FM034

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

details

• Where
  Address

• When

  Date

• Type of works

  FSD

  NARA

• Contractor

• Auditor sign

  Sign

• person being audited

  Sign

• Environmental controls have been forwarded to the field

  Yes

  No

  N/A

• Construction activities include vegetation and weed management controls

  Yes

  No

  N/A

• Erosion sediment controls have been implemented

  Yes

  No

  N/A

• Measures to reduce Sedimentation of waterways have been implemented

  Yes

  No

  N/A

• The site reinstatement meets specification

  Yes

  No

  N/A

• Heritage items and places are protected

  Yes

  No

  N/A

• Waste and wastewater disposal meets specification

  Yes

  No

  N/A

• Construction activities that impact the environment are effectively managed

  Yes

  No

  N/A

• Documentation availability and used

  Yes

  No

  N/A

• Appropriate skills, training, qualification, accreditation has been implemented

  Yes

  No

  N/A

• Effective communication and consultation process in place

  Yes

  No

  N/A

• Site induction procedures and network site security requirements

  Yes

  No

  N/A

• HS&E plan for site

  Yes

  No

  N/A

• Emergency plans have been established

  Yes

  No

  N/A

• Risk assessment for site/s

  Yes

  No

  N/A

• Protection of people and property

  Yes

  No

  N/A

• PPE used as required

  Yes

  No

  N/A

• Management of confined space, special work locations and isolated areas

  Yes

  No

  N/A

• Gas detection equipment used on site

  Yes

  No

  N/A

• Safety when working at Heights

  Yes

  No

  N/A

• Hazards have been identified and controls implemented

  Yes

  No

  N/A

• Suitable first aid kit on site

  Yes

  No

  N/A

• Health and safety electromagnetic energy

  Yes

  No

  N/A

• Noise management and vibration control

  Yes

  No

  N/A

• Plant management

  Yes

  No

  N/A

• Site safe, clean and tidy

  Yes

  No

  N/A

• Motor vehicle/plant checks completed

  Yes

  No

  N/A

• Additional comments