Information
-
Document No.
-
Version updates:
2.1 Removed scoring from auditor name field.
2.2 Added check field to assessment for HAZARD to reflect need to formalise in a UTAS WHS Hazard Report.
2.3 Added Not Applicable tab to elements. Added permit references.
2.4 Added Work Quality assessments.
2.5 Added LOTO section for electrical works
WHSO - Contractor WHS, Quality and Environmental Observation
-
Audit Title: example ( WHSO for WO 345673 )
-
Client: example ( Sparks Electrical Pty Ltd )
-
Building and Campus / Site:
-
Conducted on
-
Audit Undertaken by:
- Barry Russell
- Alan Mason
- Troy Finearty
- Mark White
- Roger Wallis
- Greg Chandler
- Andrew Southorn
- Mike Bird
- Ken Steele
- Adam Conner
- Kirsty Lyons
- Warren Jordan
- Terry Lockwood
- Terry Jordan
- Stuart Whiteroad
- Other Person
-
if Other Person, then enter name in the space below:
-
Contractors Personnel in Attendance:
1) HOUSEKEEPING (Signage, Trips, Waste, Rubbish etc)
-
- Access and egress to work area is clear of obstruction and easily defined
- Work areas are orderly and free from trip hazards (e.g. tools and rubbish)
- Materials are stored in a neat and orderly state
- General work area is clear of trip hazards and any rubbish or off-cuts
- Waste bins are available for use and not overflowing, correctly used
- Entry signs (if required) are located at appropriate locations to work area -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
2) WORK HABITS ( PPE, Tools and Practices )
-
- Workers and assisting persons are wearing mandatory PPE
- Workers are wearing task specific PPE as required
- Worker are not taking any obvious risks
- Workers are using the right tools for the task at hand -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
3) RISK MANAGEMENT ( Induction, Take 5, SWMS, Attendance Sign-in & Sign-out )
-
- All workers have been inducted
- Take 5 assessment has been appropriately completed
- SWMS documentation available for high risk tasks
- Trades staff sign in and sign out on each occurrence of attending the work site -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
4) EXCAVATION & TRENCHING ( Permits, Services Located, Signage, Access, Shoring )
-
- The CSD Contact Officer has approved any Excavation/ Trenching/ Ground breaking / Penetrating work activities
- Trench walls are appropriate battered, benched or shored
- Spoil Stock piles are placed appropriate distance from edge
- Barricades, fencing securing excavation adequate to prevent people from entering the immediate work area
- Underground services identified, positively marked and isolated where possible
- Safe means of access and egress maintained (ladders, stairs or ramps for excavations greater than 1.5m in depth.
- Daily inspections carried out for all excavations over 1.5 metres in depth -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
5) POWERED EQUIPMENT ( Safe use instruction, Observation, Separation )
-
- Daily Inspection completed and any faults recorded
- SWMS documentation completed and available
- Beacons and motion alarms are operational
- Plant operations are appropriately isolated or separated from adjacent work activities
- Spotter is in place for plant operations where plant operation can not be controlled by barricades or fencing
- Plant operators are not operating when using a mobile phone
- Operator holds applicable license / competency andcompetency has been verified
- Plant has fire extinguisher
- Appropriate traffic control signage in place
- Overhead services and structures identified with appropriate control measures implemented to prevent collision by plant and vehicles
- Pedestrian / vehicle crossing points clearly identified and controlled
- Loading/unloading zones clearly delineated with controls to prevent unauthorised access
- Effective communication between plant operators and ground controllers
- Keys removed from plant when not in use -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
6) NON-POWERED TOOLS & EQUIPMENT ( risk controls )
-
- Tools and Equipment are appropriate for the task being undertaken and free from obvious damage.
- Company Fire Extinguishers have been tested in previous 6 months -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
7) LIFTING OPERATIONS ( Cranes, Forks, Dogman, Slings, Barricades, Signage )
-
- Lifting Equipment is appropriate to the task and ready to use
- Lifting device is tagged / identified with SWL / WLL
- Dogman / Rigger holds the relevant competency and has been verified
- Cranes/lifting appliances regularly inspected, certified, tested and maintained.
- Pre-start inspection and/or function test completed
- Physical barriers and/or other suitable controls in place to exclude unauthorised persons from lifting operations.
- No loads lifted or suspended over people or walkways
- Ground conditions assessed with controls in place to stabilise equipment
- Tag lines used on loads which are liable to swing whilst being hoisted
- All rigging equipment kept in good order and condition and defective gear replaced or tagged and marked for repair. -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
8) ELECTRICAL ( Live work, De energisation and LockOut - TagOut "LOTO" )
-
Refer to WHS Code of Practice (Managing Electrical Risks)
- Are only electrical qualified persons performing Electrical Works ?
- Does electrical work being carried out on the job have energy supply isolated ? (excludes tubes and fuses)
- Is there an electrical JSA risk assessment for these works ?
- If the energy supply is isolated, were checks undertaken to validate de energisation ?
- Are circuits Locked Out / Tagged Out appropriately if isolation is required ? -
Are there issues with this category ? If No then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If No then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If No then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
9) ELECTRICAL & LIGHTING ( RCDs, Leads, Stands, Task lighting, Adaptors & Boards )
-
- Equipment is tagged and in test date
- RCD is fitted to mains supply or portable generators in use
- Leads are run out correctly off the ground and supported on insulated stands or hooks
- No lead extends > 35 meters and are fitted with clear shrouded plugs with LED indicator
- Access and / or task lighting is adequate and work lights have protective cage or diffuser
- Electrical supply panels fixed and secured to prevent unauthorised access. RCD and circuit breakers locked
- No piggybacking or double adapters -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
10) HOT WORK & WELDING ( Permit, Signage, Extinguisher, Cleared area, Barricades )
-
- Hot Works Permit is current and available
- Suitable fuel reduction and fire fighting provisions in place
- Oxy and other bottles stored up right and secured
- Oxy / Act bottles on trolley with flash back arrestors at bottle & torch + extinguisher
- Welding signs are set out in appropriate locations -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
11) SCAFFOLDS & LADDERS ( Permits, Licences, Harness, Barricades & Signage )
-
- Incomplete scaffold sign posted
- Scaffold tied in at regular intervals or mobile assembled correctly using check sheet
- Toe boards fitted when > 2m high
- Scaffold have base-plate or screw jacks
- Scaffolds adequately braced
- No gaps > 225mm between perimeter edge and scaffold. <6m metres from rail (fibre glass)
- Edges are appropriately delineated and barricaded
- Edge protection in place is appropriate for the protection required
- Penetrations are covered, secured and handrailed with applicable signage
- Platform ladders in good condition, Industrial rated (120kg) and set up correctly
- Harness and fall protection being worn. -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
12) WORK AT HEIGHTS ( Permit, Harness, Controls, Covers, Rescue plan )
-
- Personnel working at height are using the correct fall prevention equipment
- Fall restraint / arrest equipment is certified and in date
- Method of working at height follows the Hierarchy of Controls for working at height
- Work at Height Permit has been issued and is in date
- Work at Height / EWP Rescue Plan has been developed for the works
- Personnel conducting work at height have been trained (within previous 2 years)
- Penetrations, shafts and risers protected to prevent the fall of people and material. Covers must be robust, securely fastened and identified (signage)
- Grid mesh or flooring material installed as per design requirements, secured at all stages of installation, and regularly inspected.
- Roof mesh is not used as a primary means of fall protection. -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
13) CHEMICAL & DANGEROUS GOODS ( MSDS, Storage, Spill kits )
-
- MSDS documentation available on site
- Hazardous Substances are stored correctly
- Flammable substances stored in bundled area
- Spill Kit is available at the work location
- No evidence of spills -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
14) ENVIRONMENTAL MANAGEMENT ( Dust, Noise, Erosion, Waste, Sediment, Asbestos )
-
- Controls in place where there is a risk of pollution of waterways
- Erosion and sedimentation controls in good working order
- No evidence of polluted water or other substances leaving the work area -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
15) CONFINED SPACE MANAGEMENT ( Permit, SWMS, PPE, Observer, Rescue Plan )
-
- Permits in place after adequate risk assessment and controls considerations
- Controls in place matched to a SWMS and Take 5
- Appropriate PPE provided and worn
- Observer organised and appropriate communication methods arranged
- Rescue plan developed for specific task being undertaken -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
16) EMERGENCY PROCEDURES ( Evacuation, First aid, Eyewash, Contacts )
-
- Workers aware of evacuation procedures
- Workers aware of First Aid Kit locations
- First aid kits accessible and checked and re- stocked regularly
- First aid posters displayed and contact details listed
- First aid areas kept clean and tidy
- Eye wash facilities available if required -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
17) WORKMANSHIP QUALITY ( Brief compliance, Qualified persons, Acceptable outcomes )
-
- Outcomes matched to briefing and contracted scope and client expectations.
- Trades staff qualified
- Best quality possible given materials selected in scope -
Are there issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
-
Are there further issues with this category ? If Yes then list below.
-
Discipline (SQE)
- Safety
- Quality
- Environment
-
Observation / Hazard / Issue
-
If flagged as a Hazard, check this box if you will log it in the UTAS WHS hazard database. This will depend on the risk level to others. It is the contractors site.
-
Corrective / Remedial Action
-
Contractor Responsible
-
Close-out Time Frame
-
Signature once item fixed / closed
Audit Sign Off
Audit Sign Off
For UTAS:
-
Select the Name of the person who completed the audit for UTAS. Then select "Sign"
- Barry Russell
- Alan Mason
- Troy Finearty
- Mark White
- Roger Wallis
- Greg Chandler
- Andrew Southorn
- Mike Bird
- Ken Steele
- Adam Conner
- Kirsty Lyons
- Warren Jordan
- Terry Lockwood
- Terry Jordan
- Stuart Whiteroad
- Other Person
-
if Other Person , then enter name in the space below who undertook the asudit and then select "Sign"
-
UTAS auditor Signoff.
For the Contractor:
-
Contractors Representative Signoff. The following person, being a duly authorised representative of the contracting company, acknowledges the issues and actions required that are contained in this audit and will respond in an accountable manner to rectify the issues.
-
Add name below and then "Sign"
