CONTRACTOR WORKSITE AUDIT CHECKLIST

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Project Name:

• Project Reference Number:

• Company/Cotractor:

• Date of Inspection

  Date

• Time Inspection Started.

  Date

• Time Inspection Completed.

  Date

• Person completing Inspection:

HEALTH AND SAFETY SYSTEMS

• Sign In / Sign Out book ?

  Yes

  No

  N/A

• Injury report book / forms?

  Yes

  No

  N/A

• "If you are injured" poster?

  Yes

  No

  N/A

• Hazard reporting forms ?

  Yes

  No

  N/A

• Job Safety Analysis forms (each day) ?

  Yes

  No

  N/A

• Site Inductions for all who enter ?

  Yes

  No

  N/A

• Daily Tool Box Meeting minutes ?

  Yes

  No

  N/A

• Contractor Health & Safety Plan (copy) ?

  Yes

  No

  N/A

• Construction work = Red Card ( sight) ?

  Yes

  No

  N/A

HOUSEKEEPING

• Work areas free from rubbish ?

  Yes

  No

  N/A

• Areas free of slip and trip hazards ?

  Yes

  No

  N/A

• Penetrations and openings covered ?

  Yes

  No

  N/A

• Stock/ material, stored safely & secured ?

  Yes

  No

  N/A

ELECTRICAL

• Certificate of Electrical Safety on the wall in the amenities room ?

  Yes

  No

  N/A

• No broken plugs, sockets, switches ?

  Yes

  No

  N/A

• No frayed or defective leads ?

  Yes

  No

  N/A

• Power tools in good condition ?

  Yes

  No

  N/A

• Power tools and leads tagged ( 3 monthly) ?

  Yes

  No

  N/A

• No lead or cable trip hazards ?

  Yes

  No

  N/A

• Lead supported above ground ?

  Yes

  No

  N/A

• Lock out for unsafe equipment in place ?

  Yes

  No

  N/A

SWITCHBOARDS - Amenities and Power Access

• Circuit Breaker switches identified ?

  Yes

  No

  N/A

• Circuit Breaker covered and locked ?

  Yes

  No

  N/A

• Main Isolation identified and lockable ?

  Yes

  No

  N/A

• RCD ( safety switches ) installed ?

  Yes

  No

  N/A

MOBILE PLANT AND EQUIPMENT

• Daily safety inspections completed ?

  Yes

  No

  N/A

• Operators trained and licensed ?

  Yes

  No

  N/A

• Warning lights and alarms operational ?

  Yes

  No

  N/A

• Fire extinguishers installed ?

  Yes

  No

  N/A

• Design envelope displayed in the cabin ?

  Yes

  No

  N/A

• Lifting chains / slings maintained and marked with Safe Weight Limit ?

  Yes

  No

  N/A

• Lifting attachment points marked with SWL where used as crane ?

  Yes

  No

  N/A

• Doors of equipment closed ( where fitted ) ?

  Yes

  No

  N/A

• Seatbelt's being worn by operators ?

  Yes

  No

  N/A

CHEMICALS

• Register of all chemicals on site ?

  Yes

  No

  N/A

• Material Safety Data Sheets available ?

  Yes

  No

  N/A

• Chemical introduction forms completed ?

  Yes

  No

  N/A

• Containers labelled with contents ?

  Yes

  No

  N/A

• There is storage ventilation ?

  Yes

  No

  N/A

• HAZCHEM sign ( example petrol > 250L ) ?

  Yes

  No

  N/A

HOT WORK SAFETY

• Gas cylinders securely fixed ?

  Yes

  No

  N/A

• Flash back arresters fitted to hoses ?

  Yes

  No

  N/A

• Area well ventilated for fumes ?

  Yes

  No

  N/A

• Fire fighting equipment available ?

  Yes

  No

  N/A

• Hot work permits used ?

  Yes

  No

  N/A

ASBESTOS REMOVAL

• Removalist trained (sight) ?

  Yes

  No

  N/A

• AC Removal Plan (evidence) ?

  Yes

  No

  N/A

• Licensed Removal Operators ?

  Yes

  No

  N/A

• Neighboring Businesses informed ?

  Yes

  No

  N/A

• Disposal controls in place ?

  Yes

  No

  N/A

• Warning signs displayed ?

  Yes

  No

  N/A

MECHANICAL EXCAVATIONS (trenches, shafts, pits greater than 1.5 meters deep)

• Ground support in place ?

  Yes

  No

  N/A

• Worksafe notified (evidence) ?

  Yes

  No

  N/A

• Excavation is protected from public ?

  Yes

  No

  N/A

• Excavation supervisor on site ?

  Yes

  No

  N/A

• Edges battered, spoil 500mm from edge ?

  Yes

  No

  N/A

• Clear access and secured ?

  Yes

  No

  N/A

• Ladder access and secured ?

  Yes

  No

  N/A

• Hard hats worn ?

  Yes

  No

  N/A

WORKING AT HEIGHT

• Work platforms have secure handrails, guarding or fence panels ?

  Yes

  No

  N/A

• Fall protection when working at height ?

  Yes

  No

  N/A

• Ladders being used are industrial type ?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• PPE in good and clean condition ?

  Yes

  No

  N/A

• PPE provided and worn ?

  Yes

  No

  N/A

• PPE signage at entrance site ?

  Yes

  No

  N/A

AMENITIES & FIRST AID

• Toilet facilities provided ?

  Yes

  No

  N/A

• Toilets clean and tidy ?<br>

  Yes

  No

  N/A

• Sufficient paper and hand cleaner ?

  Yes

  No

  N/A

• Meal room or shaded area provided ?

  Yes

  No

  N/A

• Meal room clean and tidy ?

  Yes

  No

  N/A

• Cool drinking water available ?

  Yes

  No

  N/A

• First aid cabinet clean and tidy ?

  Yes

  No

  N/A

• First aider on site when working ?

  Yes

  No

  N/A

TRAFFIC CONTROL & PUBLIC PROTECTION

• Barricades, fencing in place to restrict unauthorized access ?

  Yes

  No

  N/A

• Traffic management plan in place ?

  Yes

  No

  N/A

• Traffic control and signage in position ?

  Yes

  No

  N/A

• Footpaths clean of debris ?

  Yes

  No

  N/A

• Site access controlled ?

  Yes

  No

  N/A

• Road Authorities notified ?

  Yes

  No

  N/A

• Principal Contractor details at the entrance ?

  Yes

  No

  N/A

CONFINED SPACES

• Safety equipment in good condition ?<br>

  Yes

  No

  N/A

• CS Entry trained (evidence) ?

  Yes

  No

  N/A

• Entry Permits and Logs (evidence) ?

  Yes

  No

  N/A

• JSA completed (evidence) ?

  Yes

  No

  N/A

EMERGENCIES & FIRE CONTROL

• Extinguishers, correct type (water for combustibles, Dry Chemical for flammables and electricity) ?

  Yes

  No

  N/A

• Extinguisher tagged (6 months) ?

  Yes

  No

  N/A

• Emergency procedures displayed ?

  Yes

  No

  N/A

• Emergency phone numbers displayed ?

  Yes

  No

  N/A

SCAFFOLDING

• Load rating displayed ?

  Yes

  No

  N/A

• Is the scaffold stable ?

  Yes

  No

  N/A

• Scaffolding planks appropriate, no trip ?

  Yes

  No

  N/A

• Ladder access secured top and bottom ?

  Yes

  No

  N/A

• Ladder extends 900mm above platform ?

  Yes

  No

  N/A

• >2m guardrails, mistrials & toeboards ?

  Yes

  No

  N/A

• >4m competent erector ?

  Yes

  No

  N/A

• Handover certificate available ?

  Yes

  No

  N/A

POWERLINES

• Horizontally no closer than 4.6m ?

  Yes

  No

  N/A

• Vertically 5m from lines ?

  Yes

  No

  N/A

SIGNATURES

• Project Superintendents Representative:

  Sign

• Wannon Water Project Manager

  Sign

• Contractor Representative

  Sign

COMMENTS

• Sketch Pad

  Drawing

TRIM INFORMATION

• Select date

  Date

• Folder Number:

• TRIM Number: