Enhanced Enforcement Program Audit

• Audit Title

• Conducted on

  Date

• Prepared by

• EEP Audit

Audit

• Cluster or Unit

  Select Botany Bay Cluster Surry Hills Cluster Hurstville Cluster Northern Beaches Cluster Kuring-Gai Cluster Blacktown Cluster Hawkesbury Cluster Penrith Cluster Burwood Cluster Fairfield Cluster Macquarie Fields Cluster Bankstown Cluster Flemington Cluster Goulburn Cluster Wollongong Cluster Albury Cluster Wagga Wagga Cluster Northern Borders Cluster Mid Coast Cluster Central Coast Cluster Newcastle Coast Cluster Hunter Lakes Cluster Orana Cluster Barwon Cluster Chifley Cluster Traffic Support Group Joint Traffic Taskforce Force Motorcycle Response Team Motorcycle Response Parramatta Random Drug Testing Unit

  • Botany Bay Cluster
  • Surry Hills Cluster
  • Hurstville Cluster
  • Northern Beaches Cluster
  • Kuring-Gai Cluster
  • Blacktown Cluster
  • Hawkesbury Cluster
  • Penrith Cluster
  • Burwood Cluster
  • Fairfield Cluster
  • Macquarie Fields Cluster
  • Bankstown Cluster
  • Flemington Cluster
  • Goulburn Cluster
  • Wollongong Cluster
  • Albury Cluster
  • Wagga Wagga Cluster
  • Northern Borders Cluster
  • Mid Coast Cluster
  • Central Coast Cluster
  • Newcastle Coast Cluster
  • Hunter Lakes Cluster
  • Orana Cluster
  • Barwon Cluster
  • Chifley Cluster
  • Traffic Support Group
  • Joint Traffic Taskforce Force
  • Motorcycle Response Team
  • Motorcycle Response Parramatta
  • Random Drug Testing Unit

• Operation Name

• Is this audit being conducted in baseline or enhanced

  Baseline

  Enhanced

• Does this operation have sectors?

  Yes

  No

• What is the sector number or sector name?

• What is the location to be audited?

• What time did the tasking being audited start?

  Date

• What time does the tasking being audited finish?

  Date

• Is this a mobile or stationary tasking?

  Stationary

  Mobile

• Does the site being used comply with a current site assessment?

  Yes

  No

• Has a site inspection form been completed by the officer prior to commencement of stationary activities?

  Yes

  No

  N/A

• Add a photo of the site inspection form completed by the officer and of the site being used.

  Media

• Has an annual site assessment been completed by the officer?

  Yes

  No

  N/A

• Add a photo of the annual site assessment completed by the officer and of the site being used.

  Media

• Observations and Comments

• Positive sighting

  Yes

  No

  N/A

CATEGORY A - SAFETY OBSERVATION FORM

• Do you wish to complete a safety observation form?

  Yes

  No

  N/A

• Planned or review tasks before commencing activity.

  Yes

  No

  N/A

• Supervised the activity.

  Yes

  No

  N/A

• Conducted operational and safety risk assessments.

  Yes

  No

  N/A

• SWIs / SOPs / Operational orders provided / referred for all activities undertaken

  Yes

  No

  N/A

• Personal protective equipment used.

  Yes

  No

  N/A

• Equipment for task checked.

  Yes

  No

  N/A

• Signage / Warning devices provided / Used.

  Yes

  No

  N/A

• Supervisor safety checks conducted during activity

  Yes

  No

  N/A

• Other (Specify)

CATEGORY B - OPPORTUNITIES FOR INJURY DUE TO SITE SETUP

• Do you want to complete an opportunities for injury site set up form?

  Yes

  No

  N/A

• Strikes against objects.

  Yes

  No

  N/A

• Strikes by moving objects (Including vehicles)

  Yes

  No

  N/A

• Falls, trips and slips on same level / from height.

  Yes

  No

  N/A

• Body stressing (single or repetitive movements.

  Yes

  No

  N/A

• Tools and equipment.

  Yes

  No

  N/A

• Contact with chemicals and other substances.

  Yes

  No

  N/A

• Heat, electricity and other environmental factors.

  Yes

  No

  N/A

• Sound and pressure.

  Yes

  No

  N/A

• Mental stress.

  Yes

  No

  N/A

• Other (Specify)

• Action taken.

• Details on unsafe conditions not rectified on site by end of observation.

• Contact supervisor of staff and advise of unsafe conditions to be rectified.

  Yes

  No

  N/A

• Supervisors name.

• Date / Time

  Date

• What action have you taken to rectify unsafe conditions?

INFORMATION IS TRUE AND CORRECT

• Auditors Signature

  Sign