Facilities Site Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

1. Site setup

• 1.1. Is job START form completed adequately?

  Yes

  No

  N/A

• 1.2. Have all workers on site completed Kingston induction?

  Yes

  No

  N/A

2. Working at Heights

• 2.1. Fall risks of 2m or more have been controlled? (including voids, pits, and trenches)

  Yes

  No

  N/A

• 2.2.Edge protection installed as required?

  Yes

  No

  N/A

• 2.3. If no edge protection is fall restraint being used?

  Yes

  No

  N/A

• 2.4. Unsafe or damaged harness or equipment?

  Safe

  At Risk

  N/A

• 2.5. Lack of or inadequate formal training for users?

  Safe

  At Risk

  N/A

3. Plant and Equipment

• 3.1. Is all plant/equipment safe or undamaged ? (including missing or damaged guards)

  Safe

  At Risk

  N/A

• 3.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)

  Safe

  At Risk

  N/A

• 3.3. Unlicensed operators?

  Safe

  At Risk

  N/A

• 3.4. Pre start inspections carried out?

  Safe

  At Risk

  N/A

4. Scaffolds

• 4.1. Unlicensed persons erecting scaffold above 4m?

  Safe

  At Risk

  N/A

• 4.2. Unsafe or incomplete scaffold?

  Safe

  At Risk

  N/A

• 4.3. Lack of inspection protocol for scaffold?

  Safe

  At Risk

  N/A

• 4.4. Incompatible scaffold components? Unlabelled or do not meet AS?

  Safe

  At Risk

  N/A

5. Ladders

• 5.1. Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• 5.2. Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• 5.3. Ladder not properly secured?

  Safe

  At Risk

  N/A

• 5.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

6. Hazardous Manual Tasks

• 6.1. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  Safe

  At Risk

  N/A

7. Hazardous Chemical (including fuel and oil)

• 7.1. Safety Data Sheets not accessible on site?

  Safe

  At Risk

  N/A

• 7.2. Insufficient, or incorrect, PPE?

  Safe

  At Risk

  N/A

• 7.3. Unsuitable storage containers? (unlabeled or stored in food containers)

  Safe

  At Risk

  N/A

8. Emergency Response

• 8.1. Lack of, or no emergency plans for site?

  Safe

  At Risk

  N/A

• 8.2. Lack of, or inadequate first aid kits aid equipment for site?

  Safe

  At Risk

  N/A

• 8.3. Adequate trained First Aiders?

  Safe

  At Risk

  N/A

9. Personal Protective Equipment (PPE)

• 9.1. PPE being worn as required?

  Safe

  At Risk

  N/A

10. Work Environment

• 10.1. Insufficient lighting?

  Safe

  At Risk

  N/A

• 10.2. Inadequate housekeeping?

  Safe

  At Risk

  N/A

• 10.3. Clear access/egress?

  Safe

  At Risk

  N/A

11. Electrical Hazards

• 11.1. Unsafe electrical leads / tools? (damaged, out of test date or untested)

  Safe

  At Risk

  N/A

• 11.2. Electrical board tagged and locked out as required?

  Safe

  At Risk

  N/A

• 11.3. Locked out boards tested for dead as required?

  Safe

  At Risk

  N/A

12. Administrative Procedures

• 12.1. Lack of/or inadequate training, licenses, skills, experience?

  Safe

  At Risk

  N/A

• 12.2. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  Safe

  At Risk

  N/A

• 12.3. Supervisor aware of incident notification procedures?

  Yes

  No

  N/A

• 12.4. Lack of, or inadequate, routine inspections, monitoring, audits?

  Safe

  At Risk

  N/A

• 12.5. Lack of/or inadequate consultative arrangements?

  Safe

  At Risk

  N/A

13. Hazards

• 13.2 Slips, Trip hazards?

  Safe

  At Risk

  N/A

• 13.1. Hazards on site identified and communicated? (eg. Public, overhead power, hypodermic needles)

  Safe

  At Risk

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign