1. Fall Protection

  • 1.1. Fall risks of 6 feet or more? (including voids, pits, and trenches)

  • 1.2. Lack of edge protection?

  • 1.3. Unsafe or incomplete edge protection?

  • 1.4. Employees below protected from falling objects?

2. Equipment

  • 2.1. Unsafe or damaged equipment? (including missing or damaged guards)

  • 2.2. Incorrect equipment for job? (e.g. grinding discs for cutting)

  • 2.3. Unsafe or incompatible attachments used equipment?

  • 2.4. Unlicensed operators?

  • 2.5. Lack of safe work instructions?

  • 2.6. Lack of training in safe operation, clean-up and maintenance?

  • 2.7. Lack of LOTO procedures for cleaning, servicing and maintenance?

3. Scaffolds

  • 3.1. Unqualified persons erecting scaffold above 10?

  • 3.2. Unsafe or incomplete scaffold?

  • 3.3. Lack of inspection protocol for scaffold?

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

  • 3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

4. Lifting Equipment

  • 4.1. Unsafe or damaged?

  • 4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 4.3. Lack of maintenance, testing and inspection?

  • 4.4. Lack of information displayed?

  • 4.5. Lack of daily inspection protocol?

  • 4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • 4.7. Lifting equipment unlabelled.

  • 4.8. Unlicensed operators?

  • 4.9. Lack of LOTO procedures for cleaning, servicing and maintenance?

5. Harness and Equipment

  • 5.1. Unsafe or damaged harness or equipment?

  • 5.2. Incompatible hooks/equipment?

  • 5.3. Unlabelled

  • 5.4. Unsafe or uncertified anchor points?

  • 5.5. Lack of inspection protocol for equipment?

  • 5.6. Lack of or inadequate formal training for operators?

6. Ladders

  • 6.1. Unsafe or damaged ladders?

  • 6.2. Unsafe positioning of ladders?

  • 6.3. Ladder not properly secured?

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

7. Hazardous Manual Tasks

  • 7.1. Lack of identification hazardous manual tasks?

  • 7.2. Lack of assessment of hazardous manual tasks?

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

  • 7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

8. Hazardous Chemical (including fuel and oil)

  • 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 8.2. Incompatible chemicals stored near each other?

  • 8.3. Inadequate spill containment equipment?

  • 8.4. Safety Data Sheets not accessible on site?

  • 8.5. Lack of emergency procedures for injury/spills/fire etc?

  • 8.6. Excessive quantities stored on site or in vehicles?

  • 8.7. Insufficient ventilation?

  • 8.8. Insufficient, or incorrect, PPE?

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

9. Emergency Response

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

  • 9.2. Emergency procedures not displayed at site?

  • 9.3. Lack of training and rehearsal of emergency plans?

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

  • 9.5. Insufficient access to formally trained First Aiders for all shifts?

  • 9.6. Unsuitable or inadequate communication equipment?

10. Traffic Management

  • 10.1. Lack of, or inadequate, Traffic Management Plan in place?

  • 10.2. Lack of training for persons on site?
    (contractors and visitors)

  • 10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

11. Personal Protective Equipment (PPE)

  • 11.1. Lack of, or inadequate PPE.

  • 11.2. Lack of system to issue, inspect, replace and monitor PPE?

  • 11.3. Lack of training in safe use, clean-up and inspection of PPE?

12. Work Environment

  • 12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 12.2. Insufficient lighting?

  • 12.3. Inadequate housekeeping?

  • 12.4. Lack of, or inadequate noise/ vibration control?

13. Electrical Hazards

  • 13.1. Unsafe electrical leads?

  • 13.2. Lack of GFCI protection?

  • 13.3. Contact with underground assets?

  • 13.4. Contact with overhead electrical lines?

  • 13.5. Overloading outlets?

  • 13.6. Leads placed on ground or on metal structures where damage can occur?

  • 13.7. Electrical equipment near water?

  • 13.8. Electrical equipment near flammables?

  • 13.9. Electrical equipment near chemicals that could cause damage?

  • 13.10. Electrical leads that may be damaged from contact with moving machinery parts?

  • 13.11. Electrical leads on work surfaces?

  • 13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

14. Environmental Hazards

  • 14.1. Lack of/or inadequate Environmental Management plan (EMP)?

  • 14.2. Lack of/or inadequate, dust suppression system?

  • 14.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

15. Administrative Procedures

  • Are first aid supplies readily available ?

  • 15.1. Lack of/or inadequate Site Safety Plan?

  • 15.2. Failure to obtain permits (Hot Works, Confined Space etc)

  • 15.3. Lack of, or inadequate, induction for workers, contractors, visitors?

  • 15.4. Lack or, inadequate jobsite postings?

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

  • 15.6. Lack of/or inadequate Safe Work Method Statements for high- risk work?

  • 15.8. Lack of/or inadequate incident notification procedures?

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

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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