Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. GENERAL - Compound / Work Site

  • 1.1 Compound is securely fenced and access is controlled

  • 1.2 Site Safety Rules displeyed

  • 1.3 Signage - Company / PPE / Construction / 24hr Contact, etc.

  • 1.4 Access gates locked / secur

  • 1.5 Site Speed Limit -Signage installed and limits adhered to

  • 1.6 Workers using / wearing mandatory PPE - Long pants / Hi-vis / Hard Hat / Safety Glasses / Safety Boots (Lace up)

  • 1.7 Pedestrian Access - Clearly delineated

  • 1.8 Designated set don areas

  • 1.9 Night works - Adequate lighting / Day makers

  • 1.10 Isolated work area or person to be working alone site documentation

2. SITE DOCUMENTATION

  • 2.1 Workers inducted onto site

  • 2.2 Have workers completed client / principle induction (if required)

  • 2.3 Visitors inducted onto site / escorted

  • 2.4 Workers / visitors signed onto & off site

  • 2.5 24hr Emergency contact details available

  • 2.6 First Aid Kit & First Aider located

  • 2.7 Daily Site Inspection & Work Brief completed and signed by all workers

  • 2.8 Emergency Evacuation procedure on site / briefed

  • 2.9 Toolbox Talks being held and signed by all workers (min 1/week)

  • 2.10 Only authorised Licenced /qualified workers operating plant / equipment

  • 2.11 Workers qualifications current - Construction induction, COC, etc.

  • 2.12 Only authorised Licenced / qualified workers operating plant / equipment

  • 2.13 Site Safety Management Plan (SSMP) provided and adhered to

  • 2.14 Environmental Management Plan (EMP) provided and adhered to

  • 2.15 Quality Management Plan (QMP) provided and adhered to

  • 2.16 Traffic Management Plan (TMP) provided and adhered to

  • 2.17 Hazard / Incidents being reported and documented

  • 2.18 Accident / Injuries being reported and documented

3. PERMIT TO WORK SYSTEMS

  • 3.1 Service searches / DBYD current & accessable

  • 3.2 Excavation / Ground Penetration Permit current & approved

  • 3.3 Lifting Plan &/or Permit current & approved

  • 3.4 Hot Work Permit current & approved

  • 3.5 Confined Space Entry Plan &/or Permit current & approved

  • 3.6 Work near Overhead Power Lines Permit current & approved

  • 3.7 Road Closure / opening Permit current & approved

  • 3.8 Working at Heights Permit current & approved

4. Services / Utilities (High Risk)

  • 4.1 Underground Services located

  • 4.2 Underground Services identified

  • 4.3 Underground services isolated (if required)

  • 4.4 Underground services marked out

  • 4.5 Overhead Power Lines clearly marked

  • 4.6 Overhead Power Lines been protected (if required)

5. TRAFFIC / PEDESTRIAN MANAGEMENT ( High Risk)

  • 5.1 Traffic Control Plan Implemented

  • 5.2 Signage in place

  • 5.3 Barriers in place

  • 5.4 Delineation in place

  • 5.5 RTA Road Opening and Lane Closure Permits current & approved

  • 5.6 Licenced Traffic Controllers

  • 5.7 Temporary Road Plates / Traffic Covers are securely fixed down

  • 5.8 Conducting work / transiting +500mm away from barricades (where possible)

  • 5.9 Barriers on foot paths Maintained 1.2m for pedestrians (where possible)

  • 5.10 Barrier over pit has red and white marker tape on open side

  • 5.11 Cables not causing trip hazard

6. PLANT & EQUIPMENT ( High Risk)

  • 6.1 Plant,tools and equipment registered

  • 6.2 Signage in place - Plant operations / trucks, etc.

  • 6.3 Daily Plant Inspection carried out by operator

  • 6.4 Faults / Defects being reported

  • 6.5 Operators wearing seat belts

  • 6.6 Operators monitoring surroundings / operating with care

  • 6.7 Utilising spotters for plant movements

  • 6.8 Exclusion zone around plant established

  • 6.9 Plant revising alarms (squawkers) working correctly

  • 6.10 Plant flashing beacons fitted and working correctly

  • 6.11 Plant parked in safe area

  • 6.12 Keys to plant are isolated when unattended

  • 6.13 Safety pins are being used

  • 6.14 Safety pins secured in ramps when loading / unloading plant

  • 6.15 Plant & Equipment marked with SWL AND lift Chart

  • 6.16 Plant & Equipment are being used within SWL and Lift Chart

  • 6.17 Guarding fitted on all saws and other tools

  • 6.18 Fire Extinguishers are accessible / correct type / current tag (6 months)

  • 6.19 UHF Radio installed and operational

7. LIFTING EQUIPMENT

  • 7.1 Lifting Equipment register up to date

  • 7.2 Lifting Equipment certified and tagged - Chains, Slings, Hooks, etc.

  • 7.3 Licenced Dogman used for all tasks when using lifting equipment

  • 7.4 Exclusion zones in place under drop zone when lifting

  • 7.5 Faulty / Defect items isolated

8. EXCAVATIONS / TRENCHES (High Risk)

  • 8.1 Access to excavation area is controlled - Exclusion Zones / Barriers

  • 8.2 Correct signage used - Open Excavation

  • 8.3 Star Pickets capped

  • 8.4 Equipment / Plant / Materials / Spoil not within 1m from edge of excavation (where possible)

  • 8.5 Excavator boom & bucket not slewed over workers

  • 8.6 Open Excavations secured, barricaded & correct signage - ATF / Plywood (as required)

  • 8.7 Excavated material stockpiles and properly disposed of

9. WORKING AT HEIGHTS / RISK OF FALL (High Risk)

  • 9.1 Risk of fall - Open Excavation / Trenches / Heights

  • 9.2 Ladders suitable for job - fibreglass / Length, etc.

  • 9.3 Ladders correctly secured / anchored

  • 9.4 Scissor Lift / Boom Lift operating on level / solid ground

  • 9.5 Personnel in platform of boom lift wearing harness

10. CONFINED SPACES (High Risk)

  • 10.1 Signage & Secured to prevent unauthorised access

  • 10.2 Confined Space Entry Permit current & approved

  • 10.3 Workers hold current Confined Space Entry Training Qualification (sighted)

  • 10.4 Correct & certified equipment installed & used correctly (harness, rescue equipment, gas detector)

  • 10.5 Adequate lighting

  • 10.6 Documented Emergency Retrival System Exits & able to reacted (if required)

  • 10.7 Gas detection use at all times in Manholes

  • 10.8 Water depth of pits checked before use of gas detector tube

11. ELECTRICAL EQUIPMENT (High Risk)

  • 11.1 Current test & tag

  • 11.2 Leads protected from mechanical damage & elevated accordingly - Lead Stands (Leads secured to avoid causing a trip hazard)

  • 11.3 No obvious signs of damage to leads / equipment

  • 11.4 Faulty / Defect items isolated

12. HAZARDOUS CHEMICALS (High Risk)

  • 12.1 Hazardous Chemicals register up to date

  • 12.2 Safety Data Sheets (SDS) available & current (valid max 5 years)

  • 12.3 All Chemicals /substances labelled & in original or appropriate suitable containers (Jerry Can)

  • 12.4 Flammable Chemicals are +3m away from ignition source

  • 12.5 Chemicals are appropriately stored in bund

  • 12.6 Spill Kit available to contain the amount of substances on site

  • 12.7 Adequate ventilation when using chemicals / substances

  • 12.8 Correct PPE used when handling chemicals / substances

13. FACILITIES / HOUSEKEEPING

  • 13.1 Adequate supply of waste / skip bins

  • 13.2 Amenities / Facilities provided

  • 13.3 Amenities / Facilities clean & tidy

  • 13.4 Drinking water provided

  • 13.5 Appropriate storage area for all equipment and supplies

  • 13.6 Tools / Supplies correctly stored

  • 13.7 Rubbish picked up & correctly disposed of

14. ENVIRONMENTAL

  • 14.1 Environmental Management Plan & Controls complied with

  • 14.2 Stockpiles located away from drains / Water Courses / Pits

  • 14.3 Erosions & Sediment Controls around stockpiles in place

  • 14.4 Stockpiles & erodible materials are covered where appropriate

  • 14.5 Silt Socks / Fences near drains, water courses & pits are adequate and regularly maintained

  • 14.6 Noisy works - Site hours adhered to

  • 14.7 Noise Barriers erected at sensitive locations

  • 14.8 Flora / Trees requiring protection have been identified, marked and protected with barricades & tape

  • 14.9 Environmentally sensitive areas identified / No Go Area / Exclusion Zones in place

15. NON-CONFORMANCES IDENTIFIED

16. CORRECTIVE ACTIONS

17. NOTES

  • On Site Representitive

  • Auditor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.