GICHD Fenix Site Safety Assessment

• Document No.

• Audit Title

• Site

• Conducted on

  Date

• Conducted by

• Location
  Address

• Personnel

Changes in the working context/environment

• Have there been any significant recent changes in the working context/environment?

  No

  Yes

• Describe changes and their significance

• Are there any significant Gender & Diversity aspects associated with the working context/environment?

  No

  Yes

• Describe aspects and their significance

Slips, trips and falls

• Are any of the following hazards present on site? Do any of them require controls? Working on river banks; working in icy conditions; climbing in and out of plant; stairways, ladders and access; wet floors/spillages; uneven ground.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Sharp edges and points

• Are any of the following hazards present on site? Do any of them require controls? Sharp edges or pointed objects that could cut or penetrate or otherwise damage people, materials and equipment, including scrap metals, nails in wooden planks, rotating machines, etc.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Asbestos

• Are any of the following hazards present on site? Do any of them require controls? Asbestos; derelict industrial areas.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Hazardous substances

• Are any of the following hazards present on site? Do any of them require controls? Dust; paint; paint sprays; adhesives; solvents; fuels; hydraulic fluid; lead; rubbish, waste & debris; exhaust gases; explosives; anti-freeze.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Work at height

• Are any of the following hazards present on site? Working on platforms; working on steep slopes; working on plant.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Musco-skeletal disorders

• Are any of the following hazards present on site? Do any of them require controls? Lifting, pulling or pushing large or heavy objects.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Noise and vibration

• Are any of the following hazards present on site? Do any of them require controls? Compressors; generators; hydraulic power packs; nearby traffic; HP vents; plant operation; demolition; rotating equipment; drilling and tapping.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Electricity

• Are any of the following hazards present on site? Do any of them require controls? Machinery power supplies; site power supplies; on-site utilities; static electricity; lightning.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Work equipment and machinery

• Are any of the following hazards present on site? Do any of them require controls? Generators; compressors; hydraulic power packs; gas bottles; plant operation.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Maintenance and building work

• Are any of the following hazards present on site? Do any of them require controls? Remedial actions; construction activities.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Workplace transport

• Are any of the following hazards present on site? Do any of them require controls? Vehicles; 3rd party transport; helicopters.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Pressure systems

• Are any of the following hazards present on site? Do any of them require controls? Gas bottles; hydraulic power packs.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Fire and explosion

• Are any of the following hazards present on site? Do any of them require controls? Fuel; paints; gas bottles; dry vegetation; rags and waste material; hydraulic systems; electrical faults; explosives.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Radiation

• Are any of the following hazards present on site? Do any of them require controls? Devices containing lasers.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Stress and disease

• Are any of the following hazards present on site? Do any of them require controls? Work related; personal life related; high temperature; low temperature; sunburn; food poisoning; water contamination; disease.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Environmental and security hazards

• Are any of the following hazards present on site? Do any of them require controls? Wild animals; snakes; insects; hazardous plants; kidnap; hijack; theft; conflict; earthquake; landslip; swamps & flood.

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Other hazards

• Are there any other hazards present on site? Do any of them require controls?

  Select Not present on site Present on site - current controls adequate Present on site - control required Present on site - emergency response required

  • Not present on site
  • Present on site - current controls adequate
  • Present on site - control required
  • Present on site - emergency response required

• Describe relevant aspects

• Enter details of control(s)

• Describe relevant aspects

• Enter details of control(s)

• Enter details of emergency response

Acceptance and review

• Assessment conducted by:

  Sign

• Assessment agreed by:

  Sign