Title Page
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Site Name
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Customer
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Date
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Segment
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Location (Region & Country)
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Inspector(s)
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Site Manager
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Work Area
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Instructions
1. Assess the level of compliance for each question with either "High Risk", "Medium Risk", "Low Risk" or "N/A"
2. Add comments, observations, notes and images by clicking on the paperclip icon
3. To add corrective actions, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date
4. Complete audit by providing digital signature
5. Share your report by exporting as PDF, Word, Excel or Web Link
1.0 Access / Egress
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1.1 Safe, adequately illuminated, access/egress to work areas (including working platforms) and clear of transient materials including trailing cables and hoses?
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Reason ausit item was not applicable
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1.2 Separate pedestrian / vehicle routes wherever possible or adequate segregation observed?
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1.3 Floor and wall openings protected with rigid barriers / solid coverings?
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1.4 Emergency escape routes and muster point routes provided, clearly identified and free from obstruction?
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1.5 Adequate hazard signs and warning devices provided?
2.0 Welfare
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2.1 Welfare facilities adequate, easily accessible to all who need to use them and kept clean and tidy?
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2.2 Access to a supply of drinking water?
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2.3 Facilities for obtaining hot food/ heating food and boiling water?
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2.4 Adequate number of toilets, wash basins and showers - soap, gel dispensers and hot water provided?
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2.5 Sufficient 'Cool Rooms' or areas to rest when working in elevated temperatures?
3.0 PPE
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3.1 Minimum PPE of hard hat, coveralls, safety glasses and safety boots available to and worn by all employees and contractors?
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3.2 Is other PPE/ RPE available and used when required task-specific risk assessment?
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3.3 Do the gloves observed have the correct mechanical rating for the task?
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3.4 Are there sufficient PPE storage and cleaning facilities available and being used correctly?
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3.5 Have any issues of PPE compatibility been observed e.g. conflict with other PPE or the wearer?
4.0 Emergency Arrangements
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4.1 Is there a site specific Emergency Response Plan (evacuation plan, etc) and is it posted?
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4.2 Emergency telephone numbers and Contacts clearly displayed?
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4.3 Is there a means of raising the alarm and does it work?
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4.4 Person(s) trained in first aid on site and up to date details displayed?
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4.5 First aid kit(s) available and other medical supplies including eye wash stations, available, adequate and in date?
5.0 Fire Prevention
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5.1 Smoking in designated areas only and other ignition sources prohibited in areas where gases or flammable liquids are stored / used?
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5.2 All loose oily rags and combustible waste regularly removed from work area or stored in proper covered containers?
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5.3 All fire extinguishers easily accessible, marked for type of fire to be used on and tagged with in date inspection status?
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5.4 Flammable liquids and gases, properly segregated?
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5.5 Quantity of flammable material on site kept to a minimum and the whereabouts of gas cylinders known?
6.0 Hot Works
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6.1 For observed work, is the Hot work Permit accessible to or posted within the work area until all work is completed?
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6.2 Spark containment, anti-flash screens, fire blankets, fire extinguishers in place?
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6.3 Have combustible materials been removed a minimum of 11m /35 ft away from the working area or suitably covered?
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6.4 Is PPE suitable for the task, available and used as required by risk assessment?
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6.5 Are the fire alarm points known by those undertaking hot work?
7.0 Electrical Safety
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7.1 Cables and leads protected from damage by sheathing, protective enclosures or positioned away from potential sources of damage?
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7.2 All portable electric power tools either grounded or double insulated?
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7.3 Extension cords and drop lights in good condition (not frayed, broken) and temporary lights equipped with guards to prevent accidental contact with the bulb?
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7.4 Frames or cases of all arc welding and cutting machines (except engine-driven machines) grounded / earthed?
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7.5 Portable electric lighting used in moist and/or other hazardous locations (e.g. drums, tanks and vessels) is operated at a maximum of 12 volts?
8.0 Industrial Hygiene
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8.1 Is worker exposure to chemicals including dust/contamination and welding fumes controlled?
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8.2 Unless confirmed an asbestos free worksite, is the location of all known or potential asbestos materials defined and controls in place to avoid disturbance and exposure?
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8.3 Is hearing protection available and being used in high noise areas, (>85dB), including during powered tool use?
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8.4 Are powered tools controlled to minimise worker hand/arm vibration exposure, with tools in good condition and tagged for vibration level and permitted usage time?
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8.5 Are lifting aid/tools used during manual handling activities to minimise worker injury?
9.0 Environment
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9.1 No oil/fuel/chemical spillages, correctly stored, bunded labelled?
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9.2 Mobile plant - drip trays / secondary containment fitted and clean?
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9.3 Spill Kits available, in correct locations, and sealed ready for use?
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9.4 No unprotected storm water drains or uncovered soft ground close to work involving chemicals / oil / fuel?
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9.5 Waste stored in correct containers, labelled and segregated according to customer / legal requirements?
10.0 Plant and Equipment
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10.1 Equipment, plant and machinery are safe, maintained, in good condition and appropriately guarded?
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10.2 Are crane inspections completed, daily, monthly, annual?
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10.3 Pneumatic / hydraulic tools and hoses in good condition and whip-checks in place?
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10.4 Inspections conducted on aerial platforms and forklift trucks recorded and up to date?
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10.5 Equipment operators not wearing loose clothing, gloves, jewellery or long hair near machines or rotating equipment?
11.0 Lifting Operations
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11.1 Lift Plans and / or Risk Assessments prepared, approved and communicated before operations start?
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11.2 Load to be lifted verified to be within lifting capacity of lifting equipment and accessories?
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11.3 All lifting equipment and accessories has a valid manufacturer’s certificate or verifiable examination records?
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11.4 All persons maintain a safe distance from the load and potential crane movements; no-one is under a suspended load or between a suspended load and fixed objects?
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11.5 Suspended loads never left unattended?
12.0 LOTO
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12.1 Equipment Specific LOTO procedures or equivalent in available and implemented for all LOTO undertaken?
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12.2 Only competent Affected and Authorized Individuals performing LOTO?
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12.3 For Group LOTO, an authorized LOTO Supervisor has been appointed and appointment communicated (email, team or tool box meetings, etc.)?
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12.4 Each Authorized Individual controls their on LOTO - One Lock, One Key, One Person?
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12.5 Each Authorized Individual, either personally or by following alternative documented arrangements , verifies absence of energy?
13.0 Work at Height
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13.1 Only qualified scaffolders design, erect, commission, modify, repair, inspect and dismantle scaffolding?
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13.2 Scaffold inspection status identified (using a Scaff Tag or similar) at each scaffold entry point?
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13.3 All persons working at height use a full body harness that is always attached to a secure designated anchor point by a lifeline?
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13.4 Site specific Emergency Response/Suspension Rescue Plan in place and communicated?
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13.5 Measures developed and implemented to manage the risk of injury from falling objects?
14.0 Confined Space Entry
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14.1 Documented Risk Assessment performed (for each confined space) and verification that the required controls/defences are in place before an “Entry Permit” is issued?
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14.2 Rescue plan in place and arrangements validated (including 4-minute response time for serious hazards) by simulation of otherwise?
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14.3 Only trained and authorized employees and contractors permitted to serve as entrants and attendants for permit space entry?
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14.4 Observed confined spaces identified and clearly signed posted as a confined space and access forbidden and prevented to unauthorized personnel?
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14.5 An authorized attendant(s) positioned at the confined space entrance at all times during the work?
15.0 Additional Site Specific Questions
Inspection Completion
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Question
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Question
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Level of Compliance
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