Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

SITE INFORMATION

  • Select date

  • Site Name:

  • Inspection Undertaken By:

Site Office

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

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

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

  • Specify when last test was conducted:

  • Are there emergency contact details on display?

  • Is the site establishment plan on display?

  • Are the emergency evacuation instructions on display?

  • Is a visitor register in use and available?

LUNCH ROOMS

  • Clean and Tidy?

  • Notice boards available?

  • Site establishment plan

  • Emergency evacuation instruction

  • Emergency contact information

  • Safety Alerts

  • Site instruction

  • Toolbox meeting

  • Other

  • Specify:

SAFETY NOTICE BOARD

  • OHS Policy on display?

  • Specify where:

  • Environmental policy on display?

  • OHS Representative elected?

  • OSH Representative's name on display?

  • Site establishment plan on display?

  • Emergency evacuation instruction on display?

TOILETS

  • Clean & Tidy?

  • Toilet paper/ Hand towels stocked?

  • Are any taps or fixtures leaking?

  • Are urinals and toilet seats in good working order?

SIGNAGE

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

  • Safety signage is appropriate for the site?

  • Cooper & Oxley identification and registration number displayed?

  • Emergency Muster Point sign is located at Muster Point?

  • Site office & First Aid locations easily identified?

ELECTRICAL

  • Electrical equipment tagged and tested?

  • WORK IS PROHIBITED FORM BEING PERFORMED.

  • Under take a random test & specify:

  • Sufficient power boxes are located around site?

  • Are leads entering through the correct entry holes?

  • Are lead stands in use?

POWERED PLANT & EQUPMENT

  • Is all powered plant logged into plant register?

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

  • Perform a random check & specify:

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

  • WORK IS PROHIBITED FORM BEING PERFORMED.

  • Perform a random check & specify:

  • Is appropriate PPE being used by plant operators?

  • 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?

  • Are lift slings, chanes & shackles certified?

  • WORK IS PROHIBITED FORM BEING PERFORMED.

  • Are appropriate machine guards in place?

  • WORK IS PROHIBITED FORM BEING PERFORMED.

  • Are speed controls implemented & being observed?

  • Are seat restraints being used correctly?

EXCAVATIONS

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

  • WORK IS PROHIBITED FORM BEING PERFORMED.

  • Are excavations barricaded to prevent Personnel falling in?

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

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

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

WORKING AT HEIGHTS

  • Scaffolding:

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

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

  • Guard rails and toe boards in place and secure?

  • Is the working platform clean and free from obstruction?

  • Are all legs grounded by base plates?

  • Ladders:

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

  • Are ladders maintained in good condition?

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

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

  • Open Floor Penetrations:

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

  • Guard Rails:

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

  • Are guard rails firm and adequately secured?

HAZARDOUS SUBSTANCE & DANGEROUS GOODS

  • Is a storage facility established?

  • Well ventilated.

  • Away from ignition potential sources.

  • Appropriately labeled. (I.e. HAZCHEM)

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

  • Are gas bottles secured?

  • Are all substances stored and sealed containers?

  • Are incompatible chemicals segregated?

  • Is a MSDS file available?

  • At the storage point.

  • In the First Aid office.

  • In the site office.

  • Is there evidence of any spills or leakage?

  • ATTEND TO THE SPILL AND DISPOSE OF WASTE RESPONSABLY

PERSONAL PROTECTIVE EQUIPMENT (PPE)

  • Is mandatory PPE being worn by sub-contractors?

  • Specify problem area:

  • Hardhat

  • High Visibility vest/shirt

  • Steel toe boots/shoe

  • Is task specific PPE being appropriately used by personnel?

  • Specify problem area:

ENVIRONMENTAL

  • Is powered plant emitting black smoke?

  • Is plant scheduled for maintenance?

  • Maintenance booked for:

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

  • Is vibration dampening equipment installed where nessisary?

  • Specify:

  • Is dust generated by vehicles being minimised?

  • Specify:

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

  • Specify:

  • Is plant being switched off when not in use?

  • Are spill kits available on site?

  • Adequately stocked

  • THIS MUST BE ATTENDED TO BY NEXT AUDIT.

  • Are water supplies turned off?

  • Inspected for leakages

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

  • Are there concrete wash out bays?

  • How many?

  • What becomes of any excess concrete?

REQUIRED CORRECTIVE ACTIONS

  • Corrective Action

  • Corrective action
  • Corrective action:

  • Responsable Person:

  • Corrected by:

WORKER PARTICIPATION

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

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

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

  • Worker sign:

  • Employer:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.