GWRL - Subcontractor H and S Inspection

• Document No.

• Subcontractor

• Site/Station

• Conducted on

  Date

General information

• On site Work location

• Contractor and Contractor personnel on site

• Do contractors have all the necessary permits for the work being undertaken?

  Yes

  No

• Check documents and move to next question

• Stop all work immediately and remove all contractors and materials associated with the work from site. Report the non conformance to GWRC H&S and Kiwirail - End of audit

• Follow up action required

• Auditor to sign

  Sign

• Subcontractor to sign

  Sign

• Work Site photo

  Media

Audit Items

• Have staff been trained for the task they are carrying out?

  N/A

  No evidence

  Some evidence

  Could not be better

• Is there adequate/necessary supervision of staff?

  N/A

  No evidence

  Some evidence

  Could not be better

• Is there adequate instruction and information for staff?

  N/A

  No evidence

  Some evidence

  Could not be better

• Is the work being undertaken to a specified safe system?

  N/A

  No evidence

  Some evidence

  Could not be better

• Have risk assessments been written and the control measures made known to the staff?

  N/A

  No evidence

  Some evidence

  Could not be better

• Are risk assessments complied with?

  N/A

  No evidence

  Some evidence

  Could not be better

• Have method statements been written and the contents made known to the staff?

  N/A

  No evidence

  Some evidence

  Could not be better

• Are method statements being complied with?

  N/A

  No evidence

  Some evidence

  Could not be better

• Are plant, equipment and tools suitable for an electrified rail environment and in a safe condition and being used correctly?

  N/A

  No evidence

  Some evidence

  Could not be better

• Photos

  Media

• Has plant and equipment been examined, tested, inspected, maintained and records kept?

  N/A

  No evidence

  Some evidence

  Could not be better

• Photos

  Media

• Is access equipment in a safe condition and being used safely?

  N/A

  No evidence

  Some evidence

  Could not be better

• Photos

  Media

• Is housekeeping to an acceptable standard?

  N/A

  No evidence

  Some evidence

  Could not be better

• Photos

  Media

• Are hazardous substances being safely stored/used and are relevant risk assessments available to the staff?

  N/A

  No evidence

  Some evidence

  Could not be better

• Has the work activity been planned and carried out with regard to any environmental impact?

  N/A

  No evidence

  Some evidence

  Could not be better

• If required has an emergency HSE plan been written and available for the work being carried out?

  N/A

  No evidence

  Some evidence

  Could not be better

• Have appropriate steps been taken to ensure the safety of the public and commuters? Eg- signs posted, area barricaded etc.

  N/A

  No evidence

  Some evidence

  Could not be better

• Are there adequate first aid facilities available?

  N/A

  No evidence

  Some evidence

  Could not be better

• Are there arrangements for the safety coordination and cooperation of subcontractors or visitors?

  N/A

  No evidence

  Some evidence

  Could not be better

• Where required are corridor access requirements being complied with?

  N/A

  No evidence

  Some evidence

  Could not be better

• Additional comments

• Is "Hot Work" being conducted?

  Yes

  No

  N/A

• Checklist has been obtained from Vero - Technical Advice Sheet (TAS 51 - Hot work in the outdoors where vegetation is present)

• Is there guidance/policy on whether staff conducting the current works are to attempt to extinguish fire or evacuate immediately and call Fire Service?

  Yes

  No

  N/A

• Has the work area been prepared ie. any flammable items have been cleared, firebreak created or wet down? or is the work area already safe from the threat of fire being created by the works?<br><br>Firefighting equipment is to be close at hand.

  Yes

  No

  n/a

• Have a second person act as a fire watch for the duration of the hot work operation and for at least 30 minutes after the work has finished. This is to ensure that stray sparks have not ignited nearby vegetation?

  Yes

  No

  n/a

• Is the following PPE being used?

  Fire Resistant Overalls

  Safety eye wear

  Safety Footwear

  Gloves

  Respiratory Protection

• Is the following Equipment at hand?

  Spade/Shovel (for soil and Embers)

  Rake - removing loose vegetation

  Sufficient water (onsite/accessible)

  Buckets of Sand (for embers or small fires)

• Photos?

  Media

• Is work being conducted by Fulton Hogan? (Park and Ride)

  Yes

  No

  N/A

• Are all items present? (Fulton Hogan vehicle checklist)

  Select ROP's Frame (Rollover Protection frame) First Aid Kit Fire Extinguisher Spill Kit Wheel Nut indicators (Mandatory for trucks only)

  • ROP's Frame (Rollover Protection frame)
  • First Aid Kit
  • Fire Extinguisher
  • Spill Kit
  • Wheel Nut indicators (Mandatory for trucks only)

• "Pre-Start" Daily Meeting form Signed by staff and FH Subcontractors? (From FH H&S plan)

  Yes

  No

  n/a

Audit scores

• Please select the %age audit score as per the calculation shown above

  Below 30%?

  Between 30 & 50%

  51 to 70%

  71% plus

• Stop all work immediately make site safe and remove contractor from site

• Instruct contractor on necessary changes required before any work can continue. Actions to be dated and person responsible noted below.

• Successful Audit make notes below on any improvements/actions required

• Congratulations on a fantastic audit score - note any comments or follow up below