Contractor Verification and Surveillance Checklist - duplicate

• Document number

• Site

• Direct Control / Council or Contactor

• RMS

  Council

  Contractor

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - WHS

• 1.1 - Has a risk assessment been undertaken?

  Yes

  No

  N/A

• 1.2 - Is there document evidence that personnel have been inducted into the site specific risks, hazards & agreed controls?

  Yes

  No

  N/A

• 1.3 - Are SWMS available for all activities onsite?

  Yes

  No

  N/A

• 1.4 - Is there a first aid officer & stocked first aid kit available?

  Yes

  No

  N/A

• 1.5 - Is housekeeping on site acceptable, in fire extinguisher and electrical equipment tagged for the current period?

  Yes

  No

  N/A

• 1.6 - Are Safety Data Sheet (SDS) available?

  Yes

  No

  N/A

• 1.7 - Compliance with personal protective equipment (PPE)

  Yes

  No

  N/A

• 1.8 - Are daily plant pre-start inspections being complete?

  Yes

  No

  N/A

• 1.9 - Is there evidence of Weekly WHS inspections being complete?

  Yes

  No

  N/A

2.0 - Environmental

• 2.1 - Has environmental risks been assessed and documented?

  Yes

  No

  N/A

• 2.2 - Are site specific environmental requirements known by the Contractor's personnel and documented?

  Yes

  No

  N/A

• 2.3 - Is the limit of works known by site personnel and protections put in place for No Go Zones?

  Yes

  No

  N/A

• 2.4 - Is housekeeping onsite acceptable, including the installation of effective erosion & sedimentation protection measures?

  Yes

  No

  N/A

• 2.5 - Are erosion & sediment controls checked as required? Are environmental inspections being completed as required?

  Yes

  No

  N/A

• 2.6 - Are wastes being recorded & managed correctly?

  Yes

  No

  N/A

• 2.7 - Are fuels and chemicals appropriately bunded?

  Yes

  No

  N/A

• 2.8 - Is wastewater being managed appropriately?

  Yes

  No

  N/A

• 2.9 - Is there evidence of equipment been regularly checked for defects? (oil spills,leaks, damaged hoses etc).

  Yes

  No

  N/A

• 2.10 - Do site personnel know the procedure for reporting of environmental incidents?

  Yes

  No

  N/A

• 2.11 - Is there a spill kit on site and have all personnel been trained in spill management?

  Yes

  No

  N/A

3.0 - Quality

• 3.1 - Does the contractor understand the requirements of the Specifications for the activity that they have been engaged to undertake?

  Yes

  No

  N/A

• 3.2 - Are inspection and test plans being used and followed?

  Yes

  No

  N/A

• 3.3 - Is the inspection and status known ( including witness points and hold points submitted and signed off)?

  Yes

  No

  N/A

• 3.4 - Are in coming products checked for compliance?

  Yes

  No

  N/A

• 3.5 - Are work quantities recorded accurately?

  Yes

  No

  N/A

• 3.6 - Is rectification documented & work undertaken to achieve conformance?

  Yes

  No

  N/A

• 3.7 - Are non conformances / nonconforming products identified and documented?

  Yes

  No

  N/A

• 3.8 - Is a lot numbering system being used?

  Yes

  No

  N/A

• 3.9 - Is monitoring & measuring equipment maintained and calibrated?

  Yes

  No

  N/A

4.0 - Traffic

• 4.1 - Has a Traffic Control at work sites location Checklist been complete?

  Yes

  No

  N/A

• 4.2 - Is a standard TCP being used?

  Yes

  No

  N/A

• 4.3 - Has a site specific TCP been approved correctly and appropriate for the site conditions?

  Yes

  No

  N/A

• 4.4 - Has a VMP been approved and appropriate for the site?

  Yes

  No

  N/A

• 4.5 - Has a WoF plan been developed that is appropriate to to activity & has it been communicated to site personnel?

  Yes

  No

  N/A

• 4.6 - Are the needs of pedestrians and cyclists through the works considered?

  Yes

  No

  N/A

• 4.7 - Are Traffic control inspections records being completed accurately?

  Yes

  No

  N/A

• 4.8 - Are signs and devices clean, well maintained and installed in accordance with the TCP?

  Yes

  No

  N/A

• 4.9 - If required, is the ROL & SZA/DTR documentation in place with records kept? Are the requirements of the ROL known and being met?

  Yes

  No

  N/A

• 4.10 - Is there evidence that signs are covered when not in use? e.g. contradictory signs covered

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign