Information
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Document No.
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Audit Title
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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
Documentation
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Permits in place and signed off
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JSA completed and signed by all
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Take 5 completed regularly
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Personal danger tags correctly completed and are in use
Permit to Work Systems
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All isolation points are tagged and locked out
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Confined space work area is correctly established
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Hot work area is correctly established
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Working at heights work group is correctly established
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Required spotters are allocated and in use
Position of People
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Avoid lines of fire, crush points, entrapment, sparks and drop zones
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Tag lines are in use
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Correct manual handling techniques are used
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Three points of contact is used for access and egress
Tools and Equipment
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Correct tool being used for the job
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Tools and equipment are in good working condition
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Equipment has current electrical inspection tag
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Rigging equipment has current inspection tag
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Portable electrical equipment are protected by RCDs
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Electrical plugs, sockets and leads are all in good condition and off the ground
Plant and Machinery
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Pre-start log books are being completed
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Operator of equipment is competent and qualified
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Operator of equipment has completed VOC
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Flashing lights, headlights and indicators are working and in good condition
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Seat belts are in good condition and being worn
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Windows are clean
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Records of maintenance and repairs are all kept and available
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Capacity charts and operators manuals are legible and as per the manufacturers specifications
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Work is organized for the safety of the operators and others within the same work area
Housekeeping and Area Conditions
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Work areas are clean and tidy
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Barricades, barriers and drop zones are in place, stable and in good condition
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Information tags are attached to barricades, barriers and drop zones
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Communication means between between workers are being used (eg; two way radios etc.)
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Floors and surfaces are level and stable
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Walkways are free from hazards, leads, hoses etc.
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Guard rails, hand rails and other guards are in place
Environmental
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Hazardous materials are being store correctly
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Hazardous materials are being disposed of correctly
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Spills are contained and cleaned up correctly and efficiently
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Waste segregation and suitable bin allocation is being used
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Dust within the work area is being controlled adequately
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Noise within the work area is being controlled adequately
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MSDSs are available for materials being used and attached to JHAs
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Decanted containers have name, risk and safety instructions on label
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Persons using chemicals have been given adequate instructions and information
PPE
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Hard hats are being worn and in good condition
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Safety glasses/goggles are being worn
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Face masks/shields are being worn
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Double face protection is being utilised
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Respirators are being worn and suitable for works being completed
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Gloves are being worn and suitable for works being completed
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Hi-visibility long sleeve shirts and pants are being worn and in good condition
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Steel cap boots are being worn
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UV protection is being worn for works being conducted outdoors (eg; hard hat brim, sunscreen)
Actions
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Corrective Actions
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Notes
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