Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

NATURE OF WORK

  • Describe the nature of the work or activity

WORKING ON EXCAVATION SITES

  • Is this work or activity notifiable?

SAFE SYSTEMS AND PROCEDURES

  • What is the work method?

  • Has a safety management system been developed?

  • If there is no written system, how have the hazards been identified, assessed and controlled?

  • How will they be monitored and reviewed?

  • Have workers been trained on its content?

  • Are the key causes of harm identified?

  • Are the hazards identified?

  • Are the hazard controls outlined?

  • Is there advice on the use of safety equipment? (for example, PPE, gas monitors).

  • Have emergency procedures been communicated to the workers before the excavation begins?

SURROUNDINGS

  • Have underground utilities (water, sewer, gas, telecommunications) been identified, located and marked prior to excavation?

  • Have overhead utilities (power/phone lines) or obstacles been identified?

  • Excavations adjacent to buildings or structures: Has expert advice been obtained before the excavation was started?

SYSTEMS

  • Is there a system to deal with potential contaminants?

  • Is a traffic management plan required?

  • Is there a system for the monitoring and reassessment of work as it progresses? (for example, a schedule of regular inspections)

SECURITY ON SITE

  • Is the site externally secure? (for example, fencing, barriers)

  • Is the site internally secure? (for example, fencing, barriers)

FALLS

  • Is there protection from risk of falls? (for example, edge protection)

  • Is spoil and plant clear of the face edge by the required distance?

  • Are properly secured stop blocks provided to prevent tipping vehicles falling in?

  • Is the battering or benching at a 1:1 gradient?

SHORING

  • Does the shoring and materials used meet design standards?

  • Have the trench covers and shoring been approved by a structural engineer?

  • Where the excavations are more than 1.5 m deep, are they shored and cut back to a safe slope (or does an engineer state the precautions are adequate)?

MINIMISING HAZARDS

  • Is there safe access and egress to the trench?

  • Are excavations in or next to roads or structures adequately shored or supported to support such road services?

  • Have workers been advised of the location of underground and overhead utilities?

  • Can the workers describe the emergency procedures including evacuation from a trench and a rescue plan?

  • Are environmental hazards like dust, noise, and low light levels being controlled?

  • Is there a need for gas monitoring to be conducted?

  • Is the PPE in use adequate and of correct standard and condition?

  • Is the mobile plant clear of any overhead lines?

  • Are workers aware of mobile plant movement on the site?

  • Are there exclusion zones and/or a spotter around the mobile plant?

  • Do safety barriers or delineations used on road sites comply with safe traffic management?

SIGNATURE

  • Sign off

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