Information
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Property / Project ID:
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Site / Project PM
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Conducted on
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Audit Completed by
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Who is onsite
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Location
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General Comments
Assessing Critical Risks
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Attention: The assessment and reporting on the managing critical risks (contained in this page) is a concept that is being trialled if you have any questions or suggestions please forward them to daniel.manchester@arrowinternational.co.nz
Fall From Height
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Is this Critical Risk present during todays work activities
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Has the risk been identified
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Has it been controlled effectively?
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Has the risk and controls been communicated before the Critical Risk activity(e.g. Toolbox talks, Task analysis, Hazard board)
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COMPETENCY - is each worker doing Critical Risk work competent or being trained and supervised (Training and competence register, qualifications, verbal).
Asbestos
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Is this Critical Risk present during todays work activities
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Has the risk been identified
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Has it been controlled effectively?
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Has the risk and controls been communicated before the Critical Risk activity(e.g. Toolbox talks, Task analysis, Hazard board)
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COMPETENCY - is each worker doing Critical Risk work competent or being trained and supervised (Training and competence register, qualifications, verbal).
Electrical Danger
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Is this Critical Risk present during todays work activities
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Has the risk been identified
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Has it been controlled effectively?
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Has it been communicated (e.g. Toolbox talks, Task analysis, Hazard register)
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Has the Main Contractor monitored site behaviour to ensure the above (site inspection)
Power Tools
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Is this Critical Risk present during todays work activities
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Has the risk been identified
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Has it been controlled effectively?
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Has the risk and controls been communicated before the Critical Risk activity(e.g. Toolbox talks, Task analysis, Hazard board)
Mobile Plant
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Is this Critical Risk present during todays work activities
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Has the risk been identified
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Has it been controlled effectively?
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Has it been communicated (e.g. Toolbox talks, Task analysis, Hazard register)
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COMPETENCY - is each worker doing Critical Risk work competent or being trained and supervised (Training and competence register, qualifications, verbal).
Dust / Silica (respirable dust)
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Is this Critical Risk present during todays work activities
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Has the risk been identified
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Has it been controlled effectively?
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Has the risk and controls been communicated before the Critical Risk activity(e.g. Toolbox talks, Task analysis, Hazard board)
Slips, Trips & Falls
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Is this Critical Risk present during todays work activities
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Has the risk been identified
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Has it been controlled effectively?
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Has the risk and controls been communicated before the Critical Risk activity(e.g. Toolbox talks, Task analysis, Hazard board)
Excavations
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Is this Critical Risk present during todays work activities
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Has the risk been identified
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Has it been controlled effectively?
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Has the risk and controls been communicated before the Critical Risk activity(e.g. Toolbox talks, Task analysis, Hazard board)
Managing Critical Risks
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Has the Main Contractor monitored site behaviour to ensure critical risk controls are in place (e.g. site inspection
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Has the Main Contractor managed all Critical Risks on this site? (If any of the Risk Assessment questions are failed the answer is No)
Arrival on Site
Arrival Onsite
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Photo of site frontage / entry
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SITE FENCING - in place, clear of public access ways, secured with clamps, padlocked when workers not on site.
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Corrective Action Notice required for SITE FENCING FAILURE
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RISK BOARD - visible at entry, updated, current critical tasks, controls, PPE, and site supervisor contact details.
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INDUCTION - site specific; active - inducted by contractor without prompting; escorts for visitors; signage; PPE, and induction / sign-in
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EMERGENCIES - Emergency plan, first aid kit, fire extinguisher - readily accessible and current.
House Keeping
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MATERIALS - stacked away from access and egress areas?
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Corrective Action Notice required for HOUSEKEEPING FAILURE
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CONSTRUCTION WASTE - controlled? Rubbished / recycling bins / skips available and in use?
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VERTICAL REINFORCING BARS AND WARATAHS - capped where there is a risk of impalement?
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Corrective Action Notice required for HOUSEKEEPING FAILURE
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HIGH VISIBILITY CLOTHING - mandatory, all people, all sites.
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Corrective Action Notice required for HOUSEKEEPING FAILURE
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SAFETY FOOTWEAR - mandatory, all people, all sites.
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Corrective Action Notice required for HOUSEKEEPING FAILURE
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POTABLE WATER - available on site for hand-washing and environmental control?
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TOILET - clean, hand cleaner available, and free of stored site materials or documents?
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No Animals onsite
SLIPS, TRIPS AND FALLS
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ACCESS WAYS - (including stairs) clear of slip, trip or fall hazards?
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Corrective Action Notice required for failing to manage the SLIPS, TRIPS & FALLS critical risk
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SAFE ACCESS available to work areas e.g. temporary steps for high foundations.
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Corrective Action Notice required for failing to manage the SLIPS, TRIPS & FALLS critical risk
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HOLES IN GROUND - Covered when unattended with appropriate material e.g. thick plywood
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Corrective Action Notice required for failing to manage the SLIPS, TRIPS & FALLS critical risk
Falls from Heights
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Is any work being or about to be completed at height?
GENERAL
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FALL EDGES - fitted with guardrails/toeboards
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Corrective Action Notice required for failing to manage the FALLS FROM HEIGHTS critical risk
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HOLES AND FLOOR PENETRATIONS - covered and marked?
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Corrective Action Notice required for failing to manage the FALLS FROM HEIGHTS critical risk
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FRAMED OUT WINDOW OPENING - secured to prevent risk of fall outwards?
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Corrective Action Notice required for failing to manage the FALLS FROM HEIGHTS critical risk
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TEMPORARY EDGE/FALL PROTECTION - on exposed edges of roof
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Corrective Action Notice required for failing to manage the FALLS FROM HEIGHTS critical risk
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SAFETY NET SAG - between 5% and 10%? Nets free of people standing in them? Nets free of visible damage? No debris in nets.
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Corrective Action Notice required for failing to manage the FALLS FROM HEIGHTS critical risk
Ladders and Working Platforms
Step Ladders
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Are Step Ladders being used?
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CONDITION - fit-for-use and suitable for the job?
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Corrective Action Notice required for USE OF STEP LADDER FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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SET UP - on firm level ground; lock / stays bars - in place?
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Corrective Action Notice required for USE OF STEP LADDER FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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USED APPROPRIATELY - for short term work, no straddling, could step ladder use be avoided?
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Corrective Action Notice required for USE OF STEP LADDER FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
Ladders
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Are ladders being used?
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INDUSTRIAL STANDARD - and in fit-for-use condition / undamaged?
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Corrective Action Notice required for USE OF LADDER FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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SET UP - on firm level ground; secured - at top and bottom; ladder angle - 4 up 1 out (4 vertical: 1 horizontal); 1m extension above the step off point?
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Corrective Action Notice required for USE OF LADDER FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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ACCESS USE ONLY - not used as a work platform?
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Corrective Action Notice required for USE OF LADDER FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
Working Platform
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Are Working Platforms being used onsite?
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INDUSTRIAL STANDARD - fit for current use / undamaged
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Corrective Action Notice required for USE OF WORKING PLATFORM FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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SET UP - on firm ground or e.g. thick plywood
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Corrective Action Notice required for USE OF WORKING PLATFORM FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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USED APPROPRIATELY - only used for the intended purpose e.g. trestle not stool, less than 1m above ground.
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Corrective Action Notice required for USE OF WORKING PLATFORM FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
Fixed Scaffold
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Is fixed Scaffolding being used?
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Does each individual scaffold have an up to date inspection tag on the ladder access closest to the site entrance?
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For scaffold over 5m is it inspected every 7 days?
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Is the scaffolding on firm level footing with baseplates and sole boards (500 L x 200 W x 35 D)? Or under mobile wheels on unstable ground?
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Corrective Action Notice required for USE OF FIXED SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Are outriggers fitted and braced where required?
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Corrective Action Notice required for USE OF FIXED SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Are scaffold poles capped where required?
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Corrective Action Notice required for USE OF FIXED SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Is the swing gate rigged safely and auto closing?
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Corrective Action Notice required for USE OF FIXED SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Are ladders secured and extend 1m above the platform (fixed only)
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Corrective Action Notice required for USE OF FIXED SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Are guardrails in place between 0.9m-1.1m and is there an intermediate rail at 0.5m fitted?
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Corrective Action Notice required for USE OF FIXED SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Are working platforms fully decked and secured with no unsafe protrusions?
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Corrective Action Notice required for USE OF FIXED SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Are all toe boards in place on full exterior perimeter and inner with gap >300mm?
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Corrective Action Notice required for USE OF FIXED SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Is a risk of fall from the scaffold internally through a window or doorway opening adequately controlled with either scaffold guardrails or timber guardrails?
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Corrective Action Notice required for USE OF FIXED SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
Mobile Scaffold
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Is mobile Scaffolding being used?
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Is the mobile scaffold on firm stable ground?
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Corrective Action Notice required for USE OF MOBILE SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Are wheels locked and turned out on mobile scaffold when being used?
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Corrective Action Notice required for USE OF MOBILE SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Are guardrails in place between 0.9m and 1.1m and is there a mid-rail at 0.5m?
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Corrective Action Notice required for USE OF MOBILE SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Does the mobile scaffold have appropriate supports based on height to width ratio (3:1 max then outriggers)
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Corrective Action Notice required for USE OF MOBILE SCAFFOLDING FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
Harness Use
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Is Harness work being undertaken?
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WORKERS TRAINED - harness users have US15757 or US23229?
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Corrective Action Notice required for HARNESS USE FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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EMERGENCY RESCUE PLAN / EQUIPMENT - on site, harness specific, > 2 staff on site?
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Corrective Action Notice required for HARNESS USE FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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TASK ANALYSIS - for use of a harness?
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Corrective Action Notice required for HARNESS USE FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
Mobile Elevated Work Platforms (MEWP)
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Are Mobile Elevated Work Platforms being used?
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Is the MEWP set up on firm level ground? (Scissor lift)
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Corrective Action Notice required for USE OF MEWP FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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OUTRIGGERS - fully extended?
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Corrective Action Notice required for USE OF MEWP FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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Has the MEWP base been isolated by a barrier (not cones)?
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Corrective Action Notice required for USE OF MEWP FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
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RESCUE PLAN - available and second competent person on site? (Discuss with operator.)
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Corrective Action Notice required for USE OF MEWP FAILURE and failing to manage the FALLS FROM HEIGHTS critical risk
Asbestos, Asbestos Containing Material (ACM)
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Is this a repair or demolition site - Asbestos testing required?
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Have survey and tests for asbestos been conducted, and are the results available on site?
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Corrective Action Notice required for failing to manage the ASBESTOS critical risk
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CLEARANCE CERTIFICATE - if ACM has been removed is there a certificate on site? No work to start until clearance obtained
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Corrective Action Notice required for failing to manage the ASBESTOS critical risk
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Is the site free of asbestos waste after removal work?
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Corrective Action Notice required for failing to manage the ASBESTOS critical risk
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Where ACM is present in structures, is it kept intact to prevent it becoming friable?
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Corrective Action Notice required for failing to manage the ASBESTOS critical risk
Electrical Danger
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Electricity used?
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Has temporary power been established, with RCD protection, and within site fencing?
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Corrective Action Notice required for failing to manage the ELECTRICAL DANGER critical risk
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Are electrical tools and leads free from damage and tagged (required every 3 months)?
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Corrective Action Notice required for failing to manage the ELECTRICAL DANGER critical risk
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Are RCDs being used?
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Corrective Action Notice required for failing to manage the ELECTRICAL DANGER critical risk
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REPAIRS: EXISTING MAIN SWITCHBOARD ISOLATED with electrical isolation tag signed by a registered electrician?
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Corrective Action Notice required for failing to manage the ELECTRICAL DANGER critical risk
POWER TOOLS
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Power tools are being used onsite?
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POWER TOOLS - free from damage?
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Corrective Action Notice required for failing to manage the POWER TOOLS critical risk
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GUARDS - fitted on power tools where required, and used? e.g. grinders, drop saws, skillsaws.
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Corrective Action Notice required for failing to manage the POWER TOOLS critical risk
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HEARING PROTECTION USED - noise over 85DB, check labels on tool
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Corrective Action Notice required for failing to manage the POWER TOOLS critical risk
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EYE PROTECTION USED - projectile risk, check labels on tool
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Corrective Action Notice required for failing to manage the POWER TOOLS critical risk
POWDER ACTUATED HAND HELD TOOLS (PAT)
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Are powder actuated hand held tools being used?
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CERTIFICATE OF COMPETENCE - for operator from the manufacturer or agent?
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Corrective Action Notice required for USE OF PAT FAILURE and failing to manage the POWER TOOLS critical risk
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SIGNAGE POSTED AT WORK AREA - (caution: explosive-powered tool in use), people cleared from firing zone?
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Corrective Action Notice required for USE OF PAT FAILURE and failing to manage the POWER TOOLS critical risk
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HEARING PROTECTION USED - noise over 85DB, check labels on tool
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Corrective Action Notice required for USE OF PAT FAILURE and failing to manage the POWER TOOLS critical risk
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EYE PROTECTION USED - projectile risk, check labels on tool
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Corrective Action Notice required for USE OF PAT FAILURE and failing to manage the POWER TOOLS critical risk
Mobile Plant
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Is Mobile Plant being used?
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COMPETENT OPERATOR - experience on the specific machine and site conditions, training, licences (e.g. WTR endorsements).
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Corrective Action Notice required for failing to manage the MOBILE PLANT critical risk
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FALLING OBJECTS - hard hats worn where risk of falling object e.g. excavator swing zone.
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Corrective Action Notice required for failing to manage the MOBILE PLANT critical risk
TRAFFIC MANAGEMENT
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Are vehicle movements entering and exiting the site being controlled to prevent risk to workers, footpath users and other road users?
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Is a Traffic Management Plan (TMP) as per the Code of Practice for Temporary Traffic Management needed for this site?
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Are the Traffic Management measures and signage set up as per the TMP?
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Corrective Action Notice required for TRAFFICE MANAGEMNT FAILURE
CRANES
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Cranes used onsite?
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Does the lift safety zone have an effective isolation barrier?
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Corrective Action Notice required for USE OF CRANES FAILURE and failing to manage the MOBILE PLANT critical risk
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LIFTING PLAN - included in site documentation?
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Corrective Action Notice required for USE OF CRANES FAILURE and failing to manage the MOBILE PLANT critical risk
EXCAVATORS
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Are excavators being used?
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MIRROS & AUDIBLE ALARMS - in good condition and in use where fitted?
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Corrective Action Notice required for USE OF EXCAVATORS FAILURE and failing to manage the MOBILE PLANT critical risk
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EXCLUSION ZONE - in place around excavator, and/or spotter ? demolition site fence and gate closed while machine operating?
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Corrective Action Notice required for USE OF EXCAVATORS FAILURE and failing to manage the MOBILE PLANT critical risk
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ROLL OVER PROTECTIVE STRUCTURE (ROPS) - where uneven ground, next to trench / incline?
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Corrective Action Notice required for USE OF EXCAVATORS FAILURE and failing to manage the MOBILE PLANT critical risk
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SEATBELT - operational and being used?
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Corrective Action Notice required for USE OF EXCAVATORS FAILURE and failing to manage the MOBILE PLANT critical risk
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QUICK HITCH - to manufacturers specifications, may need to be secured with clip/locking nut when machine in use
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Corrective Action Notice required for USE OF EXCAVATORS FAILURE and failing to manage the MOBILE PLANT critical risk
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FIRE EXTINGUISHER AND FIRST AID KIT in cab
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Corrective Action Notice required for USE OF EXCAVATORS FAILURE and failing to manage the MOBILE PLANT critical risk
CONCRETE PUMPS
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Are concrete pumps being used?
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SET UP - outriggers fully extended and on firm footings? Machine operated on level ground? Clear of overhead hazards e.g. power lines?
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Corrective Action Notice required for USE OF CONCRETE PUMPS FAILURE and failing to manage the MOBILE PLANT critical risk
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FALLING OBJECTS - hard hats worn when working around pump.
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Corrective Action Notice required for USE OF CONCRETE PUMPS FAILURE and failing to manage the MOBILE PLANT critical risk
Excavations
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Excavation and Trench Work being completed onsite?
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Have underground services been located? (plans, service location)
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Corrective Action Notice required for failing to manage the EXCAVATIONS critical risk
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Are excavations or excavated faces battered, benched or shored? (>1.5m deep)
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Corrective Action Notice required for failing to manage the EXCAVATIONS critical risk
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Are adequate controls, such as physical barrier, in place to prevent falls into excavations, or from the top of excavated faces, > than 1m?
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Corrective Action Notice required for failing to manage the EXCAVATIONS critical risk
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Is there safe access to excavation e.g. ramp or tied off ladder? (trenches >1m deep)
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Corrective Action Notice required for failing to manage the EXCAVATIONS critical risk
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Does job method avoid work in unsupported trenches/ excavation?
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Corrective Action Notice required for failing to manage the EXCAVATIONS critical risk
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Are materials and spoil stored to prevent edge collapse? (Safe slope + 600mm)
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Corrective Action Notice required for failing to manage the EXCAVATIONS critical risk
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Are vehicles and plant at a distance to prevent collapse? (Safe slope + 600mm)
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Corrective Action Notice required for failing to manage the EXCAVATIONS critical risk
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Hard hats - worn when risk of falling objects exists?
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Corrective Action Notice required for failing to manage the EXCAVATIONS critical risk
Respirable Dust & Environmental
DUST, SILICA (RESPIRABLE DUSTS)
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Present on Site?
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DUST EXTRACTION EQUIPMENT - on tool or local, fitted / used correctly, effective?
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Corrective Action Notice required for failing to manage the RESPITABLE DUST critical risk
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RESPIRATORS - provided, correct type, worn correctly (clean shaven)
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Corrective Action Notice required for failing to manage the RESPITABLE DUST critical risk
LAND CONTAMINATION
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NON HAIL SITE - Is there a copy of the Contamination Discovery Protocol (CDP) onsite ? V1.1 11/04/15 (1)
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Is this a Hail Site?
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HAIL SITE - Is there signage / notice this is a HAIL Site ?
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Is there a Site Management Plan (SMP) onsite ?
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Is the contractor aware of the specific disposal requirements for the soil leaving site ?
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Are the additional PPE stipulated in the SMP being used correctly ?
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Are there designated areas / zones as per the SMP ?
ENVIRONMENTAL PROTECTION
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ENVIRONMENTAL MANAGEMENT PLAN (EMP) - on site and are controls in place as per this plan?
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PAINT / CONCRETE WASH OFF - Not present
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MUD, SILT, CONCRETE WASH OFF - Are footpaths, kerbing and road clean
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NOISE - controlled and kept to a reasonable level?
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DUST (environmental) - under control?
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DUST SUPRESSION - Does the contractor have a means of supressing dust at short notice?
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CHEMICAL CONTROLS - in place e.g. disposal / paint wash?
ARCHAEOLOGICAL
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If a Low Risk Site is there a copy of the Accidental Discovery Protocol (ADP) on site ? V3.1 11/04/15 (2)
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If a High Risk Site is there a copy of the HNZ Archaeological Authority on site – relevant to the contractor and scope of work ? (3)
Demolition
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Demolition work being undertaken onsite?
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Waste streams sorted and piled?
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HAZMAT removed or securely stored?
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Corrective Action Notice required for DEMOLITION FAILURE
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Sharp and Hazardous waste on site minimised as much as reasonably practicable?
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Corrective Action Notice required for DEMOLITION FAILURE
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Evidence power disconnected prior to demolition?
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Corrective Action Notice required for DEMOLITION FAILURE
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WorkSafe Notification?
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Corrective Action Notice required for DEMOLITION FAILURE
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Copy of CERA Clearance authorisation? (Red zone only)
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Corrective Action Notice required for DEMOLITION FAILURE
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Site checked on the LLUR for HAIL? - (remember to complete HAIL questions in Environment Section)
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Corrective Action Notice required for DEMOLITION FAILURE
Misc
Hazardous Substances and Chemical Handling
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SAFETY DATA SHEETS (SDS) - for Hazardous and Environmental substances readily available on site?
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Are hazardous substances and chemicals being controlled including storage, disposal and PPE?
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RESPIRATORS - provided, correct type, worn correctly (clean shaven)
Site Specific HSE plan
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Names of contractor (Main or Sub) for each Critical Risk on the site
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SIGN IN / OUT REGISTER - used and up to date for people currently on site.
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INCIDENT REGISTER - evidence of use on this site. Discuss near misses.
Site behaviour review
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Do workers on the site appear to be free of impairment from drugs, alcohol or any other substance?
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Are workers helpful/ cooperative (not aggressive or confrontational)?
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Are you comfortable that this site is safe?
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Does this site need further specialist inspection
