Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Working at Heights

  • 1.1. Fall risks of 6 feet or more? (including voids, pits, and trenches)

  • 1.2. Lack of edge protection?

  • 1.3. Unsafe or incomplete edge protection?

2. Equipment

  • 2.1. Unsafe or damaged equipment? (including missing or damaged guards)

  • 2.2. Incorrect equipment for job? (e.g. grinding discs for cutting)

  • 2.3. Unsafe or incompatible attachments used with equipment?

  • 2.4. Unlicensed operators?

  • 2.5. Lack of safe work practices?

  • 2.6. Lack of training in safe operation, clean-up and maintenance?

  • 2.7. Lack of LOTO procedures for cleaning, servicing and maintenance?

  • 2.8. Lack of inspection regime?

3. Scaffolds

  • 3.1. Unlicensed persons erecting scaffold?

  • 3.2. Unsafe or incomplete scaffold?

  • 3.3. Lack of inspection protocol for scaffold?

  • 3.4. Incompatible scaffold components? Unlabelled or do not meet AS?

  • 3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

4. Lifting Equipment

  • 4.1. Unsafe or damaged plant?

  • 4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 4.3. Lack of maintenance, testing and inspection?

  • 4.4. Lack of SWL information displayed?

  • 4.5. Lack of daily inspection protocol?

  • 4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • 4.7. Lifting equipment unlabelled, does not meet AS, no SWL displayed?

  • 4.8. Unlicensed operators?

  • 4.9 SWL of lifting equipment exceeded?

5. Fall Protection and Equipment

  • 5.1. Unsafe or damaged harness or equipment?

  • 5.2. Incompatible hooks/equipment?

  • 5.3. Unlabeled?

  • 5.4. Unsafe or uncertified anchor points?

  • 5.5. Lack of inspection protocol for equipment?

  • 5.6. Lack of or inadequate formal training for user?

6. Ladders

  • 6.1. Unsafe or damaged ladders?

  • 6.2. Unsafe positioning of ladders?

  • 6.3. Ladder not properly secured?

  • 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

7. Hazard Assessment

  • 7.1. Lack of identification hazardous tasks?

  • 7.2. Lack of assessment of hazardous tasks?

  • 7.3. Inadequate risk controls?

  • 7.4. Lack of training in hazard assessment and risk controls?

8. Hazardous Chemical (including fuel and oil)

  • 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 8.2. Incompatible chemicals stored near each other?

  • 8.3. Inadequate spill containment equipment?

  • 8.4. Safety Data Sheets not accessible on site?

  • 8.5. Lack of emergency procedures for injury/spills/fire etc?

  • 8.6. Excessive quantities stored on site or in vehicles?

  • 8.7. Insufficient ventilation?

  • 8.8. Insufficient, or incorrect, PPE?

  • 8.9. Unsuitable storage containers?

9. Emergency Response

  • 9.1. Lack of, or no emergency plans for site?

  • 9.2. Emergency procedures not displayed at site?

  • 9.3. Lack of training and rehearsal of emergency plans?

  • 9.4. Lack of, or inadequate first aid kits aid equipment for site?

  • 9.5. Insufficient access to formally trained First Aiders for all shifts?

  • 9.6. Unsuitable or inadequate communication equipment?

10. Personal Protective Equipment (PPE)

  • 10.1. Lack of, or inadequate PPE?

  • 10.2. Lack of use of PPE?

  • 10.3. Lack of training in safe use, clean-up and inspection of PPE?

11. Work Environment

  • 11.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 11.2. Insufficient lighting?

  • 11.3 Inadequate housekeeping?

  • 11.4 Lack of, or inadequate noise/ vibration control?

12. Electrical Hazards

  • 12.1. Unsafe electrical cords? (damaged, out of test date or untested)

  • 12.2. Lack of GFCI protection?

  • 12.3. Contact with underground utilities?

  • 12.4. Contact with overhead electrical lines?

  • 12.5. Overloading outlets?

  • 12.6. Cords placed on ground or on metal structures?

  • 12.7. Electrical equipment near water?

  • 12.8. Electrical equipment near flammables?

  • 12.9. Electrical equipment near chemicals that could cause damage?

  • 12.10. Electrical cords that may be damaged from contact with moving machinery parts?

  • 12.11. Electrical cords on work surfaces?

  • 12.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

13. Environmental Hazards

  • 13.1. Lack of/or inadequate Environmental Management plan (EMP)?

  • 13.2. Lack of/or inadequate, dust suppression system?

  • 13.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  • 13.4 Lack of water re-use systems?

14. Administrative Procedures

  • 14.1. Lack of/or inadequate Site Safety Plan or Pre-Task Plan?

  • 14.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  • 14.3. Lack of, or inadequate, induction for workers, contractors, visitors?

  • 14.4. Lack or, or inadequate, supervisory arrangements?

  • 14.5. Lack of/or inadequate training, licenses, skills, experience?

  • 14.6. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  • 14.7. Lack of, or inadequate system to review SWMS as needed?

  • 14.8. Lack of/or inadequate incident notification procedures?

  • 14.9. Lack of, or inadequate, routine inspections, monitoring, audits?

  • 14.10. Lack of/or inadequate consultative arrangements?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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