FORTNIGHTLY SITE INSPECTION CHECKLIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SITE INFORMATION

• Select date

  Date

• Site Name:

• Inspection Undertaken By:

Site Office

• Is the First Aid cabinet suitably stocked with contents date current?

  Yes

  No

  N/A

• Are fire extinguishers tags up to date? (6monthly)

  Yes

  No

  N/A

• Is the evacuation siren available and has it been tested?

  Yes

  No

  N/A

• Specify when last test was conducted:

• Are there emergency contact details on display?

  Yes

  No

  N/A

• Is the site establishment plan on display?

  Yes

  No

  N/A

• Are the emergency evacuation instructions on display?

  Yes

  No

  N/A

• Is a visitor register in use and available?

  Yes

  No

  N/A

LUNCH ROOMS

• Clean and Tidy?

  Yes

  No

  N/A

• Notice boards available?

  Yes

  No

  N/A

• Site establishment plan

• Emergency evacuation instruction

• Emergency contact information

• Safety Alerts

• Site instruction

• Toolbox meeting

• Other

• Specify:

SAFETY NOTICE BOARD

• OHS Policy on display?

  Yes

  No

  N/A

• Specify where:

• Environmental policy on display?

  Yes

  No

  N/A

• OHS Representative elected?

  Yes

  No

  N/A

• OSH Representative's name on display?

  Yes

  No

  N/A

• Site establishment plan on display?

  Yes

  No

  N/A

• Emergency evacuation instruction on display?

  Yes

  No

  N/A

TOILETS

• Clean & Tidy?

  Yes

  No

  N/A

• Toilet paper/ Hand towels stocked?

  Yes

  No

  N/A

• Are any taps or fixtures leaking?

  Yes

  No

  N/A

• Are urinals and toilet seats in good working order?

  Yes

  No

  N/A

SIGNAGE

• Entry signage displayed at front gate & is in good condition?

  Yes

  No

  N/A

• Safety signage is appropriate for the site?

  Yes

  No

  N/A

• Cooper & Oxley identification and registration number displayed?

  Yes

  No

  N/A

• Emergency Muster Point sign is located at Muster Point?

  Yes

  No

  N/A

• Site office & First Aid locations easily identified?

  Yes

  No

  N/A

ELECTRICAL

• Electrical equipment tagged and tested?

  Yes

  No

  N/A

• WORK IS PROHIBITED FORM BEING PERFORMED.

• Under take a random test & specify:

• Sufficient power boxes are located around site?

  Yes

  No

  N/A

• Are leads entering through the correct entry holes?

  Yes

  No

  N/A

• Are lead stands in use?

  Yes

  No

  N/A

POWERED PLANT & EQUPMENT

• Is all powered plant logged into plant register?

  Yes

  No

  N/A

• Have daily pre-start checks been filled out in powered plant log books?

  Yes

  No

  N/A

• Perform a random check & specify:

• Do plant operators hold appropriate High Risk Licence or competency?

  Yes

  No

  N/A

• WORK IS PROHIBITED FORM BEING PERFORMED.

• Perform a random check & specify:

• Is appropriate PPE being used by plant operators?

  Yes

  No

  N/A

• Specify:

• Mandatory PPE - Hard hat, High vis, Steel cap boots

• Eye protection

• Ear protection

• Gloves

• Face Sheild

• Other

• Specify:

• Is mobile plant being operated well clear of overhead power lines?

  Yes

  No

  N/A

• Are lift slings, chanes & shackles certified?

  Yes

  No

  N/A

• WORK IS PROHIBITED FORM BEING PERFORMED.

• Are appropriate machine guards in place?

  Yes

  No

  N/A

• WORK IS PROHIBITED FORM BEING PERFORMED.

• Are speed controls implemented & being observed?

  Yes

  No

  N/A

• Are seat restraints being used correctly?

  Yes

  No

  N/A

EXCAVATIONS

• Are excavations with potential to collapse inward, benched or battered?

  Yes

  No

  N/A

• WORK IS PROHIBITED FORM BEING PERFORMED.

• Are excavations barricaded to prevent Personnel falling in?

  Yes

  No

  N/A

• Is plant and excavated spoil kept at a safe distance from the edge?

  Yes

  No

  N/A

• Are barricades presented in good condition and fit for purpose?

  Yes

  No

  N/A

• Do excavations have a safe means of access/egress?

  Yes

  No

  N/A

WORKING AT HEIGHTS

• Scaffolding:

• Is the scaffold tagged as certified safe for use at entry points?

  Yes

  No

  N/A

• Are the feet of the scaffold placed on soul boards?

  Yes

  No

  N/A

• Guard rails and toe boards in place and secure?

  Yes

  No

  N/A

• Is the working platform clean and free from obstruction?

  Yes

  No

  N/A

• Are all legs grounded by base plates?

  Yes

  No

  N/A

• Ladders:

• Are ladders extend a minimum of 1m above connection point and are secured? (I.e. tied down)

  Yes

  No

  N/A

• Are ladders maintained in good condition?

  Yes

  No

  N/A

• Are step ladders legs correctly spaced and locked/tied off?

  Yes

  No

  N/A

• Is the top step of any ladders being used as a working platform?

  Yes

  No

  N/A

• Open Floor Penetrations:

• Are any floor openings/holes barricaded with danger signage?

  Yes

  No

  N/A

• Guard Rails:

• Is edge protection in place where a person can fall 2m or more from a stair case, landing or fixed platform?

  Yes

  No

  N/A

• Are guard rails firm and adequately secured?

  Yes

  No

  N/A

HAZARDOUS SUBSTANCE & DANGEROUS GOODS

• Is a storage facility established?

  Yes

  No

  N/A

• Well ventilated.

• Away from ignition potential sources.

• Appropriately labeled. (I.e. HAZCHEM)

• Are chemicals and dangerous goods appropriately labelled with their contents?

  Yes

  No

  N/A

• Are gas bottles secured?

  Yes

  No

  N/A

• Are all substances stored and sealed containers?

  Yes

  No

  N/A

• Are incompatible chemicals segregated?

  Yes

  No

  N/A

• Is a MSDS file available?

  Yes

  No

  N/A

• At the storage point.

• In the First Aid office.

• In the site office.

• Is there evidence of any spills or leakage?

  Yes

  No

  N/A

• ATTEND TO THE SPILL AND DISPOSE OF WASTE RESPONSABLY

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Is mandatory PPE being worn by sub-contractors?

  Yes

  No

  N/A

• Specify problem area:

• Hardhat

• High Visibility vest/shirt

• Steel toe boots/shoe

• Is task specific PPE being appropriately used by personnel?

  Yes

  No

  N/A

• Specify problem area:

ENVIRONMENTAL

• Is powered plant emitting black smoke?

  Yes

  No

  N/A

• Is plant scheduled for maintenance?

  Yes

  No

  N/A

• Maintenance booked for:

  Date

• Are excessively noisy tasks scheduled for mid morning times? (In order to NOT disturbed the surrounding community)

  Yes

  No

  N/A

• Is vibration dampening equipment installed where nessisary?

  Yes

  No

  N/A

• Specify:

• Is dust generated by vehicles being minimised?

  Yes

  No

  N/A

• Specify:

• Is dust generated by concrete/brick cutting being minimised?

  Yes

  No

  N/A

• Specify:

• Is plant being switched off when not in use?

  Yes

  No

  N/A

• Are spill kits available on site?

  Yes

  No

  N/A

• Adequately stocked

• THIS MUST BE ATTENDED TO BY NEXT AUDIT.

• Are water supplies turned off?

  Yes

  No

  N/A

• Inspected for leakages

• Does the site have a designated re-fuelling area?

  Yes

  No

  N/A

• Are there concrete wash out bays?

  Yes

  No

  N/A

• How many?

• What becomes of any excess concrete?

  RANDOM DUMPING

  RETURNED TO PLANT

REQUIRED CORRECTIVE ACTIONS

• Corrective Action

Corrective action

• Corrective action:

• Responsable Person:

• Corrected by:

  Date

WORKER PARTICIPATION

• Do you have any OHS concerns you would like to raise?

  Yes

  No

  N/A

• Is there anything Cooper & Oxley can do to make the site safer?

  Yes

  No

  N/A

• Are there any general observations that you would like to identify to Cooper &Oxley?

  Yes

  No

  N/A

• Worker sign:

  Sign

• Employer: