure available?
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Management of Change communicated
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Workers hygiene and welfare facilities good
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Toilet facilities available
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Toilet paper available
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Toilets clean
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Transportation for workers policy in place
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Transportation of workers policy communicated
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Safe Work Procedure on file
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Safe Work Procedures communicated
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Non-conformance procedure available
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Non -conformance issue on file
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Close-out of NCR available and done in time
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Health and Safety Commitee meetings conducted
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Proof of minutes available and filed
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Emergency plan available for the work area (CR29)
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Emergency plans communicated
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First Aider appointed on site (GSR 3(4))
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First aider competent
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First Aid sign posted
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First Aider contact details poted and available
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Enviromental Programmes in place?
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Enviromental Management Plan available?
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Spillages cleaned?
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Spill kit available?
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Enviromental Awareness communicated?
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Enviromental Checklist in place?
Operator Appointments (CR23)
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Operator
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Name & Surname
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What equipment does the person operate
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Competency current
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Competency certificate expiry date
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Medical current
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Date of expiry