DSL Safety, Health and Environment Site Inspection Checklist

• Audit Title

• Project:

• Inspection Date:

  Date

• Workers /Subcontractors inspected:

• Location
  Address

• Inspected by:

SECTION 1: SAFETY

1.0 GENERAL

• 1.1 Field Workforce Information Pack is readily accessible on site and up to date with information ( E.G: Alerts)

  Yes

  No

  N/A

• Please enter action:

• 1.2 Are risk assessments completed (SHEWMS & Take 5) and workers inducted into appropriate SHEWMS?

  Yes

  No

  N/A

• Please enter action:

• 1.3 Materials in vehicles are stored adequately?

  Yes

  No

  N/A

• Please enter action:

• 1.4 Site and/ or pathways clear of slip/ trip hazards?

  Yes

  No

  N/A

• Please enter action:

• 1.5 Take 5 completed and on site?

  Yes

  No

  N/A

• Please enter action:

• 1.6 Incident & Accident Report Register complete and on site?

  Yes

  No

  N/A

• Please enter action:

• 1.7 SHE alerts current and available on site?

  Yes

  No

  N/A

• Please enter action:

2.0 HAZARDOUS SUBSTANCES

• 2.1 Is storage for hazardous substances secure and in accordance with the appropriate Material Safety Data Sheets (MSDS)?

  Yes

  No

  N/A

• Please enter action:

• 2.2 Is there a hazardous substance register on site and does this reflect the substances being used and stored?

  Yes

  No

  N/A

• Please enter action:

• 2.3 Is the MSDS available and readily accessible on site for each substance in use?

  Yes

  No

  N/A

• Please enter action:

• 2.4 Are all containers labelled clearly?

  Yes

  No

  N/A

• Please enter action:

3.0 INDUCTION TRAINING / CERTIFICATES

• 3.1 Have all persons on site undertaken the appropriate Visionstream induction training?

  Yes

  No

  N/A

• Please enter action:

• 3.2 VPL ID current and visible?

  Yes

  No

  N/A

• Please enter action:

• 3.3 Drivers Licence is current and available?

  Yes

  No

  N/A

• Please enter action:

• 3.4 Cable Licence is current and available?

  Yes

  No

  N/A

• Please enter action:

4.0 ELECTRICAL WORKS / EQUIPMENT

• 4.1 Earth lead in good condition?

  Yes

  No

  N/A

• Please enter action:

• 4.2 Earth test plug tested?

  Yes

  No

  N/A

• Please enter action:

• 4.3 Volt stick working?

  Yes

  No

  N/A

• Please enter action:

• 4.4 Electrical leads are kept off ground surface and are supported on portable stands?

  Yes

  No

  N/A

• Please enter action:

• 4.5 Are electrical plant, tools, equipment and electrical cords inspected, in good condition, tagged and within test dates, including residual current devices (RCDs)?

  Yes

  No

  N/A

• Please enter action:

• 4.6 Electrical equipment test and tag register complete and on site?

  Yes

  No

  N/A

• Please enter action:

• 4.7 Earth Leakage Protection (ELP) is fitted to all tools and equipment?

  Yes

  No

  N/A

• Please enter action:

5.0 TOOLS / PLANT

• 5.1 Are tools & plant stored securely?

  Yes

  No

  N/A

• Please enter action:

• 5.2 ELCB/ RCD on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.3 Lines test set No2 on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.4 F Set on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.5 Buttinski on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.6 Earth Plug CZ2301 on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.7 Safety GPO Plug on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.8 Volt Pen on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.9 Scotch lock crimper on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.10 Side cutters on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.11 Long nose pliers on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.12 Test Modem kit on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.13 Red Telstra punch down tool on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.14 Krone tool on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

• 5.15 Soldering Iron on site and used adequately?

  Yes

  No

  N/A

• Please enter action:

6.0 PPE

• 6.1 Safety Vest/ Hi Vis clothing worn where required and in good condition?

  Yes

  No

  N/A

• 6.2 Safety footware worn and in good condition?

  Yes

  No

  N/A

• 6.3 Safety glasses/ eye protection worn where required and in good condition?

  Yes

  No

  N/A

• Please enter action:

• 6.4 Hard hat worn where required, in good condition and within use by date? (Date of issue within 3 years- check use by date)

  Yes

  No

  N/A

• Please enter action:

• 6.5 Hearing protection - Earmuffs/ Plugs worn where required and in good condition?

  Yes

  No

  N/A

• Please enter action:

• 6.6 Dust mask/ Respirator worn where required and in good condition?

  Yes

  No

  N/A

• Please enter action:

• 6.7 UV Sunscreen protection

  Yes

  No

  N/A

• Please enter action:

• 6.8 Hands-free kit

  Yes

  No

  N/A

• Please enter action:

• 6.9 Workers are wearing the appropriate personal protective equipment (PPE) including (but not limited to) steel-capped boots, high-Vis vest/ clothing, safety glasses and hard hat?

  Yes

  No

  N/A

• Please enter action:

• 6.10 PPE is fit-for-purpose and in good condition?

  Yes

  No

  N/A

• Please enter action:

• 6.11 All workers trained on how to use the PPE?

  Yes

  No

  N/A

• Please enter action?

7.0 LADDERS

• 7.1 Ladders inspected and in good condition?

  Yes

  No

  N/A

• Please enter action:

• 7.2 Ladders properly secured top and bottom?

  Yes

  No

  N/A

• Please enter action:

• 7.3 Side rails on fixed ladders extend above top landing?

  Yes

  No

  N/A

• Please enter action:

• 7.4 Step ladders fully open when in use?

  Yes

  No

  N/A

• Please enter action:

• 7.5 Built up ladders extend above top landing?

  Yes

  No

  N/A

• Please enter action:

• 7.6 Ladder & Rack Checklist complete and on site?

  Yes

  No

  N/A

• Please enter action:

• 7.7 No portable metal ladders in use?

  Yes

  No

  N/A

• Please enter action:

8.0 EMERGENCY MANAGEMENT

• 8.1 Telephone numbers and locations of nearby physicians / hospitals are available and known?

  Yes

  No

  N/A

• Please enter action:

• 8.2 Emergency Evacuation point is established, in a safe location and known to workers?

  Yes

  No

  N/A

• Please enter action:

• 8.3 Emergency contact list complete and readily available?

  Yes

  No

  N/A

• Please enter action:

• 8.4 First Aid Kit fully stocked, items are within expiry dates, and kit is readily accessible?

  Yes

  No

  N/A

• Please enter action:

• 8.5 There is an appropriately trained first aid officer on site?

  Yes

  No

  N/A

• Please enter action:

9.0 MOTOR VEHICLES

• 9.1 Regular inspections and maintenance carried out?

  Yes

  No

  N/A

• Please enter action?

• 9.2 Brakes, lights and warning devices operative?

  Yes

  No

  N/A

• Please enter action?

• 9.3 Glass in good condition?

  Yes

  No

  N/A

• Please enter action:

• 9.4 Parking of vehicles observed correctly?

  Yes

  No

  N/A

• Please enter action:

10.0 MANUAL HANDLING

• 10.1 Manual handling risk has been identified, assessed and managed using an established risk assessment tool (SHEWMS, JSA, Take 5)?

  Yes

  No

  N/A

• Please enter action:

• 10.2 Workers are not in awkward postures for long periods?

  Yes

  No

  N/A

• Please enter action:

• 10.3 Workers are not lifting heavy items frequently?

  Yes

  No

  N/A

• Please enter action:

11.0 WORKING IN THE HEAT

• 11.1 There are adequate amounts of water on site to drink?

  Yes

  No

  N/A

• Please enter action:

• 11.2 WorkershavetheappropriatePPE including sun visor, sunscreen, loose fitting long sleeved shirt, long pants, and shaded safety glasses?

  Yes

  No

  N/A

• Please enter action:

• 11.3 There is adequate shade available?

  Yes

  No

  N/A

• Please enter action:

• 11.4 Work / rest ratios are adequate to allow workers to recuperate in extreme heat?

  Yes

  No

  N/A

• Please enter action:

12.0 WORKING IN THE COLD

• 12.1 There is adequate clothing available for the conditions?

  Yes

  No

  N/A

• Please enter action:

• 12.2 There is the availability of shelter with adequate heating?

  Yes

  No

  N/A

• Please enter action: