Information

  • Site conducted

  • Conducted by:

  • Location:
  • Conducted on

Company Information

Company Information

  • Number of Workers?

  • Is Safe Tree certification current?

  • Is SHE certification current?

  • Any of other Health & Safety certifications held?

Health & Safety Policies

  • Health & Safety Policy - signed and dated within last 2 years

  • Health & Safety Management Program signed by all workers?

  • Is terminology in alignment with current legislation? <br> "Workers" "Notifiable Events" "Health & Safety at work Act 2015"

  • Does Drug & Alcohol policy cover all of these criteria? Pre-employment, Post Incident, Reasonable Cause, Random testing

  • Do Workers carry photo ID for instances of Random Testing?

  • Responsibilities outlined in System / Job Descriptions or Employment Contracts?

  • Are policies easily accessible by Workers?

  • Photo's of Policies

  • Have objectives been set and reviewed?

  • Comments

Hazard & Risk Management

Hazard & Risk Management

  • Hazard & Risk outlined in Health & Safety Manual

  • Isolate removed?

  • Hazard Register - updated within the year?

  • Hazard ID for current work location - all employees signed off<br>Trucking - Skid Hazards outlined?

  • Controls align with Hazard Register?

  • Risk component built into Hazard Register & ID

  • Evidence of reviews of Hazard Register following Incidents / Near Misses

  • Focus on 1 High rated Hazard and check controls thoroughly - evidence

  • Photos

  • Comments

Information, Training & Supervision

Induction Workers

  • Workers Inducted? <br>Check the number of inductions match the number of workers outlined above.<br>

  • Employment Contracts?<br>Check the number of EC's match the number of workers outlined above.

Check the most newest worker's induction

  • Have all requirements and sign off's in the Health and Safety Induction Record been completed? This includes management checks, 1st day induction, site induction, documentation, week one, week two and review.

  • Was a pre-employment drug test completed?

  • Was a pre-employment medical completed? Within three months of starting.

  • Were any medical issues to be accommodated for in planning?

  • Has the Record of Learning been started? Includes General Requirements

  • Have the relevant policies and procedures been signed off?

  • Includes Principal Documentation

  • Check longest employed Worker - has their induction been refreshed / signed?

  • Photo's of Induction Records

  • Comments

Training & Competency

  • Evidence of regular checks on workers eg. Breaking Out and Falling Audits, In Cab assessments Drivers

  • Training Plans in place?

  • Has further training been an outcome of an incident / accident - evidence

  • Check records of most recently employed worker - has someone deemed them competent for their role?

  • The person that deems workers competent - are they competent themselves - is there evidence to support this?

  • Are you checking on Work Vehicle Drivers licences regularly?

  • Minimum of 2 current first aiders. Enter certificate expiry date.

  • Photos

  • Comments

Incidents/Notifiable Event Reporting, Recording and Investigation

Incidents/Notifiable Event Reporting, Recording and Investigation

  • Workers aware of the reporting requirements of current legislation?

  • Clear outline of when an investigation is required

  • Near hits/incidents/property damage have reports completed each time?

  • Incidents discussed and documented in meeting minutes?

Review the most recent report

  • Completed sufficiently with all sections filled out and signed off?

  • Was a drug test required?

  • Hazard Register updated following this report

  • Evidence report was sent onto other PCBU where required

  • Next steps / outcomes from report have been completed

  • Meeting Minutes mention this report

  • Trending of Near miss / Injury Data to inform Workers of areas to focus on completed every six months

  • If an injury - Rehabilitation / Return to Work / Light duties for Worker plan in place<br>

  • Hazard Register updated following incidents or identified trends?

  • Photos

  • Comments

Worker Consultation, Participation, Knowledge & Input

Consultation & Participation

  • Workers attend regular Health & Safety Meetings?

  • All workers signed?

  • Workers input evident?

  • Have people who were absent, signed on at a later date?

  • Photos

  • Comments

  • Worker Knowledge & Input
  • Select Worker to answer questions below - add name

  • Do you know where to find the Policies / Procedures / ACOP / Hazard Register onsite?

  • Have you had a medical test in the past 12 months?

  • Have you had a drug test in the past 12 months?

  • Do you take part in meetings? Can you remember the last Near Miss or Injury spoken about in a meeting?

  • Do you know about Safety Alerts? Can you remember the last one spoken about in a meeting?

  • Do you know your ELP? First Aid Officer?

  • Do you know the Health & Safety Objectives? And what are they?

  • Hazard ID - Can you give an example of a High Risk Hazard / Moderate Risk Hazard / Low Risk Hazard

  • Do you have a Health & Safety Rep / Champion?

  • If you needed advice on a Health & Safety issue, who would you go see?<br>Would you feel comfortable raising this?

  • On a scale of 1-10 with 1 being the 1 and 10 the best, where would your Health & Safety Knowledge & Participation sit?

  • On a scale of 1-10 with 1 being the 1 and 10 the best, where would the companies Health & Safety sit?

  • If you could improve 1 thing in your workplace, what would it be?

Emergency Planning and Readiness

HSNO

  • Safety data sheets available and current > 5 years old? ACOP 9.1.3

  • HSNO register regularly reviewed? Records of past 12 months

  • Is integrity of tanks / containers checked

  • Separation Distances / Approved Handler required?

  • Check a SDS and see if the PPE etc is in place / included in HSNO Checks

  • Photos

  • Comments

Emergency Response

  • Emergency Procedures in place? - Are they relevant<br>- Lone worker<br>- Chemical Spill<br>- Fire<br>- Medical<br>

  • Emergency Procedures Reviewed - evidence?

  • Emergency Numbers easily accessible?

  • Emergency Location Points - Evidence of Workers informed

  • Emergency Training required?

  • Persons with current First Aid onsite: (refer to ACOP 2.2.1) - how are workers informed?

  • Not working on own unless they have means to get help in an emergency (refer to ACOP 2.1.2)

  • Fully stocked First Aid onsite? (refer to ACOP 2.2.2) - checklists as evidence

  • Photos

  • Comments

Sub Contractor, Service Provider & Visitor Management

Sub Contractor Management

  • Have all sub contractors signed both sets of forms for Health & Safety Questionnaire & Sub-Contractors Acknowledgment of Health & Safety Obligations?

  • Have subcontractors been reviewed within the last 12 months?

  • Regular checks on Subcontractors / Performance?

  • Evidence of regular consultation with subcontractors?

  • Evidence of hazard management?

  • Photo's of Subcontractor Records

  • Comments

Service Provider & Visitor Management

  • Evidence of register at yard for visitors and service providers in use?

  • Evidence of visitor registers being used onsite where appropriate?

  • Are hazards visible to visitors and service providers?

  • Are emergency procedures visible?

  • Was equipment being brought to site by Service Providers confirmed suitable?

  • Photos

  • Comments

Plant Checks & Maintenance

Plant Checks & Maintenance

  • Plant & Equipment Regularly checked?

  • Maintenance records (Proactive servicing)

  • Maintenance records (Reactive repairs)

  • Checks on Trailers / Machines / Ladders / Generators / First Aid Kits / ATV's / Other - Outline in comments

  • When something has been marked as a non compliant - is there a clear follow up and close off of this?

  • Photos

  • Comments

Continual Improvement

Continual Improvement

  • Any other improvements / initiatives you have implemented to assist with Health & Safety? <br>Eroad / online applications eg iAuditor / TORO / All employees First Aid Trained / Health & Safety Bonus Systems / Upgraded PPE Day / Night / Safety Container / Machine upgrades etc

  • Photos

  • Details

Audit Sign Off

  • Contractor Name & Signature

  • Auditor Name & Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.