FRM_061_CI SHE Monthly Audit_Rev0

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Buildings and Structures

• 1.1 Buildings and Floors:<br>- no building damage,<br>- no floors damaged/dirty,<br>- access safe and free from instruction

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 1.2 Lighting<br>- sufficient lighting,<br>- minimal glare on monitors/screens,<br>- windows clean/undamaged

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 1.3 Ventilation<br>- natural air flow,<br>- mechanical (including air cons, fans, etc),<br>- filters clean

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 1.4 Amenities<br>- hygienic toilets/urinals,<br>- hygienic kitchen/crib area,<br>- cleanliness of fridge and cooking/heating appliances,<br>- adequate supply of drinking water.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 1.5 Emergency<br>- exits identified,<br>- exit doors and equipment obstructed,<br>- evacuation plan in place,<br>- fire extinguishers available and within date.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 1.6 Storage<br>- adequate shelving,<br>- neat and tidy,<br>- heavy items stored on lower levels.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

2.0 Housekeeping

• 2.1 Pollution (e.g. Oil waste, scrap steel etc)<br>- adequate disposal/collection,<br>- bundling of storage area,<br>- sufficient bins,<br>- bins fit for purpose.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 2.2 Storage<br>- safe and stable,<br>- suitable for items,<br>- clear access and egress.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

3.0 Electrical Safeguarding

• 3.1 Portable Electrical Equipment<br>- identified and on register,<br>- no damaged cables/plugs,<br>- earthing,<br>- current inspection tag,<br>- appropriate storage,<br>- no visible damage to tools or electrical leads.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 3.2 Electrical Installations Safe<br>- electrical equipment safe,<br>- unauthorised access to switchboards restricted,<br>- earthing in place,<br>- no exposed wires,<br>- no damage to protective sheath, cable guide or conduit,<br>- all welded fitted with voltage reduction devices.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 3.3 High Voltage Power Lines<br>- identified by signage on all approach access,<br>- material not stock piled under power lines.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

4.0 Mechanical Safeguarding

• 4.1 Machine Guarding<br>- machines comply with appropriate standards,<br>- guards are in place,<br>- all nip points are guarded,<br>- guarding is not loose, broken or inadequate.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 4.2 Lock-out System and Usage<br>- documented procedure,<br>- covers all energy sources,<br>- switches lockable,<br>- tags/locks available.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 4.3 Switches, Isolators, Valves and Controls<br>- labelled,<br>- no labels missing,<br>- emergency stop buttons red.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 4.4 Ladders, Handrails and Walkways<br>- stairways fitted with at least one handrail,<br>- portable ladders inspected and tested,<br>- recorded on register with identifying number.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 4.5 Lifting Equipment<br>- recorded on register with identifying number,<br>- safe working load (SWL) marked,<br>- current inspection.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 4.6 Conveyor<br>- gears, pulleys, shaft and nip points guarded,<br>- emergency stop,<br>- adequate access,<br>- lanyards on all conveyors.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

5.0 Gas Cylinders and Pressure Vessels

• 5.1 Pressure Vessels<br>- recorded on register with identifying number,<br>- inspection/tests current and recorded,<br>- relief/safety valve operational,<br>- red line on pressure gauges,<br>- remote isolation.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 5.2 Gas Cylinders<br>- cylinders correctly stored vertically and secured,<br>- equipment in safe condition,<br>- correct flashback arresters used,<br>- transported correctly and secure.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 5.3 Connecting Pipes, Fittings and Hoses<br>- in good condition, no cracks, splits or cuts,<br>- correct clamps used.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

6.0 Hazardous Substances

• 6.1 Chemicals and Substances<br>- chemical register,<br>- products labelled,<br>- MSDS sheets,<br>- stored appropriately, including bundling and containment.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

7.0 Mobile Plant and Equipment

• 7.1 Condition of Plant and Equipment<br>- daily pre-start check completed,<br>- defects/damage reported,<br>- operator competent,<br>- seat belts,<br>- fire extinguisher,<br>- flashing amber beacon,<br>- maintenance records,<br>- parked at go line when not in use,<br>- accessibility (switches, levers, ladders).

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

8.0 Handtools

• 8.1 Handtools<br>- condition and storage,<br>- no damaged or defective tools,<br>- no sharp edges or mushroomed edges,<br>- no split handles,<br>- stored correctly,<br>- all equipment on register,<br>- clean of oil and grease.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

9.0 Personal Protective Equipment

• 9.1 Head Protection<br>- exclusion zones delineated and signed,<br>- being worn,<br>- compliant to company standard.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 9.2 Footwear<br>- correct for task,<br>- compliant to company standard.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 9.3 Protective Clothing<br>- correct for task,<br>- compliant to company standard,<br>- sleeves rolled down,<br>- maintained.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 9.4 Eye and Face Protection<br>- exclusion zone delineated and signed,<br>- prescription glasses to standard and fitted with side shields,<br>- worn correctly,<br>- correct for task/environment.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 9.5 Hearing Protection<br>- areas where required identified and signed,<br>- worn correctly,<br>- provided.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 9.6 Other PPE<br>- safety harnesses and lanyards,<br>- hand protection,<br>- respiratory equipment,<br>- sun protection/sunscreen,<br>- insect repellant,<br>- hot works PPE.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

10.0 Notices and Signs

• 10.1 Signs Posted<br>- appropriate signs displayed,<br>- comply with company standard,<br>- visibly and correctly labelled,<br>- good condition.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 10.2 Noticeboards and Displays<br>- visibility available to all personnel,<br>- current,<br>- MRE's displayed.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 10.3 Warning Signs<br>- no unauthorised entry,<br>- emergency procedure.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

11.0 Fire Protection and Prevention

• 11.1 Extinguishing Equipment<br>- adequate number provided,<br>- correct types for fire types.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 11.2 Fire Equipment Locations<br>- location accessible,<br>- signs indicate type if equipment,<br>- no equipment obstructed.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 11.3 Maintenance of Equipment<br>- all equipment on register,<br>- inspections/services current,<br>- tags/seals in place,<br>- good condition.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 11.4 Fire Fighting<br>- personnel trained in the use of fire extinguishers,<br>- training records maintained.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

12.0 Control of Persons

• 12.1 Control of Entry and Exit<br>- control signage in place (i.e. Report to site office),<br>- visitors records,<br>- personnel performing tasks authorised.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

13.0 Emergency Planning

• 13.1 Emergency Action Plan<br>- documented plan,<br>- contact names and numbers,<br>- site plan.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 13.2 First Aiders and Facilities<br>- current first aider (on all rosters),<br>- adequate first aid equipment,<br>- first aid kits on registers,<br>- inspections current and recorded,<br>- stocked items within use by dates,<br>- locations marked.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 13.3 Accident/Injury Recording<br>- monthly record of accidents,<br>- record of minor injuries,<br>- record of near misses.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 13.4 Reporting of Accident/Emergency<br>- oral notification procedure,<br>- record keeping up to date.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

14.0 Induction

• 14.1 Induction<br>- all personnel completed CI SHEQ induction,<br>- all personal have been site inducted,<br>- training records current (hard and soft copy).

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 14.2 Authorisation<br>- personnel authorised to undertake task,<br>- personnel verified as competent to operate,<br>- personnel familiar with SWI's relevant to task.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

15.0 Risk Assessment

• 15.1 Risk Assessment<br>- Take 5 completed for task,<br>- JSEA in place with correct authorisations,<br>- relevant permits to undertake tasks in place.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

16.0 Supervision

• 16.1 Adequate Supervision<br>- supervisor on site,<br>- supervisor demonstrates competence for task and safety,<br>- communicates effectively with employees,<br>- ensures provision of adequate resources for task/job,<br>- conducts regular inspections,<br>- takes appropriate actions to identified hazards,<br>- managed contractors

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 16.2 Communication<br>- conduct workplace inspections,<br>- pre-start briefing provided,<br>- on the job instruction,<br>- discussion of identified hazards and controls,<br>- meeting records,<br>- employee participation.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

17.0 SHE Management Systems

• 17.1 Systems<br>- company SHE policies displayed and complied with,<br>- SHE manual and procedures available/used,<br>- legislative and regulatory available/used.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 17.2 Communication<br>- SHE training conducted,<br>- daily pre-start meetings conducted and adequate,<br>- toolbox talks undertaken,<br>- safety bulletins/alerts communicated and displayed.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable

• 17.3 Audits and Inspections<br>- weekly workplace inspections completed and documented,<br>- monthly audits undertaken,<br>- monthly SHE data recorded and current.

  Poor -immediate action required

  Fair - action required within 5 to 14 days

  Acceptable - action required within 14 to 30 days

  Good - minimal or no action required

  Not applicable