F8.63 Leadership Visit Record

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Please complete as many areas of audit as possible. Please provide corrective actions at end of report along with photographic evidence where possible.

• Report to be signed off by Senior Management and returned to Site Team and OHS&E Department

Access Roads

• Road clear of mud and site material?

  Yes

  No

  N/A

• Construction site signage displayed and clean

  Yes

  No

  N/A

• Obstructions clearly identified and controlled

  Yes

  No

  N/A

• Comments

Site Acess

• Gates secured when not in use?

  Yes

  No

  N/A

• Signage on first fence of gate stating location of site office?

  Yes

  No

  N/A

• Fencing secure and in good order?

  Yes

  No

  N/A

• Comments

Site Car Park

• Signage displayed to Site Office?

  Yes

  No

  N/A

• Area clear of building materials?

  Yes

  No

  N/A

• Comments

Site Reception

• NG signage displayed?

  Yes

  No

  N/A

• Visitor sign in book available?

  Yes

  No

  N/A

• NG contact persons details displayed?

  Yes

  No

  N/A

• Emergency procedures displayed?

  Yes

  No

  N/A

• First Aid facilities displayed?

  Yes

  No

  N/A

• Comments

Site Induction

• Induction register available and to date?

  Yes

  No

  N/A

• Induction process in place for workers?

  Yes

  No

  N/A

• Induction process in place for visitors?

  Yes

  No

  N/A

• Induction process in place for deliveries?

  Yes

  No

  N/A

• Visitors escorted on site?

  Yes

  No

  N/A

• Records kept for site personnel?

  Yes

  No

  N/A

• Comments

PPE

• All personnel on site wearing minimum PPE?

  Yes

  No

  N/A

• PPE available for visitors?

  Yes

  No

  N/A

• PPE in good order?

  Yes

  No

  N/A

• Additional PPE available?

  Yes

  No

  N/A

• Comments

SWMS/JSA

• SWMS for each task developed and available for all personnel?

  Yes

  No

  N/A

• JSA developed by site personnel?

  Yes

  No

  N/A

• SWMS and JSA approved by Site Supervisor?

  Yes

  No

  N/A

• SWMS and JSA signed and dated?

  Yes

  No

  N/A

• SWMS and JSA checklist done?

  Yes

  No

  N/A

• Comments

Permits to Work

• Are PTW in place for activities?

  Yes

  No

  N/A

• Are PTW signed and dated?

  Yes

  No

  N/A

• Are PTW understood by all involved in activities?

  Yes

  No

  N/A

• Are conditions of PTW being met?

  Yes

  No

  N/A

• Are PTW kept with SWMS/ JSA?

  Yes

  No

  N/A

• Comments

Emergency Procedures

• Are emergency procedures understood by all?

  Yes

  No

  N/A

• Are emergency procedures displayed in workplace?

  Yes

  No

  N/A

• Is there a list of emergency contact numbers?

  Yes

  No

  N/A

• Are client personnel aware of NG ERP?

  Yes

  No

  N/A

• Are NG aware of client ERP?

  Yes

  No

  N/A

• Are muster points identified?

  Yes

  No

  N/A

• Is there a method of accountability for site personnel and visitors?

  Yes

  No

  N/A

• Comments

Storage of Hazardous Materials/ Dangerous Goods

• Is storage of Hazardous Substances/Dangerous Goods in compliance with regulations?

  Yes

  No

  N/A

• Is Hazardous Substance/Dangerous Goods signage in place at storage areas?

  Yes

  No

  N/A

• Is fire protection available?

  Yes

  No

  N/A

• Is there an inventory/ register of Hazardous Substances/Dangerous Goods?

  Yes

  No

  N/A

• Are fuel containers identified?

  Yes

  No

  N/A

• Are refuel procedures in place?

  Yes

  No

  N/A

• Comments

Pre-Start

• Are pre-start meetings held?

  Yes

  No

  N/A

• Are meetings documented?

  Yes

  No

  N/A

• Is there an attendance record?

  Yes

  No

  N/A

• Are pre-start checks of machinery and equipment undertaken?

  Yes

  No

  N/A

• Are pre-start checks logged?

  Yes

  No

  N/A

• Comments

Safety and Toolbox Meetings

• Are regular meetings undertaken?

  Yes

  No

  N/A

• Are meetings minuted?

  Yes

  No

  N/A

• Are meetings available to workforce?

  Yes

  No

  N/A

• Comments

Housekeeping

• Is site clear of unnecessary obstructions?

  Yes

  No

  N/A

• Is rubbish/ waste contained?

  Yes

  No

  N/A

• Are rubbish containers available?

  Yes

  No

  N/A

• Is there a waste disposal plan in place?

  Yes

  No

  N/A

• Are trip hazards controlled?

  Yes

  No

  N/A

• Are no go areas fenced/ flagged?

  Yes

  No

  N/A

• Are no go areas controlled by signage?

  Yes

  No

  N/A

• Are site signs clean and legible?

  Yes

  No

  N/A

• Comments

Amenities

• Are toilets available?

  Yes

  No

  N/A

• Are toilets usable and clean?

  Yes

  No

  N/A

• Is crib room available?

  Yes

  No

  N/A

• Are crib facilities clean?

  Yes

  No

  N/A

• Are fridges clean?

  Yes

  No

  N/A

• Are microwaves and warders clean?

  Yes

  No

  N/A

• Are refuse bins emptied regularly?

  Yes

  No

  N/A

• Are chairs and tables in good order?

  Yes

  No

  N/A

• Is potable water available?

  Yes

  No

  N/A

• Comments

First Aid

• Are first aides clearly identified?

  Yes

  No

  N/A

• Are locations of FAK's identified?

  Yes

  No

  N/A

• Are FAKs checked regularly?

  Yes

  No

  N/A

• Are all first aid treatments reported and recorded?

  Yes

  No

  N/A

• Comments

Incident Reporting

• Is there an incident reporting procedure?

  Yes

  No

  N/A

• Is this procedure understood by all?

  Yes

  No

  N/A

• Are all incidents investigated?

  Yes

  No

  N/A

• Are all incidents actioned and closed out?

  Yes

  No

  N/A

• Are incidents discussed with site personnel and subcontractors?

  Yes

  No

  N/A

• Are lessons learned included in SWMS?

  Yes

  No

  N/A

• Comments

Contractor Management

• Is contractor equipment checked before being used on site?

  Yes

  No

  N/A

• Has contractor an approved SWMS in place?

  Yes

  No

  N/A

• Has contractor been made aware of site hazards and risks?

  Yes

  No

  N/A

• Is contractor only allowed on site when NG present ?

  Yes

  No

  N/A

• Is contractor onside when deliveries undertaken?

  Yes

  No

  N/A

• Does contractor attend pre-start and safety briefs?

  Yes

  No

  N/A

• Is contractor equipment maintained?

  Yes

  No

  N/A

• Is there evidence of maintenance?

  Yes

  No

  N/A

• Comments

Site Inspections

• Does NG undertake regular formal site inspections?

  Yes

  No

  N/A

• Does NG undertake regular site audits?

  Yes

  No

  N/A

• Are inspection and audit action items closed out

  Yes

  No

  N/A

• Is there evidence of of audit/inspections close outs?

  Yes

  No

  N/A

• Do subcontractors undertake formal inspections and audits?

  Yes

  No

  N/A

• Is there evidence of subcontractor audits/inspections?

  Yes

  No

  N/A

• Comments

Environmental Impacts

• Is spills procedure displayed?

  Yes

  No

  N/A

• Are all personnel aware of spill procedure?

  Yes

  No

  N/A

• Are spill kits available?

  Yes

  No

  N/A

• Have environmental inspections been done?

  Yes

  No

  N/A

• Is there a wash out bund in place?

  Yes

  No

  N/A

• Are drains and waterways protected from spillage?

  Yes

  No

  N/A

• Are environmental incidents reported?

  Yes

  No

  N/A

• Comments

Underground Services

• Are all services identified on plans?

  Yes

  No

  N/A

• Are all new services identified on plans?

  Yes

  No

  N/A

• Are services isolated before excavation commences?

  Yes

  No

  N/A

• Comments

Access to Work Areas

• Are access paths clearly identified?

  Yes

  No

  N/A

• Are no go areas flagged and signed?

  Yes

  No

  N/A

• Is access and egress clear of hazards and risks?

  Yes

  No

  N/A

• Is vehicular access clear?

  Yes

  No

  N/A

• Comments

Electrical

• Are all electrical services identified?

  Yes

  No

  N/A

• Are power tools and leads tagged and tested?

  Yes

  No

  N/A

• Are power lines identified?

  Yes

  No

  N/A

• Are leads elevated?

  Yes

  No

  N/A

• Are generators positioned away from workers/windows?

  Yes

  No

  N/A

• Comments

Hot Work

• Is HW Permit used for all hot work?

  Yes

  No

  N/A

• Is spotter used for all hot work?

  Yes

  No

  N/A

• Are flash arrestors fitted to Oxy sets?

  Yes

  No

  N/A

• Are gas hoses in good order?

  Yes

  No

  N/A

• Is there a fire extinguisher immediately available when HW undertaken?

  Yes

  No

  N/A

• Is client advised when HW taking place?

  Yes

  No

  N/A

• Comments

Noise Pollution

• Are personnel aware of noise levels for equipment?

  Yes

  No

  N/A

• Is hearing protection available?

  Yes

  No

  N/A

• Is signage erected in noisy work areas?

  Yes

  No

  N/A

• Is noise controlled to working hours only?

  Yes

  No

  N/A

• Is consideration given to residents when noisy equipment used?

  Yes

  No

  N/A

• Comments

Dust

• Are dust controls in place?

  Yes

  No

  N/A

• Is water cart available when required?

  Yes

  No

  N/A

• Are roads kept free of dust?

  Yes

  No

  N/A

• Comments

Scaffolding

• Is scaffolding erected in compliance with Code of Practice

  Yes

  No

  N/A

• Are kick boards in place?

  Yes

  No

  N/A

• Are access points to scaffold secure?

  Yes

  No

  N/A

• Is scaff-tagg in place and signed off?

  Yes

  No

  N/A

• Warning signs/barriers for incomplete scaffolds?

  Yes

  No

  N/A

• Comments

Capping

• Are reo starter bars capped?

  Yes

  No

  N/A

• Are star pickets capped?

  Yes

  No

  N/A

• Comments

Excavations

• Do excavations meet NG and Code of Practice ?

  Yes

  No

  N/A

• Are excavations flagged/fenced?

  Yes

  No

  N/A

• Is there signage on deep excavations?

  Yes

  No

  N/A

• Are batters within requirements?

  Yes

  No

  N/A

• Is there a means of access and egress from excavations?

  Yes

  No

  N/A

• Is excavated material away from edge of cut?

  Yes

  No

  N/A

• Comments

Corrective Actions

• HIGH RISK: Does hazard have the potential to kill, or permanently disable you? Action required Immeadiately

• MEDIUM RISK: Does the hazard have the potential to cause serious injury which will temporarily disable you? To be actioned within 24 hours

• LOW RISK: Does the hazard have the potential to cause a minor injury which would not disable you? To be actioned within 7 days

CAR 001

• Corrective Action Required

• Photographic evidence of CAR

  Media

• Risk level

  High

  Medium

  Low

• Actioned by:

• Effectiveness of action:

• Action completion sign off

  Sign

• Action completion date

  Date

CAR 002

• Corrective Action Required

• Photographic evidence of CAR

  Media

• Risk level

  High

  Medium

  Low

• Actioned by:

• Effectiveness of action:

• Action completion sign off

  Sign

• Action completion date

  Date

CAR 003

• Corrective Action Required

• Photographic evidence of CAR

  Media

• Risk level

  High

  Medium

  Low

• Actioned by:

• Effectiveness of action:

• Action completion sign off

  Sign

• Action completion date

  Date

CAR 004

• Corrective Action Required

• Photographic evidence of CAR

  Media

• Risk level

  High

  Medium

  Low

• Actioned by:

• Effectiveness of action:

• Action completion sign off

  Sign

• Action completion date

  Date

CAR 005

• Corrective Action Required

• Photographic evidence of CAR

  Media

• Risk level

  High

  Medium

  Low

• Actioned by:

• Effectiveness of action:

• Action completion sign off

  Sign

• Action completion date

  Date

CAR 006

• Corrective Action Required

• Photographic evidence of CAR

  Media

• Risk level

  High

  Medium

  Low

• Actioned by:

• Effectiveness of action:

• Action completion sign off

  Sign

• Action completion date

  Date

CAR 007

• Corrective Action Required

• Photographic evidence of CAR

  Media

• Risk level

  High

  Medium

  Low

• Actioned by:

• Effectiveness of action:

• Action completion sign off

  Sign

• Action completion date

  Date

Report Sign Off

• Report writer signature

  Sign

• Date of Report

  Date

• Report to be signed off by Senior Management and distributed to Site Team and OHS&E Deaprtment.