HCC Worksite Safety Audit

• Site Location?

• Works being done at site?

• Conducted on

  Date

• Audit done by?

• Personnel on site?

Site Control/Supervision

• Is there a nominated person in overall control of the site.

  Safe

  At Risk

  N/A

• Are site contact names and phone numbers displayed?

  Safe

  At Risk

  N/A

• Is a Safety Management Plan available (for projects over $250K)

  Safe

  At Risk

  N/A

• Is there evidence of a daily toolbox talk

  Safe

  At Risk

  N/A

• Do all persons on site have a Construction white card <br>(Directly supervised visitors or consultants exempt)

  Safe

  At Risk

  N/A

• Do all Contractors on site hold a current HCC induction card?<br>(Directly supervised visitors or consultants) exempt)

  Safe

  At Risk

  N/A

• Have all persons on site signed either the SWMS or Visitor Log?

  Safe

  At Risk

  N/A

Site Set-Up

• Is worksite clearly delineated and signposted to identify work-site?

  Safe

  At Risk

  N/A

• Are barriers adequate for site hazards?

  Safe

  At Risk

  N/A

• Is there a Traffic Management Plan for site?

  Safe

  At Risk

  N/A

• Does the set-up match the traffic plan?

  Safe

  At Risk

  N/A

• Are Traffic Controllers qualified (sight evidence)

  Safe

  At Risk

  N/A

• Are pedestrians directed safely around or through site?

  Safe

  At Risk

  N/A

• Are all items adequately secured in event of wind or vandalism? (Signs, materials, barriers etc)

  Yes

  No

  N/A

• Are Site offices, toilets and containers placed in a way in which there is safe entry and exit (Door does not open into traffic or over gutters holes etc)?

  Safe

  At Risk

  N/A

Pre-Works Dreparation

• Has Dial-Before-You-Dig been performed?

  Safe

  At Risk

  N/A

• Have necessary permits been obtained (Confined space, Hot work, Crane, Tasgas permit)?

  Safe

  At Risk

  N/A

• Have services been located and marked?

  Safe

  At Risk

  N/A

• Has site been checked for old town gas pipes using construction layer on Dehko Maps?

  Safe

  At Risk

  N/A

• Has asbestos register been checked for presence of asbestos in buildings?

  Safe

  At Risk

  N/A

Hazard Identification & Controls

• Is a JSEA or SWMS in use?

  Safe

  At Risk

  N/A

• Has the JSEA or SWMS identified all of the hazards?

  Safe

  At Risk

  N/A

• Have non-relevant hazards and controls been crossed off?

  Safe

  At Risk

  N/A

• Are the safety controls detailed in the JSEA or SWMS being followed?

  Safe

  At Risk

  N/A

• Are all fall hazards adequately controlled?

  Safe

  At Risk

  N/A

Electrical Hazards

• Have low overhead powerlines been marked at ground level with bollards, tape and signs?

  Safe

  At Risk

  N/A

• Have low overhead powerlines been isolated, diverted or covered with Tiger Tails?

  Safe

  At Risk

  N/A

• Is there paperwork from Electricity supplier detailing hazard and controls and restrictions? <br>(VWD advice form)

  Safe

  At Risk

  N/A

• Are all electrical tools tested and tagged?

  Safe

  At Risk

  N/A

• Is there RCD protection for electrical tools? (Usually on Generator outlet plug panel)

  Safe

  At Risk

  N/A

• Are extension leads in good order?

  Safe

  At Risk

  N/A

Personal Protective Equipment

• Is appropriate PPE being used?

  Safe

  At Risk

  N/A

• Is PPE maintained and stored correctly?

  Safe

  At Risk

  N/A

Plant & Equipment

• Do all plant operators hold appropriate licences or competency?

  Safe

  At Risk

  N/A

• Have Pre-Start Checks been conducted on plant?

  Safe

  At Risk

  N/A

• Have faults discovered been reported and recorded as completed (check Fault Report book)

  Safe

  At Risk

  N/A

• Are there any obvious defects on site plant not reported?

  Safe

  At Risk

  N/A

• Has hired equipment been checked and is serviceable?

  Safe

  At Risk

  N/A

• Are seat belts worn where required (If ROPS fitted)

  Safe

  At Risk

  N/A

• Are all guards and protective devices in place?

  Safe

  At Risk

  N/A

Cranes and Lifting Equipment

• Do cranes have any obvious unreported faults

  Safe

  At Risk

  N/A

• Are Safe Working Loads displayed?

  Safe

  At Risk

  N/A

• Do chain slings have current test dates labelled?

  Safe

  At Risk

  N/A

• Are webbing slings free of oil and grease and cuts?<br>

  Safe

  At Risk

  N/A

• Do webbing slings have Safe Work Load visible?

  Safe

  At Risk

  N/A

• Are webbing slings stored in a way to minimise damage? (oil free, away from other tools, out of weather)?

  Safe

  At Risk

  N/A

• Are hard hats worn in crane swing area?

  Safe

  At Risk

  N/A

Excavations

• Is the SWMS for old town gas available and signed onto by crew?

  Safe

  At Risk

  N/A

• Are safety instructions in DBYD observed (Safe distances, pot-holing,Stand-over)?

  Safe

  At Risk

  N/A

• Are gas detectors worn when excavating by driver and crew close to excavation?

  Safe

  At Risk

  N/A

• Are excavations benched, battered or shored if over 1.5 metre or there is a risk of collapse?

  Safe

  At Risk

  N/A

• Is plant a safe distance from edge of excavation (1:1 depth to distance from edge)?

  Safe

  At Risk

  N/A

• Are excavations barricaded to protect traffic and pedestrians where applicable?

  Safe

  At Risk

  N/A

Hazardous Substances

• Are there SDS sheets available for all hazardous substances on site? (must be less than 5 years old)

  Safe

  At Risk

  N/A

• Are substances being used safely as per SDS?

  Safe

  At Risk

  N/A

Emergency

• Is there an Emergency Plan for the site?

  Safe

  At Risk

  N/A

• Is a team member first-aid trained?

  Safe

  At Risk

  N/A

• Is there a suitable first aid kit on site and has it been checked in the last 6 months?

  Safe

  At Risk

  N/A

• Is there a servicable fire extinguisher available?

  Safe

  At Risk

  N/A

• Is there a suitable means of communication?

  Safe

  At Risk

  N/A

• Is there suitable transport to medical help available?

  Safe

  At Risk

  N/A

Facilities

• Are there suitable toilet and Hand washing facilities?

  Safe

  At Risk

  N/A

• Are there suitable sheltered eating/rest areas?

  Safe

  At Risk

  N/A

• Is there adequate clean drinking water available?

  Safe

  At Risk

  N/A

Smoking and Sun Safety

• Is smoking controlled to minimise impact on other workers or public?

  Safe

  At Risk

  N/A

• Are all persons adhering to HCC Sun-safe Policy?

  Safe

  At Risk

  N/A

Environment

• Are erosion control measures in place?

  Safe

  At Risk

  N/A

• Are there spill controls available? (dust, socks, absorbent pads)

  Safe

  At Risk

  N/A

• Is silt or contaminated run-off prevented from entering drains?

  Safe

  At Risk

  N/A

• Are dust/airborne debris controls in place if applicable?

  Safe

  At Risk

  N/A

Housekeeping

• Is site tidy with no loose rubbish or trip hazards?

  Safe

  At Risk

  N/A

• SIte Representative - Name and Signature

  Sign

• Auditors Signature

  Sign