EXECUTIVE SITE SAFETY WALK - CHECKLIST

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Note* Where possible rectify the Hazard upon identification, if not possible barricade or lock/tag out the area and notify the surrounding personnel

GENERAL

• Is the workplace clean and tidy? (including work areas, office, and meal / amenity rooms)

  Yes

  No

  N/A

• Is there easy access to fire fighting equipment?

  Yes

  No

  N/A

• Are First Aid kits accessible? Are qualified first aiders easily identifiable?

  Yes

  No

  N/A

LADDERS

• Are all ladders in good condition and securely fixed to prevent movement?

  Yes

  No

  N/A

• Do the ladders extend at least 1m above landing places?

  Yes

  No

  N/A

• Are only fibreglass or timber ladders used near electricity?

  Yes

  No

  N/A

ELECTRICAL

• Are portable electrical equipment / leads tested, tagged and in date?

  Yes

  No

  N/A

• Are leads and cables in good condition?

  Yes

  No

  N/A

• Are extension leads supported above work and damp areas?

  Yes

  No

  N/A

COMPRESSED GASES

• Are bottles stored upright and secured?

  Yes

  No

  N/A

• Is the gas cutting equipment / hoses in good condition?

  Yes

  No

  N/A

• Are compressed air hoses secured with pins / chains?

  Yes

  No

  N/A

PLANT, EQUIPMENT & VEHICLES

• Are all plant / trucks fitted with functioning reversing alarms?

  Yes

  No

  N/A

• Are equipment operators licenced and competent to operate the plant / equipment?

  Yes

  No

  N/A

• Where required, does all plant have the Safe Working Load (SWL) clearly displayed?

  Yes

  No

  N/A

• Have all operators and associated workers been trained in the requirements of the CSC Traffic?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Is eye protection, hard hats, etc. worn when necessary?

  Yes

  No

  N/A

• Has appropriate clothing been supplied?

  Yes

  No

  N/A

• Are appropriate gloves provided to protect hands?

  Yes

  No

  N/A

• Is hearing protection worn when necessary? (In general, if you need to raise your voice to communicate then hearing protection is probably required)

  Yes

  No

  N/A

• Is SPF15+ sunscreen, wide hard hat brims, etc. provided for personnel exposed to the sun?

  Yes

  No

  N/A

EXCAVATION WORK

• Are sides of excavations (>2 metres) benched, battered, shored or otherwise made safe?

  Yes

  No

  N/A

• Is safe access available into and out of excavations?

  Yes

  No

  N/A

• Are excavations adequately barricaded / fenced?

  Yes

  No

  N/A

• Has the area been checked for buried services?

  Yes

  No

  N/A

SCAFFOLDING

• Are there solid foundations under the scaffolding?

  Yes

  No

  N/A

• Are handrails, mid-rails and toe boards in place on all scaffolds over 2m?

  Yes

  No

  N/A

• Are work platforms fully decked out?

  Yes

  No

  N/A

• Is there safe access to the work platforms?

  Yes

  No

  N/A

• Are scaffolds inspected regularly by a competent/qualified person? (Are Scafftags in date?)

  Yes

  No

  N/A

• Are protruding parts of the structure covered to prevent injury?

  Yes

  No

  N/A

WELDING & GRINDING

• Are protective screens used during welding operations?

  Yes

  No

  N/A

• Are welder/grinder/cutter operators using appropriate PPE?

  Yes

  No

  N/A

• Are surrounding personnel protected against welding/grinding operations?

  Yes

  No

  N/A

COMMENTS / CORRECTIVE ACTION REQUIRED

Comments

• Yes

  No

  N/A

Corrective Actions

• Yes

  No

  N/A

• To be signed off by the relevant workplace supervisor

  Sign

• To be signed of by the Executive conducting the Safety Walk

  Sign

• Select date

  Date

Note* This form is an IPad version of the Executive Site Safety Walk Checklist TP-H&S-CL-001