HISP AUDITS

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1-Job Planning and safe systems of work description.

• Has the Inspector undertaken a JSA assessment of the risks involved prior to carrying out the work?

  Yes

  No

  N/A

• Is the JSA completed accurately,Dates,Address,Customer Name and Work Order.

  Yes

  No

  N/A

• Has the contractor written the job steps and considered the hazards of each step?

  Yes

  No

  N/A

• Have all persons on site signed the JSA. Can they demonstrate an understanding of JSA's

  Yes

  No

  N/A

• Have all persons read and understood the Safe Work Method Statement ?

  Yes

  No

  N/A

• Are all the Inspectors carrying their WHITE CARD.

  Yes

  No

  N/A

2-Prevention of Falls.

• Is it possible the Inspector could fall thru ceiling?

  Yes

  No

  N/A

• Does the ceiling contain brittle or fragile materials in the work area or traffic routes?

  Yes

  No

  N/A

• Has the Inspector taken steps to identify and control environmental factors,which may increase the likelihood of falls ,Moisture,Dust,Heat,Moss

  Yes

  No

  N/A

3-Electrical Safety.

• Is the inspector aware of nearby electrical services and is providing a safe system of work?

  Yes

  No

  N/A

• Has the Inspector identified , isolated and tagged the Switchboard? Correct number of tags on switchboard.

  Yes

  No

  N/A

• Are all electrical supplies including Solar isolated?

  Yes

  No

  N/A

• Did the inspector check for live cables upon entering roof space?

  Yes

  No

  N/A

• Is there foil insulation in the roof space?

  Yes

  No

  N/A

• If yes has the inspection been stopped?

  Yes

  No

  N/A

4-Access and Egress

• Are ladders used for access?

  Yes

  No

  N/A

• Does the ladder have non slip feet?

  Yes

  No

  N/A

• Is there a safe landing place when stepping off the ladder?

  Yes

  No

  N/A

• Has the ladder been tested and tagged current for this month?

  Yes

  No

  N/A

• Does the ladder have an asset number on it?

  Yes

  No

  N/A

• Is there a drop sheet in place?

  Yes

  No

  N/A

5-Tools and Equipment.

• Do the tools and equipment appear to be in good order?

  Yes

  No

  N/A

• Is the footware appropriate for working in the ceiling?

  Yes

  No

  N/A

• Is the Inspector using safe methods to take tools and equipment to work area?

  Yes

  No

  N/A

6-PPE

• Does the inspector have all the PPE with him?

  Yes

  No

  N/A

• Is the Inspector wearing the full correct PPE for the job Being done?

  Yes

  No

  N/A

7-Work Area

• Are materials and preparation areas orderly,clean and tidy? ( Trip hazards have been minimised )

  Yes

  No

  N/A

• Are the correct clean up procedures being followed?

  Yes

  No

  N/A

• Has the inspector taken enough steps to prevent persons entering the work area below the manhole or external work zone? Signs , Witches Hats or hazard tape.

  Yes

  No

  N/A

8-Training and Supervision.

• Can the Inspector correctly perform the work ?

  Yes

  No

  N/A

• Can the Inspector access and exit the ceiling and work area safely?

  Yes

  No

  N/A

• Can the inspector demonstrate that all persons carrying out the work have received appropriate training and instruction?

  Yes

  No

  N/A

• Can the Inspector demonstrate the correct fitting of all safety and PPE.

  Yes

  No

  N/A

9-Emergency Preparedness

• Can the Inspectors implement the controls noted on the JSA's?

  Yes

  No

  N/A

• Can the Inspector demonstrate a process for responding to an emergency.

  Yes

  No

  N/A

• Can the Inspectors staff demonstrate an understanding of the emergency responsive,what is their role in an emergency?

  Yes

  No

  N/A

• Does the Inspector have a First aid Kit? Are the contents up to date?

  Yes

  No

  N/A

• Is the vehicle carrying a Fire Extinguisher. Fully charged.

  Yes

  No

  N/A

• Does the contractor have a copy of Emergency phone numbers.

  Yes

  No

  N/A

• Does the Inspector have copies of the Material Safety Data Sheets?

  Yes

  No

  N/A

• Does the inspector have copy of the Van Pack with him?

  Yes

  No

  N/A

• Does the inspection team have with them a copy of TRANSFIELD Emergency Procedures?

  Yes

  No

  N/A

10-Customer Service

• Did the Inspectors introduce themselves correctly?

  Yes

  No

  N/A

• Did they explain what their work procedure would be?

  Yes

  No

  N/A

• Did they show their ID badges.

  Yes

  No

  N/A

• Did they inform the householder that the power will be turned off for a short period of time?

  Yes

  No

  N/A

• Did they inform the householder that they require access to all rooms in the house?

  Yes

  No

  N/A

• Did they ask permission to take photographs?

  Yes

  No

  N/A

11-Asbestos Work.

• Is there an asbestos drop sheet and Plastic Isolation Tube Set Up in Work Area?

  Yes

  No

  N/A

• Is the Inspector wearing the correct asbestos PPE.

  Yes

  No

  N/A

• Are the correct asbestos procedures being followed?

  Yes

  No

  N/A

• Are they using the correct asbestos paperwork?

  Yes

  No

  N/A

• Was an Asbestos Approval Number obtained prior to starting work?

  Yes

  No

  N/A

• Did they double bag the asbestos PPE and any other contaminated material?

  Yes

  No

  N/A

Roof Work.

• Will the Inspectors be accessing the Ceiling thru the Roof?

  Yes

  No

  N/A

• Have the Inspectors chosen a Safe Spot to Set up Their Ladder?

  Yes

  No

  N/A

• Have They Set Up a Secure Anchor Point/s?

  Yes

  No

  N/A

• Is The Ladder Tied Off and Secure?

  Yes

  No

  N/A

• Have they Filled out the Roofing Paperwork?

  Yes

  No

  N/A

• Are They Wearing a Correctly Fitted Safety Harness?

  Yes

  No

  N/A

Safety Harnesses

• Is the Team Carrying a Safety Harness?

  Yes

  No

  N/A

• Does the Team Have a Tin Roof Anchor?

  Yes

  No

  N/A

• Does the Team have an Extra Tie Off Sling?

  Yes

  No

  N/A

• Does the Team have an Extra Intermediate Tin Roof Anchor?

  Yes

  No

  N/A

• Does the Team have an Extra Karibener?

  Yes

  No

  N/A

12-Observations and Comments

• ?

Performance Rating-Inspector 1

• Safety Procedures

• Appearance/Uniform

• Paperwork/JSA and SWMS

• Work Attitude

• Customer Service

13-Observation and Comments

• ?

Performance Rating-Inspector-2

• Safety Procedures

• Work Attitude

• Paperwork/JSA

• Appearance /Uniform

• Customer Service.

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