Title Page
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Document No.
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Project Area.
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Location
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Subcontractor.
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Conducted on
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Inspected by.
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Supervisor.
HEALTH & SAFETY DOCUMENTATION
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PW2.Health and Safety Representatives names and photographs displayed
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PW3. OH&S, Fitness for Work, Rehab, Enviro, Quality policies displayed?
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PW4. "If you are injured" poster displayed?
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PW5. Emergency Response Procedure & contact list displayed?
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PW6. Location of muster points displayed?
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PW7. Daily pre-start conducted and signed?
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PW8. Daily pre-start filed in Project Pack Web (PPW)?
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PW9. TRA completed, workforce have signed-on, and is available at work location?
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PW10. Has the TRA been subjected to initial review?
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PW11. Completed TRAs and filed in Project Pack Web (PPW)?
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PW12. Are all eleven GMR Posters (8 safety, 3 environmental) displayed?
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PW13. GMR Self Assessments are being completed, and cover extent of risks applicable to site?
SITE AMENITIES
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SA1. First Aid kits available, adequate for the site risks?
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SA2. First aid supplies regularly checked and are in date?
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SA3. First Aid treatments recorded and records available in the First Aid Room?
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SA4. First Aid Attendants names and photographs displayed?
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SA5. Toilets (male & female) are available and signposted?
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SA6. Amenities are regularly cleaned and maintained?
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SA7. Spill kit(s) capacity appropriate for works undertaken, on site and easily accessible?
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SA8. Fire fighting equipment appropriate for the risks, tagged & current (within 6 months)?
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SA9. Fire fighting equipment register developed and maintained in Project Pack Web (PPW)?
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SA10. Waste disposal facilities available and collection schedule in place?
PERSONNEL
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P1. All personnel on site have completed the Melbourne Water and Project Induction?
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P2. PPE requirements being met?
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P3. Current induction sticker visible on helmets?
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P4. Level 2 First aider(s) on site at all times?
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P5. Site / Task specific PPE available and being used where required?
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P6. START CARDS completed and relevant to the task being undertaken?
HOUSE KEEPING & ENVIRONMENTAL MANAGEMENT
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H&E1. Site clean and tidy?
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H&E2. Waste disposal with bins clearly labelled and recyclables separated?
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H&E3. Site environmental plan (SEP) displayed?
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H&E4. Heritage sites barricaded and signage in place?
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H&E5. Sensitive vegetation barricaded and signage in place?
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H&E6. Erosion / Sediment control in place, adequate and maintained?
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H&E7. Soil stockpiles > 10m from watercourses?
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H&E8. Refuelling > 50m from watercourses?
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H&E9. Dust suppression adequate?
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H&E10. Noise / vibration / odour controls adequate?
EXCAVATION AND TRENCHING
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E1. Excavation and trenching permit in place, current and all relevant persons signed on?
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E2. Excavation and trenching secured / falls into excavation or trench prevented?
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E3. Trench benched, battered or shored adequately?
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E4. Safe access and egress provided for trenches / excavations deeper than 500mm?
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E5. Barrier and signage adequate to protect workers and public?
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E6. Spoil or materials not placed within 1m of excavation edge?
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E7. Daily excavation / trench inspection conducted and documented?
MOBILE PLANT
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M1. Daily plant prestart check completed for all items of plant?
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M2. Plant prestart records completed and filed by relevant party?
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M3. Fire extinguisher fixed in position, charged, tagged and within test date (within 6 months)
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M4. Operable flashing, reverse alarm, UHF radio, mirrors?
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M5. Plant Risk Assessment (< 2 years old), operators manual in English & service records available & current?
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M6. Operator licensed and, or competent (VOC'd within 2 years)?
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M7. Plant authorisation sticker valid?
WORKING AT HEIGHT
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H1. Ladders secure and only only used for access/egress (unless platform ladder)?
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H2. Scaffolds inspected, tagged and scaffold register updated (maximum 30 days)?
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H3. All floor penetrations securely covered or barricaded (covers or barricades require use of a tool to remove them)?
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H4. All work platforms have secure handrails (top rail and mid rail), toe boards, mesh in fill's, guarding or fence panels?
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H5. Protection of workers below/falling objects (barricaded and signposted drop zone, approved catch decks / nets, tool lanyards)?
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H6. Harness and lanyard provided and test tag current?
CONFINED SPACES
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C1. Confined space entry permit in place, current and all relevant persons signed on?
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C2. Confined Space Rescue Plan in place and all relevant personnel familiar with plan?
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C3. Gas testing and mechanical ventilation conducted as per the Confined Space Permit requirements?
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C4. Six Gas, gas detectors utilised as per MW Procedure?
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C5. Spotter / standby present and trained / certified / VOC'd?
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C6. Emergency procedures in place?
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C7. Emergency rescue equipment (as per Rescue Plan) readily accessible?
SMALL TOOLS & EQUIPMENT
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ST1. Electrical tools and extension leads tested and tagged (3 monthly, RuGBY system)
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ST2. Electrical leads elevated and insulated from metal objects?
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ST3. Extension leads single length only (30 metre maximum)?
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ST4. RCDs fitted and tested Monthly (check site sheds)?
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ST5. Portable tools in good condition & OK for use (no 9 inch grinders)?
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ST6. Leads, plugs, sockets, and switches in good condition?
LIFTING AND RIGGING
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L1. Crane Safe green striker (current 12 months)
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L2. Lift study completed for all medium and critical lifts, Pre-lift Start Card for low risk?
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L3. Rigging gear in good condition tagged and within test date. WLL clearly marked?
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L4. Rigger/dog man certified, VOC'd & used for slinging loads?
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L5. Lift areas clearly delineated, signposted and clear of non-critical persons?
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L6. Rigging equipment tested and tagged (current) and stored in accordance with manufacturers recommendations?
WELDING AND HOT WORKS
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W1. Hot work permit available (if required), is current and relevant persons signed on?
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W2. Flash back arresters fitted to the gauges and torch, flash protection and weld curtains in place where required?
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W3. 9 kg fire extinguisher within 5 metres / fire blankets near work area?
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W4. All combustible materials cleared for 6 metres around Hot Work area.
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W5. Gas bottles secured in upright position (fire rated restraint), and stored separately unless in a welding / cutting set?
TRAFFIC MANAGEMENT
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TM1. Traffic management plan (TMP) displayed, signed and document controlled?
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TM2. Are safety barrier units connected together and filled with water where required?
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TM3. Is the 2/6/12m (40/60/80km) rule being applied when working next to roadways?
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TM4. Traffic management controls in place as per the TMP?
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TM5. Condition of road (no potholes / water pooling > 500mm deep, oil, mud, debris)?
HAZARDOUS SUBSTANCE & DANGEROUS GOODS
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HD1. SDS available in Australian format and up to date (< 5 years)?
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HD2. Product being used in accordance with safety requirements set out in the SDS?
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HD3. Appropriate type, location and quantity of spill containment available for the works being conducted?
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HD4. All containers labelled correctly?
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HD5. Stored appropriately (classes, ventilation, bunding etc.)?
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HD6. Appropriate emergency / first aid equipment - deluge shower, eye bath, extinguishers available?
LASER EQUIPMENT
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LE1. Class 1 Laser Equipment (covered in TRA for works where it is being used)?
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LE2. Class 2 Laser Equipment (Covered in TRA for works where it is being used)?
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LE3. Class 3 R Laser Equipment (requires specific TRA for the use of the laser & Laser Safety Officer)?
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LE4. Class 3 B Laser Equipment (banned on MWCD sites)?
QUALITY ASSURANCE
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Q1. ITP available for the work and is being completed progressively?
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Q2. Equipment used for inspection & test is calibrated and the test results entered in the calibration register?
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Q3. Design documentation and specifications in use are the latest version, compare to Aconex?
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Q4. Materials are labeled, and are traceable to a purchase order?
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Q5. Material and finished product is adequately protected from damage?
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Q6. Sampled completed Work Lots contain all required quality supporting documentation required by the ITP?