INFORMATION
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Unit
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Site
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Conducted on
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Auditor
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Auditee
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Location
1 IN THE WORKPLACE: DOCUMENTATION
1.1 Hazard Register
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Have the hazards been reviewed in the last 12 months?
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Have the significant hazards been reviewed in the last 3 months?
1.2 Safety and Wellbeing Code of Practice
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Available on site?
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Are any hard copies up to date?
1.3 Incidents and Near Hits
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Evidence of incidents and near hits being recorded and actioned?
1.4 Safety and Wellbeing included in team talks
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Evidence in meeting minutes?<br>Including: Safety Moment and any legislative updates
1.5 Evacuation Plan
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Displayed and current?
Actions for Section 1
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Corrective/Preventative actions required
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Owner
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Due date
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OFI # (office use only)
2 IN THE WORKPLACE: PERSONNEL
2.1 Peer Support People
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Poster displayed in staff areas?
2.2 First Aider
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Trained first aider on site?
2.3 Fire Warden
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Trained fire warden on site?
Actions for Section 2
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Corrective/Preventative actions required
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Owner
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Due date
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OFI # (office use only)
3 IN THE WORKPLACE: EQUIPMENT AND WORKSTATIONS
3.1 Plant and Equipment
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Suited to task?
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Clean and in a safe condition?
3.2 Vehicles
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Current registration, WOF, COF and RUC?
3.3 Operators/Drivers
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Licence current and competent?
3.4 Workstation
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Set up correctly?
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Clean and safe condition?
3.5 Electrical testing and tagging
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Current for all electrical equipment?
3.6 Personal Protective Equipment (PPE)
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Fit for purpose/compliant?
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Being used?
3.7 First Aid Kits
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Stocked and current?
Actions for Section 3
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Corrective/Preventative actions required
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Owner
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Due date
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OFI # (office use only)
4 IN THE WORKPLACE: MATERIALS
4.1 Hazardous Substances
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Stored and labelled correctly?
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Chemical shower, signage, spill kits/bunding compliant?
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Test location certificate current?
4.2 Safety Data Sheets
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Available and reviewed within last 12 months?
Actions for Section 4
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Corrective/Preventative actions required
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Owner
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Due date
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OFI # (office use only)
5 ON A WORKSITE: DOCUMENTATION
5.1 Site Hazard ID
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Tailgate, Toolbox talk etc
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Completed and signed by all personnel?
5.2 Permit to Work
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Copy available on site?
5.3 Notifiable Works
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Confined space entry, trenches and open excavations, working at height
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MoBIE notified?
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Copy available on site?
5.4 Emergency Plan
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Available and relevant?
Actions for Section 5
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Corrective/Preventative actions required
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Owner
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Due date
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OFI # (office use only)
6 ON A WORKSITE: SITE
6.1 Hazards
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Are all Hazards identified being eliminated, isolated or minimised?
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Have all hazards been identified?
6.2 Contractors
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Inducted and monitored?
Actions for Section 6
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Corrective/Preventative actions required
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Owner
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Due date
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OFI # (office use only)
7 ON A WORKSITE: PUBLIC
7.1 Pedestrian Management
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Is pedestrian management in place?
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Is access and signage appropriate?
7.2 Traffic Management
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Temporary Traffic Management Plan on site?
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Does the Traffic Management comply with the plan?
Actions for Section 7
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Corrective/Preventative actions required
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Owner
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Due date
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OFI # (office use only)
Conclusion
Improvements/Comments
Completion
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Auditor
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Auditee
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Date