DOCUMENTATION

  • Safe Work Statement/Risk Assessment/Job Safety Analysis completed?

  • Is a copy available to see at the work site?

  • Has the document been signed by a Callaghan Innovation representative and by all workers involved?

  • Any permits required have been filled out & authorised correctly

  • Workers have been made aware of local hazards?

  • Communication - have local WAMs and other affected people been informed of the work?

  • Has a tool box safety talk taken place?

  • If work site is to be left unattended are emergency contact numbers displayed?

  • Action required:

HOUSEKEEPING

  • Work areas neat?

  • Projecting nails or screws bent over or removed?

  • Waste containers provided and used?

  • Passageways and walkways clear?

  • Cords and leads off the floor?

  • Action required: Action by:

EMERGENCY PREPARATION

  • Are there any specific emergency plans?

  • Comments:

  • Workers aware of nearest assembly point?

  • First Aid Kit available?

  • Trained First Aider available?

  • Adequate fire extinguishers provided?

  • Fire Extinguishers accessible?

  • Fire Extinguishers inspected?

  • Action required:

LIGHTING AND VENTILATION

  • Illumination sufficient for work being performed?

  • All temporary lighting originated from a separate branch circuit?

  • Temporary Lighting installed at appropriate height?

  • Ventilation sufficient for all jobs to be performed?

MATERIAL HANDLING

  • Materials properly stored or stacked?

  • Employees using proper lifting techniques?

  • Appropriate mechanical lifting aids available and used?

  • Proper number of workers for each operation?

PERSONAL PROTECTIVE EQUIPMENT

  • Hard hats being worn?

  • Safety glasses being worn?

  • Gloves properly chosen for work performed?

  • Respirators used when required? Proper respirator documentation available?

  • Hearing protection being worn when required?

  • Traffic vests or high visibility clothing material being worn?

SPECIFIC HAZARDS - Select all that apply

  • Electrical

  • Work is being done by an appropriately qualified electrician.

  • Labels are being added as appropriate and electrical drawings updated?

  • Terminal boxes equipped with required covers and grounded as appropriate?

  • Lock out system in use as appropriate?

  • Hand, power & power actuated tools

  • All tools are in good repair and inspected regularly?

  • Power actuated tools are isolated or fitted with RCDs?

  • Guards in place on machines?

  • Correct tool being used for job at hand?

  • Personnel adequately trained in the use of their tools?

  • Power cords in good condition?

  • Operators of powder actuated tools (e.g. Ramset nail guns) are licensed?

  • Ladders

  • Serviceable?

  • Proper Use?

  • Not standing on two top steps

  • Proper height for the task

  • Stepladders in fully opened and locked position

  • Straight ladders used for access extend three feet above landing

  • Proper Ratio (4:1)

  • Three points of contact when ascending / descending

  • Ladders are secured to prevent slipping, sliding or falling?

  • Ladders with split or missing rungs taken out of service?

  • Scaffolding

  • All scaffolding inspected daily?

  • Erected on sound rigid footing?

  • Tied to structure as required?

  • Guardrails, intermediate rails, toe boards and screens in place?

  • Planking is sound and sturdy?

  • Proper access provided?

  • Employees below protected from falling objects?

  • Working at height

  • Working at height permit completed

  • If over 5m WorkSafe have been notified

  • Safe method of access and egress

  • Bracings, jacks and struts are in place to prevent accidental displacement?

  • Adequate method of fall protection

  • Method:

  • Employees below protected from falling objects?

  • Trenches, excavation & shoring deeper than 1.5m

  • Underground services have been identified and located

  • Protection is in place to prevent the excavation walls from collapsing.

  • Materials, equipment and spoil are stored away from the excavation

  • Warnings and barricades are in place.

  • The excavation is inspected daily.

  • Personal will be entering the excavation?

  • A confined space permit has been completed

  • Gas tests are made before entering to ensure a breathable atmosphere

  • There is emergency rescue equipment available and a standby person on duty.

  • Sufficient ladders or other forms of egress are available.

  • Hot work

  • Hot work permit completed

  • Fire spotter/observer in place

  • Fire extinguishers readily available?

  • Gas cylinders stored upright?

  • Proper separating distances between fuels & oxygen?

  • Goggles or shields used?

  • Hoses in good condition?

  • Mechanical lifting / cranes

  • Approximate weight known?

  • Load secure and balanced?

  • Lifting equipment appropriate and in good repair / certified?

  • Chains and slings inspected and tagged as required?

  • Operator is competent/trained/licenced?

  • There is a competent spotter and agreed hand signals/communication with the lift operator?

  • Cranes - ground is stable, outriggers extended and swing radius barricade in place?

  • Employees kept from under suspended loads, and people around only those necessary?

  • Concrete work

  • Employees are protected from cement dust?

  • Exposed skin covered?

  • Area barricaded and signed

  • Traffic management

  • Local staff have been warned prior to event

  • Appropriate cones and warning signs are in place?

RECOMMENDATIONS

  • List any additional recommendations or corrections

SIGNATURES

  • Callaghan Innovation representative

  • Contractor representative

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