CONTRACTOR OHS AUDIT FORM

• Site conducted

  Select

• DOCUMENT NO:

• RESPONSIBLE FIELD OFFICER:

• START INSPECTION DATE/TIME

  Date
• LOCATION:
  Address

• VEHICLE REGISTRATION DETAILS:

CONTRACT DOCUMENTS

• Is there a site specific SWMS ?

  Yes

  No

  N/A

• Has the SWMS been reviewed using KCC (SWMS Review Checklist)?

  Yes

  No

  N/A

• Is there a record of toolbox meetings occurring?

  Yes

  No

  N/A

• Have Risk Assessments and Hazard Identification been conducted for relevant tasks?

  Yes

  No

  N/A

• If excavation/trenching works is involved has dial-before-you-dig been contacted to locate underground assets prior to the commencement of the task?

  Yes

  No

  N/A

PERSONNEL SAFETY

• Is hearing protection supplied and in use?

  Yes

  No

  N/A

• Is eye protection supplied and in use?

  Yes

  No

  N/A

• Is hand protection supplied and used?

  Yes

  No

  N/A

• Is safety footwear being supplied and used?

  Yes

  No

  N/A

• Is the clothing worn suitable for the task being conducted?

  Yes

  No

  N/A

• Is HI – VIS being supplied and in use?

  Yes

  No

  N/A

• UV Protection supplied and used?

  Yes

  No

  N/A

TRAFFIC AND PUBLIC SAFETY

• Has a Traffic Management Plan been developed and authorised for use by Council or Vic Roads?

  Yes

  No

  N/A

• Is the site set up in accordance with the authorised Traffic Management Plan?

  Yes

  No

  N/A

• Have any changes to the authorised plan been documented, sighted and signed by all staff on site?

  Yes

  No

  N/A

• Do staff undertaking Traffic Management Duties have current Licences or Certification to do so?

  Yes

  No

  N/A

• Provision of barriers to protect the public eg/ witches hats, safety tape, temp fencing, water barriers?

  Yes

  No

  N/A

HAZARDOUS SUBSTANCES AND DANGEROUS GOODS

• Do all chemicals onsite have an SDS that is easily accessed?

  Yes

  No

  N/A

• Are chemicals correctly and clearly labelled?

  Yes

  No

  N/A

• Are the chemicals held in a container specifically designed to carry chemicals?

  Yes

  No

  N/A

• Are chemicals stored so as to prevent spillage?

  Yes

  No

  N/A

• All necessary items available for treatment of spillages

  Yes

  No

  N/A

FIRST AID

• Is there a First Aid kit easily available that is adequately stocked based on the types of injuries that are expected to occur?

  Yes

  No

  N/A

• Is there a staff member with First Aid Training on site or within easy access?

  Yes

  No

  N/A

FIRE PROTECTION

• Is the firefighting equipment capable of defeating the likely fire sources based on the working environment?

  Yes

  No

  N/A

• Is the firefighting equipment within its service date (Tested and Tagged)?

  Yes

  No

  N/A

• If required – Is firefighting equipment sufficiently charged for use?

  Yes

  No

  N/A

PLANT & EQUIPMENT

• Is the vehicle currently registered?

  Yes

  No

  N/A

• Is there a daily pre-start check conducted on the vehicle or equipment prior to use?

  Yes

  No

  N/A

• Do safety flashing lights or hazard lights work?

  Yes

  No

  N/A

• Is the equipment have Guards & other safety equipment fitted where required?

  Yes

  No

  N/A

• Is the operator aware of people, plant and equipment in vicinity

  Yes

  No

  N/A

• Valid Driver’s licence and Heavy Machinery (Car,Truck,Loader,etc)

  Yes

  No

  N/A

• NAME OF CONTRACTOR:

• NAME OF CONTRACTOR:

• FINISH INSPECTION DATE/TIME:

  Date