Information

  • Auditing Officer

  • Service Provider

  • Comment (if "Others" is selected for above option)

  • Conducted on

  • Location

SITE DETAILS

  • Contract Cordinator

SITE MANAGEMENT PLAN

  • SMP approved, available on site and being followed?

  • Dial Before You Dig plans on site, understood and signed off by all relevant personnel?

  • TCP on site authorised by qualified person (including qualification number). Site setup matches TCP and caters for pedestrians and cyclists?

  • Design Drawings available on site?

  • Permits?

  • Purchase Order or purchase order number?

  • Daily work register?

  • Copy of Community Notification Letter?

  • SMP Corrective Actions:

WORK HEALTH AND SAFETY (WHS) DOCUMENTATION - SMP

  • Auditing officer inducted on to site, or made aware of site hazards, evacuation area and escorted by contractor employee at all times?

  • Site Safety Information board including required PPE, company name and contact person

  • Emergency evacuation plan available and displayed on site, or emergency assembly area signage?

  • Evidence of site inductions?

  • Evidence of regular toolbox meetings?

  • Evidence of general inductions (including numbers) of all personnel

  • Evidence of all other licences including TC and drivers licence where required?

  • Current activities on site:

  • Comment (if "Others" is selected for above option)

  • SWMS for all activities available and up-to-date?

  • Workers able to name 1 hazard and control from the SWMS for current activity?

  • Hazardous register substances available and up-to-date?

  • SSSMP available and up-to-date - works greater than $250k?

  • Weekly site inspection for work greater than $250k?

  • Evidence of plant and equipment inspections?

  • Excavator safety pin or locking device?

  • Has high voltage high pressure transmission lines been identified in tool box talk?

  • Any other WHS issues identified?

  • Comment (if "Yes" is selected for above option)

  • Safety Corrective Actions:

SITE COORDINATION, SAFETY AND ACCESIBILITY

  • Fencing and barracades seperating site from public?

  • Minimum 1m pedestrian thoroughfare maintained?

  • Temporary access ramps provided on site?

  • Does site match Traffic Control Plan?

  • Noise, dust and sediment control in place and effective?

  • Public areas and garden beds free from concrete slurry and trash

  • Property access clear from debris - eg use of carpets/ramps with hand rails?

  • City of Sydney signage been displayed?

  • Street signs installed 2.1m above the ground?

  • Site amenities for staff?

  • Any issues identified?

  • Comment (if "Yes" is selected for above option)

  • Other site coordination issues and corrective actions?

  • Comment (if "Yes" is selected for above option)

QUALITY - REFER TO TECHNICAL SPECIFICATIONS

  • Concrete footway is 110mm thick 32 MPa concrete with SL72 mesh on 100mm DGB20 base?

  • Comment (if "No" is selected for above option)

  • 40mm cover from top of concrete to SL72 mesh

  • Compacted sub grade CBR 4 or above ( Visual )?

  • Equally spaced contraction joints every 1.5 to 1.8m and expansion joints ( using self expanding joint filler) every 4.5 to 5.4m.<br>Expansion joints at building line, back of kerb, services or any change in material.

  • Comment (if "No" is selected for above option)

  • Footpath minimum 1.2m wide, complies with dimensions and notes on drawings?

  • Grade of footpath is as per drawings or approved in writing by contract coordinator. No ponding occurring in front of properties or kerb ramps?

  • Footpath finished with broom finish perpendicular to travel direction?

  • Any construction issues identified?

  • Comment if "Yes" is selected for above

AUTHORISATION

  • City Representative

  • Service Provider Representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.