Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Type of work:
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SR Number
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On site:
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Off site:
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* Only answer questions that are relevant to the type of work being undertaken.
Job Safety Analysis
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Is there a signed JSA on site?
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Are the activities and controls noted on the JSA relevant to the site's works?
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Are the controls and actions on the JSA in place?
Electrical
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Are there any apparent Electrical OH&S issues on site?<br>Some common electrical checks:<br> - Electrical bridging leads<br> - Electrical leads tagged<br> - Mains power isolated<br> - Overhead power lines and are they protected
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If yes, are these listed on the JSA?
Personal Protective Equipment
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Are site personnel wearing appropriate PPE gear for the site works?
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Is the PPE gear in a sound condition?
Other Underground Services
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Have other underground services been identified?
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Are site personnel aware of the other service location? (refer to JSA)
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Have appropriate measures been taken to protect other services? (refer to JSA)
Excavation Works
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Is the excavation over 1.5m in depth?
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Has the excavation been shored?
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Has the correct entry/exit means been provided in the excavation?
Hazardous Materials
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Does the site have any hazardous materials?
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Are there MSDS available on site?
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Does the JSA refer to the hazardous materials?
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Are the control measures in the JSA implemented?
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Are the materials being contained in a safe manner?
Plant & Equipment
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Is the relevant pant and equipment on site documented in the JSA?
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Is theater and equipment being used in a safe manner?
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Is the pant and equipment being used for e work it is designed for?
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Is there any fluid release from the plant and equipment?
Manual Handling
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Are personnel practicing correct manual handling skills?
Slips, Trips and Falls
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Is the site kept in a neat and tidy state?
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Are fall prevention measures in place? (refer to JSA)
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Is equipment and materials stored safely?
Traffic Management
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Is there. Traffic management plan?
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Is the site set up to the traffic management plan?
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Are pedestrians protected at all times?
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Is work crew protected at all times?
Environment
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Is there an environmental safety plan for these works?
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Is the environmental plan being implemented?
Confined Space
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Do these works involve confined space entry?
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Does the JSA refer to confined space activity?
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Are CWW's confined space procedures on site?
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Are CWW's confined space procedures being implemented?
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Notes/Comments
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The purpose of this checklist is to assist CWW's Contract/Project Managers in meeting their OH&S responsibilities. The Checklist does not replace nor does it intend to replace audits undertaken by CWW's Audit group. If when using this checklist, the Contract/Project Manager becomes unsure of any site OH&S issue, they should immediately contact CWW's Audit group, or the OH&S Coordinator for advice.