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
Hazard management
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Risk assessment and hazard identification form on site
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Is risk assessment current for today's activities signed and dated by crew
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Is risk assessment completed in job pack and signed?
Traffic management and pedestrian safety
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Copy of the traffic management plan maintained on site?
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Traffic management setup is correct and according to the approved TMP?
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Site Traffic Management Contact number listed on the Risk assessment sheet.
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There is safe pedestrian access maintained on site I.e ramps, signage is correct, no trip hazards, trenches are cordoned off properly
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Manholes and Joint boxes. Are barriers in place or lids closed?
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After hours TM in place?
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Cones and barriers in good condition?
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Cones and barriers set up correctly? I.e. not A frames or laying down.
Environmental controls and systems
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Dust and noise own site is minimised or eliminated?
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Any hazardous substances on site other than in fuel tanks of vehicles? Resins concrete cement petrol diesel.
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Where hazardous substances are on site the relevant safety data sheets (SDS) are held in the attachment to the risk assessment or within gang pack.
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There is no backfill stored on the roads or within 500 mm of environmentally sensitive areas I.e. drains streams, and or dumps leading to storm water pits etc....?
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Are waste materials segregated and re used where possible?
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Cable ands and other waste materials. Are they taken back to the depot for recycle/re use?
Underground services and safe practices
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Notice is valid and current for the location?
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All relevant services are marked and located according to Safe Working with Underground Services Guide and HSE guide HSG47
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Current service plans are held on site and understood by the crew?
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Are service drawings marked and signed by team leader to show correct location of work?
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Service plans have locators, site managers, site supervisors, and contractor crews signature and dates of hand over showing management of change?
Personal Protective Equipment
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Fire retardant overalls in use? This includes being worn correctly in ankle to wrist covering with minimal synthetic under covering
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Safety glasses being worn on site correctly?
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Safety footwear being worn on site properly and in good condition? No exposed steels, unlaced, or loosely fitted etc
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Hi-visibility garments are in good condition and worn zipped up correctly?
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All persons working near overhead loads, suspended equipment, or booms on mobile plant and equipment wearing hard hats or compliant to other hard hat designated zones?
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Appropriate hearing protection worn as required?
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All PPE in good condition and fit for purpose in accordance with the non-negotiable requirements?
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Emergency assembly point identified?
Plant and equipment including mobile plant
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All mobile plant and machinery maintained within the confines of the established TM under Code of practice requirements (allowances made for setup and disestablishment)
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Selecting one or two plant items - equipment is in current fit for purpose use and certification?
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Powered tools such as concrete cutters have safety guards fixed and in good condition?
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Where diggers and drills etc are in operation these are isolated from the general public and other workers?
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Safe reversing procedures are being adhered to?
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Potential entrapment and pinch points are safe guarded?
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No person is operating under the mobile plant and equipment?
Other general
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General housekeeping is good?
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Good response to inspection?