Information

  • 24 January 2014

  • Amanda Schwede

  • Tony Comerford, Barry Eykyn, Samantha Sturzaker, Justin Cribb, Katie Cambourne, Judith Czarnocki, Cate Laviron, Katie Finlayson, Mae Wipaki, Barry Seaman (Linfox), Mandy Tipa (Linfox), Garry Althaus (Allpest)

Policy & Stop Work Authority

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    Quarantine Management Plan
    AUSPERXX-QUA-MPL-008

    Contractor Environmental Management Plan
    AUSPERXX-ENV-MPL-014

    Stop Work Authority Statement
    AUSPERXX-HSS-GUI-017

  • Is the Agility and KJVG Policy & Stop Work Authority displayed in crib rooms and offices?

  • Is the Policy included in the induction process?

  • How are Agility personnel advised of their right to Stop Work and what is the<br>process?<br>

  • take photo of the necessary evidence against the question

IIF

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    IIF Management Plan
    AUSPERXX-OPG-MPL-006

    Health, Safety And Security Management
    G1-TE-H-0000-SPC2502Rev 3

  • Have all employees been inducted into the IIF program at the commencement of their employment?

  • Has the IIF Action Team and IIF Steering Committee been established and are they represented by both the Company and Agility?

  • Have all managers and supervisors completed the 2 day IIF Commitment Workshop?

  • Have all Supervisors / Superintendents attended the 2 day IIF Gorgon Leadership training?

  • Have relevant Contractor’s Management personnel attended the Gorgon Leadership Workshop?

  • Has Agility Project milestones and team recognition been acknowledged on a regular basis?

Hazard Reporting and Communication

  • HSS Management Plan
    AUSPERXX-HSS-MPL-002 Rev 13

    Specification for Health, Safety & Security Management
    G1-TE-H-0000-SPC2502 Rev 3

    Behavioural Based Safety
    G1-PP-DWN-PRC-KH250044Rev 2

  • Has step back 5x5, JHA and TSTO training been provided to all employees?

  • Have the TSTO been performed

  • Has HIRC training been provided to all employees?

  • Are all BBS training data entered into the Company’s training database (LMS)?

  • Other Information / Questions

Work Method Statements

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    Work Method Statements
    G1-PP-DWN-PRC-KH250064

  • Have WMS been developed for all areas and activities? <br><br>

  • Has a register been developed to record changes and has Agility and HSS reviewed the WMS on an annual basis?

  • Have the hazards identified in the HAZID been incorporated into the WMS for all areas? (HSS, Quarantine and Environment)

  • Have the WMS's been submitted to Client for all new (Revision 0) WMS? (Agility, Patrick, Linfox and Termico)

JHA


  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    System Procedure JHA
    G1-PP-DWN-PRD-KH250001

    Job Hazard Analysis
    G1-PP-DWN-FRM-KH200006

  • Are all JHA current and signed by relevant supervisors and employees?

  • Are JHA available at work stations adjacent to the WMS and SOP?

  • Does the JHA include Environmental hazards and their mitigation for that task?

  • Have all JHAs been reviewed weekly and revised (Rewritten) fortnightly?

  • Add media

  • Are all sign on sheets for JHAs for the current revision?

MSDS

  • Reference Documents for this section:
    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    HSS Chemical Management Procedure
    G1-PP-DWN-PRC-KH150087

  • Are the MSDS current and cover all chemicals stored on site?

  • Are all chemicals stored on site approved through ChemAlert?

  • Have all relevant personnel been trained in safe handling of hazardous substances?

  • Are personnel trained in Spill Response?

  • Does Agility maintain a Hazardous Materials/Substances Inventory and register which is updated on a weekly basis?

  • Have all personnel in the storage, use, handling, transport and disposal of Hazardous Materials and Substances been provided with awareness training in Hazardous Substances?

Legal

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    Listing of Applicable Laws, Regulations, Codes and Standards
    G1-NT-PLNKZ100004

    Quality Management Plan
    AUSPERXX-QAL-MPL-003

  • How are legal requirements made available to all Agility personnel?

  • Is the register of relevant Laws, Acts current and up-to-date? As per the corresponding management plan.

  • Is the Legislative Register up to date?

Organisation

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Does Agility have a CURRENT Organisational Chart?<br><br>

  • Has Agility provided to Company a list of HSES professionals and their work experience?

  • Have the HSES Manager and Advisors the minimum qualifications for their position?

  • Has approval been sought for HSE Professional?

Meetings

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    Health, Safety and Security Management
    G1-TE-H-0000-SPC2502

  • Are daily prestart meetings held for all employees and are positive Health and Safety, Quarantine and Environment issues discussed at these meetings?

  • Are toolbox meetings conducted each week (individually or included in pre-start) and minutes recorded?

  • Are Quarantine toolboxes conducted every two months with 100% attendance?

  • Are monthly meetings held at each work site to review the site specific<br>HSS Work Plans with Company and Agility and are minutes recorded?

  • Does the H&S Committee meeting agenda include the review of site specific work plans, data from workplace inspection reports, task observation (TSTO) summaries, LPI's, HAZOB / HIRC summaries and incident / injury data to identify improvement activities? <br>

  • On the dedicated Health and Safety noticeboards, does Agility contribute H&S notices and bulletins?

  • Does Agility participate in 6 monthly H&S surveys of all employees?

HSS Committee

  • Reference Documents for this section:


    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Does the HSS Committee comprise of Ops Manager, Elected H&S Reps and HSES Advisors?

  • Have the H&S Reps the required training?<br><br>

  • Have HSRs been registered with Worksafe WA and has a list of HSRs <br>been provided to the regulator under the Commonwealth <br>Work Health & Safety Act 2011?

Communication

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Are Safety Notice boards updated with health hazards, safety initiatives, recent HSS incidents?

  • Are Lessons Learnt from incident investigations, HIRC cards, BBS cards presented during Pre-start meetings, and toolboxes

  • Are lessons learnt shared with other bases?

Loss Prevention Inspections

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002 Rev 12

    Loss Prevention Inspections
    G1-PP-DWN-FRM-KH200008 Rev 7

    Health & Safety Procedure Loss Prevention Inspections
    G1-PP-DWN-PRD-KH250014

  • Have LPIs been completed as per schedule? Have close out actions been implemented and in a timely manner?

  • Have the managers/supervisors/site personnel completed the required number of LPIs each month?

  • Has LPI schedule been developed?

  • Are the relevant LPIs being conducted as planned?

  • Are LPIs being completed by all Contractor’s Supervisors, including Pest Control service provider?

Fitness for Duty

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    Smoke Free Workplace
    AUSPERXX-HSS-WIN-049

    Fitness for Duty
    G1-PP-DWN-PRC-KH250022

    Agility Drug & Alcohol Policy
    AUSPERXX-HSS-WIN-045

    Noise Control and Hearing
    G1-PP-DWN-PRD-KH250004

    Manual Handling Procedure
    G1-PP-DWN-PRD-KH250027

  • Has D&A testing been conducted on 5% employees every 3 months?

  • Has ergonomic assessment been made to all staff within the first month of employment?

  • Has Agility provided a third party provider to train personnel in prevention of musculoskeletal injuries and has this company been approved by Company?

  • Has approval been granted by Company (i.e. Company’s physician of Occupational Medicine) for a third party to deliver training in the prevention of musculoskeletal injuries to Stevedoring employees?

  • Has Agility implemented an office Repetitive Strain Injury Prevention Program and had it approved by Company?

  • Has Musculoskeletal assessments been made to all staff and training scheduled for those identified?

  • Has Agility conducted Noise Surveys as required to ensure minimal risk to employees?

  • Do employees seek permission form supervisor/manager to take non-scheduled smoke breaks?

  • Are smoke breaks restricted to scheduled meal breaks? And if short breaks are allowed, is this being monitored to ensure no loss of productivity?

  • Have toolboxes been conducted on the risks of Heat Stress, Sunscreen, Fluid Intake and Heat Stroke?

  • Has all Pest controllers employees attended a third party Musculoskeletal Awareness Training?

Documentation

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Are all documents developed numbered and how is this implemented across the base?

  • How are documents supervised to ensure the correct revision is at the point of use?

  • Have Project procedures and other system documentation been corresponded to Subcontractor?

  • Have Document Transmittal Form been completed by Subcontractor and returned to Agility for every documents correspondence?

  • Has the Respiratory Protection Plan submitted to Company for approval?

  • Has the Agility Injury Management Program been updated to include Patrick’s injury management process, and has this been submitted to Company?

  • Has first aid treatment / injury management register been implemented and maintained?

  • Has the first aid treatment / injury management register been forwarded to Company HSS Site Manager on a weekly basis?

Subcontractor and Service Providers

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Are the performance of service providers and subcontractors being evaluated on a monthly basis?

Third Party Equipment

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Has all equipment brought onto site the relevant HSS Clearance Certificate and noise surveys?

  • Has the Pest Controller submitted a Respiratory Protection Plan that addresses specific requirements (as below)? <br>a) Issuance Registers for Respirators [company form available]<br>b) Fit-test record keeping <br>c) Retention of medical records of respirator users<br>

Vehicles Plant and Equipment

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    Standard Operating Procedure – PSB
    AUSPERXX-OPG-MNL-004

    Work Procedure Operations of Light Vehicles
    G1-PP-DWN-PRC-KH250053

    Vehicle Maintenance Request Form
    AUSPERXX-OPG-TEM-031

  • Do all vehicles comply with Operation of Light Vehicles work procedure

  • Do all plant, equipment have regular maintenance recorded on a schedule which is maintained and kept up to date?

  • Are pre-start inspections performed daily and any faults recorded on the maintenance schedule?

  • Is the vehicle/plant tagged out of service until repaired?

  • Have light vehicles and buses been fitted with wheel nut indicators?

  • Have light vehicles and buses been fitted with IVMS?

  • Other Information / Questions

Crane

  • Reference Documents for this section:

    MSCO Crane Safety
    G1-PP-DWN-PRC-KH250201

  • Are all cranes inspected by a competent person?

  • Has Company approved the crane applications and is all paperwork completed?

  • Have visual checks been carried out for daily crane checks?

  • Are load plans completed for crane lifts?

PPE

  • Reference Documents for this section:
    Personal Protective Equipment
    G1-PP-DWN-PRD-KH250010

  • Are all employees in the correct PPE?

  • Does Agility conduct surveys of the market place to evaluate various types of PPE?

  • Is the PPE Register kept up to date?

Working at Heights

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Have all subcontractors that come to site have the Permit to Work approved by Company?

  • Are all Permits to Work recorded on the register?

  • Do the subcontractors hold a valid licence to perform Work at Heights?

  • Are all lanyards and harness test and tagged, dated and colour coded correctly?

  • Have subcontractors had AMIO forms completed, before work commences?

SSE (Short Service Employee)

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    Short Service Employee Procedure
    G1-PP-DWN-PRC-KH200007

  • Are all SSEs clearly identified and is the Buddy System in place?

  • Have all SSE been signed off by their supervisors?

  • Are SSEs identified in the JHAs

Employee Training

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    Procedure for Induction and Training
    G1-PP-DWN-PRC-KH250043

    Workplace Induction Procedure
    AUSPERXX-HSS-WIN-033

    Health and Safety System Procedure Alcohol and Other Drugs
    G1-PP-DWN-PRC-KH250090Rev1

    HSS Management
    G1-TE-H-0000-SPC2502Rev3
    • Nationally accredited Diploma of Business (Frontline management -BSB51004) Unit
    of Competency BSBFLM503B – Manage Effective Workplace Relationships; or
    • Nationally accredited Certificate III in Business (Frontline Management -
    BSB30504)Unit of Competency BSBFLM303B – Contribute to Effective Workplace Relationships; or
    • Nationally accredited Certificate IV in Business (Frontline Management - BSB41004)

  • Is the Training Plan and training matrix current and up-to-date?<br><br>

  • Have all employees completed the familiarisation of SOP for (BASE) and Work Method Statements?

  • Have TSTO been completed by all staff (including management) at the required frequency / numbers

  • Has a Training Needs Analysis been conducted for all employees?

  • Has a VOC been carried out on all employees?

  • Have all trainers and assessors the required training certificates (Cert 4 Training & Assess) as a minimum?

  • Are VOC being conducted by a third party approved assessor for equipment on site, skilled activities or High Risk Work?

  • Have all relevant Agility personnel been challenge tested?

  • Are all ATO cards up to date with all competencies and signed by the Ops Manager?

  • Have all personnel completed the Gorgon 2 day induction prior to mobilisation?

  • Have all personnel completed a site induction?

  • Have all personnel received the Induction Handbook?

  • Have all personnel completed the assessment questionnaires based on the SOP and Safe Work Procedures?

  • Are medical assessments being conducted on all employees prior to mobilisation?

  • Have all new personnel completed a site Orientation Induction?

  • Has all Patrick’s employees trained for TSTO either through attending Company delivered or approved TSTO course?

  • Has ‘PPE’ training been conducted to all employees?

  • Has Drug and Alcohol training been delivered to all employees?

  • Have all relevant employees (Contractor Leading Hand / Supervisors, HSE Representatives, HSE Personnel) conducted 5 WHY training and / or ICAM training?

  • Have all Supervisors completed Frontline Management Training?

  • Has an Agility Peer Support Team been established on site? <br><br>

  • Have the Peer Support Team members been trained by their EAP?

  • Has all relevant personnel required to operate a vehicle on Project work or Project controlled worksite successfully completed a site drive challenge test?

  • Other Information / Questions

Fire Prevention

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Are all vehicles and mobile plant fitted with a fire extinguisher which is of correct size and test and tagged correctly?

  • Are personnel trained in fire prevention and use of fire extinguishers?

  • Are fire emergency drills performed at least twice a year?

  • Are all fire extinguishers test and tagged every six months?

  • Are monthly visual inspections made to all fire extinguishers and recorded on a checklist?

Reporting and Compliance

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Has Agility maintained all current copies of all licenses and certificates of competencies

  • Are H&S KPIs reported to Company weekly and monthly?

  • Have Senior Management attended opening and closing meetings of H&S internal audits?

  • Are H&S audits conducted at a minimum of two per year?

  • Have compliance Audits been conducted with Agility management, <br>Supervisors and H&S personnel?

HSS Inspections

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    HSE Periodic Inspections
    G1-PP-DWN-PRD-KH250002

    Systems Procedure - Workplace Amenities & Hygiene
    G1-PP-DWN-PRC-KH250086

  • Have monthly inspections been carried out and recorded as advised in the H&S Procedure Manual Periodic Inspections?

  • Have monthly inspections been carried out and recorded as advised in the H&S Procedure Manual Periodic Inspections?

  • Have six monthly inspections been carried out on all electrical equipment and fire extinguishers?

  • Has an annual inspection of all office equipment been carried out?

  • Have all inspections been recorded on a checklist and register and are being maintained and updated on a regular basis?

  • Are the Safety shower and eyewash stations tested, inspected and tagged (RuGBY system) by a competent person?

  • Is the Power Tools Register been maintained and up to date (i.e. All Power tools are recorded in the register, inspected and correctly tagged as per the RuGBY system)?

  • Other Information / Questions

Incident and Injury Reporting

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    HSES Initial Response Team Procedure
    AUSPERXX-HSS-WIN-034

    Incident / Injury Hazard Reporting
    G1-PP-DWN-PRC-KH250042

  • Has Agility reported all incidents to the Company in a timely manner and participated in incident/injury investigations?

  • Has an IRT (Initial Response Team) been formed to discuss and record information on the nature of the incident?

  • Has the Operation Management and H&S personnel been presented with the details of the incident?

  • Have all H&S personnel completed RCA training?

  • Have glove trials been conducted?

  • Have Agility ensured service providers using welding, grinding activities <br>have an eye protection program of checking the eyes of persons <br>engaged in these activities?

  • Have Agility ensured service providers using crane and scaffolding <br>activities have a Lifting, slinging, crane and scaffolding Awareness <br>program of persons engaged in these activities?

  • Are there evidence of glove trials being conducted to identify the optimum glove type for use?

Emergency Response

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

    HSES Initial Response Team Procedure
    AUSPERXX-HSS-WIN-034

  • Have Emergency Response procedures been implemented on all sites and has and Emergency Response Team been formulated?

  • Has the Emergency Response Team received the required training?

  • Have minor emergency drills been conducted on a monthly basis?

Emergency Equipment

  • Reference Documents for this section:

    HSS Management Plan
    AUSPERXX-HSS-MPL-002

  • Have all first aid kits been regularly serviced and maintained on a register?

  • Are spill kits serviced and regularly maintained on a register?

  • Are spill kits available at all hazardous/dangerous goods storage locations?

  • Are 5% of rostered personnel at the site, trained in first aid?

  • Are first aid officer posters displayed around site to inform employees who to go to in case of emergency?

Cyclones

  • Reference Documents for this section:

    Cyclone Response Plan
    G1-NT-PLNKH250041

  • Does Agility (including sub-contractors Linfox and Patricks) have a Company approved Cyclone Response Plan?

  • Does Agility have enough equipment such as nets, ropes, containers and hold down devices to secure all plant and equipment in the event of a cyclone?

In Closing

  • Listed of Opportunities For Improvements in this audit

  • Listed of Corrective Actions Requests in this audit

  • Currently still CAR's and OFI's still open

  • APPROVALS

  • Lead auditor name

  • Lead auditor signature

  • Lead auditor signed dated

  • Approved by Project Director

  • Project Directors name

  • Project Directors Signature

  • Date signed by Project Director

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.