Section 1 - HSE Management System

1.1 Have all employees on this project completed pre-employment medical examinations?

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1.2 Have all employees on this project completed your company's induction?

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1.3 Have all employees on this project completed the Fremantle Ports induction?

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1.4 Have all of your employees on this project been inducted into your Health and Safety Policy?

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1.5 Do all employees on this project understand their role and responsibilities?

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1.6 Are project HSE Management Plan / Bridging document hard copy / copies available for review by your employees?

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1.7 Are copies of your policies made visible for your employees and visitors?

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1.8 Project records managed and copies available?

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1.9 Acts and Regulations readily available?

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1.10 Are safe work procedures readily available, used and reviewed?

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1.11 Health & Safety hours and statistics recorded and forwarded to Fremantle Ports?

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1.12 Rewards and recognition program implemented?

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1.13 HSE communication - evidence of safety alerts/bulletins, actions displayed for work crew?

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1.14 Behavior base observations conducted?

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Section 2 - Training

2.1 Are your employees on this project included on the company training matrix?

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2.2 Are your employees on this project scheduled to undertake skills enhancement?

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2.3 Are your employees training records available for this project on site and provided at clients request?

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Section 3 - Employee Qualifications/Competencies

3.1 Are your employees on this project competent / qualified to complete the tasks which they are required?

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3.2 Permit to work

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3.3 Incident Reporting

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3.4 Risk Management

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3.5 Operation of EWP

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3.6 Fire extinguishers

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3.7 First aid

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3.8 Height safety awareness

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3.9 Manual handling

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3.10 Preparation of reports

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3.11 Trade qualifications

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3.12 Emergency response

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3.13 Rigging

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3.14 Crane dogman

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3.15 Safety representative

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3.16 Emergency response

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Section 4 - Project Specific Requirements

4.1 Is your project chart displayed & do employees understand hierarchy of control/chain of command?

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4.2 Are your employees attending & participate in safety meetings and toolbox meetings? How are minutes of these meetings recorded and maintained?

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4.3 Is the project scope of work clearly outlined and understood by your Project Supervisors/Project Managers?

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4.4 Is the project scope of work being achieved?

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4.5 Are client representatives briefed on project requirements and progress?

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Section 5 - Risk Management

5.1 Does your company identify, assess, control & rate hazards?

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5.2 Does your company employees have access/availability to hazard register/matrix?

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5.3 Use of documented JHA's?

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5.4 Use of on site hazard identification documents?

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5.5 Use of "Step Back 5 x 5" prior /during after tasks?

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Section 6 - Issues, Incident & Emergency Management

6.1 Are all issues & incidents reported, recorded and copies maintained?
- Near miss
- Personal injury/illness
- Equipment damage
- Equipment failure
- Fire
- Exposure
- Refusal to work
- Environmental

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6.2 Are serious incidents investigated to establish root cause?

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6.3 Are recommendations for follow up action completed before management sign-off of incident reports?

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6.4 Have all incidents been immediately reported to client representative(s)?

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6.5 Do your employees understand the correct systems & procedures of issue/incident reporting?

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6.6 Are issue/incidents corrective actions reviewed & discussed with crews?

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6.7 Do you have an injury management & rehabilitation plan and procedures in place?

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Section 7 - Emergency Response Management

7.1 Emergency response - have potential emergency scenarios been identified (e.g. fire, large spills etc.) and responses developed?

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7.2 Does your company have a planned and documented emergency response procedure?

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7.3 Are your employees aware and understand the correct procedures?

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7.4 Are client representatives briefed on emergency response procedures?

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7.5 Do your employees conduct emergency drills?

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Section 8 - Sub-contractor Management

8.1 Do you have a process for engaging sub contractors?

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8.2 Do your sub contractors provide a safety management plan prior to engagement?

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8.3 Are checks carried out by your organisation to ensure sub contractors have the required skills to conduct the work scope?

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8.4 Are sub contractors inducted into your organisation?

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8.5 Are sub contractors involved in your pre start and toolbox meetings?

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Section 9 - Equipment

9.1 Are pre-start up checks conducted on equipment (i.e. plant, compressors & vehicles)?

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9.2 Are equipment checklists (pre-start and maintenance) being filled out correctly?

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9.3 Are records of "service of equipment" completed and maintained?

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9.4 Are personnel who undertake maintenance and servicing of equipment qualified/competent?

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9.5 Are tools and equipment correct for work scope?

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9.6 Are tools and equipment in good working order?

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9.7 Has all electrical tagging been completed and is it up to date?

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9.8 Are correct pressure hoses used for the task rated higher?

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9.9 Are hose restraint/whip checks fitted to high pressure hoses?

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Section 10 - Management Commitment

10.1 Managers participate in HSE issues/incident investigations?

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10.2 Managers conducted inspections, audits, walk?

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10.3 Managers participate in HSE toolbox & pre-start meetings?

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Section 11 - Critical Safety/Equipment

11.1 Is all critical safety equipment on a site register and up to date?

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11.2 Is appropriate PPR (harness, lanyards and inertia reels) maintained and available?

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11.3 Are any other forms of access equipment (i.e. ladders, scissor lifts, booms, cherry pickers etc.) used on this project? Are maintenance requirements as per Element 9 met for this equipment?

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Section 12 - Site Conditions & Employee Conduct

12.1 Are your employees adhering to procedure/JAS when undertaking all operations:
- Hand tool
- Power tool (pressure cleaner)
- Drilling
- Manual handling
- Small motors
- Vehicle operations

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12.2 Are work sites appropriately signed, so only authorised persons are allowed to enter?

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12.3 Are work sites appropriately barricaded to keep unauthorized persons from entering?

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12.4 Are all site roads access road maintained in a operational order?

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12.5 Approvals in place for road closures?

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12.6 Area identified/delineated for vehicle parking/reverse parking?

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12.7 Is appropriate PPE (gloves, eye protection, hearing protection, respiratory protection etc.) worn, maintained and available?

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12.8 Tool selected are suitable for the task and used correctly?

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12.9 Employees competent, qualified and confident in assigned task?

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12.10 Housekeeping - are project work sites, offices, compounds and storage facilities maintained in a tidy manner?

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Section 13 - Hazardous & Hydrocarbon Material Management

13.1 Do you have a site register for all hazardous substances and up to date?

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13.2 Stored substances are adequately bunded, labeled and segregated?

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13.3 Chemicals approved and authorised by client?

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13.4 MSDS readily available to employees and in date?

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13.5 Emergency equipment readily available, e.g. fire extinguisher, spill kit.

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Section 14 - Vehicles & Mobile Plant

14.1 Has all 'Classified Plant' been inspected by Fremantle Ports maintenance department

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14.2 Are all vehicles & mobile plant on a register?

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14.3 All operators qualified & competent to operate equipment?

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14.4 Safe working loads marked on plant cab?

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14.5 Faults corrected immediately or actioned for close out.

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14.6 Safety devices fitted & operational e.g. fire extinguishers, reverse beeper, guarding ,etc

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Section 15 - Operational Documentation

15.1 Are employees actively & accurately monitoring and recording daily work

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15.2 Does your company provide work completed documentation for client representatives?

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15.3 On this project are records maintained for:
- Environmental Monitoring?
- Employee Qualifications
- Equipment Checklists
- JHA’s
- Daily ,Weekly & Monthly report
- Site Inspection
- Vehicle inspections
- Daily Work Schedules
- Safety Workplace Inspections
- Timesheets
- Registers
- Other (specify)?

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Section 16 - Audits & Inspections

16.1 Are site safety inspections conducted, documented & maintained by your company, employees working on this project?

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16.2 Are safety inspections improvements actioned & corrected in suitable time frame?

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16.3 Does client conduct workplace inspections & audits? Does your company complete in suitable time frame?

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Are internal / external audits required to be conducted on this project? Have these audits been scheduled? If yes, have they been conducted and recorded as per schedule?

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Section 17 - Rail Safety

17.1 Accreditation to perform rail works

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17.2 Compliance requirements as per standard gauge code of practice for maintenance

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17.3 Certification for works completed

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17.4 Conformance to the regulations and requirements of the office of rail safety

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17.5 Competencies and training records for employees to perform tasks associated with railways

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17.6 Authorisation and certification to access and work on and in the vicinity of rail infrastructure

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.