Contract Health and Safety Site/Project Audit Sheet

• Document No.

• Contract

• Contractor

• Contractors Rep

• Conducted on

  Date

• Conducted by

• Location
  Address

Site Hazards

• Appropriate hazard controls in place?

  Yes

  No

  N/A

• Visitors inducted to site?

  Yes

  No

  N/A

Services

• Underground services plans on site?

  Yes

  No

  N/A

• Overhead Services Clearance Okay?

  Yes

  No

  N/A

Traffic Control

• Public notification/consultation done?

  Yes

  No

  N/A

• Traffic Management Plan - On Site (current)

  Yes

  No

  N/A

• Traffic control set out in accordance with approved TMP?

  Yes

  No

  N/A

• What is to be corrected?

Personal Safety Equipment Required

• Is the following required?

• First Aid Kit

• Implemented

  Yes

  No

• Safety Footwear

• Implemented

  Yes

  No

• Hard Hat

• Implemented

  Yes

  No

• Gloves

• Implemented

  Yes

  No

• Appropriate clothing

• Implemented

  Yes

  No

• Day Glo Jackets

• Implemented

  Yes

  No

• Safety Glasses

• Implemented

  Yes

  No

• Trained First Aiders on Site?

  Yes

  No

  N/A

Trenching

• Is trenching being carried out?

  Yes

  No

• Depth?

• What shoring methods are being used?

  Shield

  Other

• Give details

• Permits Required?

  Required

  Not Required

Working in Confined Space

• Is work being undertaken in a confined space?

  Yes

  No

• Is gas monitoring in place?

  Yes

  No

• Safe harness & tripod being used?

  Yes

  No

Site Safety

• Signage in place?

  Yes

  No

  N/A

• Is site adequately fenced off?

  Yes

  No

  N/A

• Are hazardous materials on site stored safely?

  Yes

  No

  N/A

• Is equipment and machinery on site in good condition and being operated safely?

  Yes

  No

  N/A

Site instructions issued

• Has a Site Instruction been issued to correct any on-site non-conformance?

  Not Issued

  Issued

Comments

• Comments on any of the above?

• Add any photos if required

  Media

Sign off

• Confirmed WDC Supervisor

  Sign

• Confirmed Contractor's Site Supervisor

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