Information

  • HK.FM 07 ( version 5 )

  • HK Project Number

  • Project Name

  • Location
  • Conducted on

  • Prepared by

  • Personnel

Site Organisation

  • 1.1 FM66 - WHS Management plan is on site and is up-to date with all current information.

  • 1.1 identifies all subcontractors that will work on site?

  • 1.1 identifies frequency for toolbox meetings.

  • 1.1 identifies frequency for compiling & sending site inspection reports.

  • 1.2 FM66 - WHS Management Plan live document folder contains up-to date records of HK.FM 14 toolbox records?

  • 1.2 Contains records of HK.FM 70 SWMS ( JSA ) checklist?

  • 1.2 Contains records of HK.FM 71 - site safety inspection reports?

  • 1.3 Contractor SWMS ( JSA'S) are being used & kept on file.

  • 1.4 All site workers are being inducted & Site Inductions FM-29 are being used & kept on file.

  • 1.5 Site Evacuation plan is clearly visible & in place & give details of position of fire extinguishers?<br>

  • 1.5 Site Evacuation Plan clearly shows escape routes and exits?<br>

  • 1.5 Site Evacuation Plan clearly shows emergency assembly point or points?<br>

  • 1.6 Fire Extinguishers are located with ready access to an exit, are suitable for probable fire type, are correctly mounted and labelled, are readily accessible, and are regularly serviced.

  • 1.7 First Aid Station, Kit & Register is in place & kept clean.

  • 1.7 HK-FM 03 First Aid register is on site & being maintained?

  • 1.8 Emergency Contact Register FM-27 is in place adjacent first aid kit & is accessible to all workers?

  • 1.9 H&K permits are being used & maintained on file namely - are HK.FM 31 hot work permits being used?

  • 1.9 Are HK.FM 32 working at heights permits being used and being maintained on file?

Site Conditions

  • 2.1 Free of tripping hazards, uneven surfaces & holes.

  • 2.2 Clear access/ egress available for construction workers around the works site.

  • 2.3 Cable Management systems are in place, leads are kept off the floor & managed safely.

  • 2.4 Site has adequate lighting & temporary lighting is sufficient.

  • 2.5 Exits from site are clearly marked & egress kept clear.

  • 2.6 Systems are in place to ensure external doors are locked & unlocked according to security, fire & access needs.

  • 2.7 All plugs, sockets or switches free of damage or burn marks.

  • 2.8 All electrical cords have a total integrity of the outer casing & are free of knots, & are not frayed. ( Cords or plugs should not feel hot )

  • 2.9 All tools on site are tagged & tagging compliance procedures are being observed.

  • 2.10 All portable tools & equipment are protected by a RCD box or switch.

  • 2.11 Plant & Equipment register HK.FM 67 - is a register established on site & is this being maintained?

  • 3.1 Housekeeping generally is being maintained & the site is clean & tidy.

  • 3.2 Waste Management is in place & kept clean & orderly.

  • 3.3 The site generally is being kept clean & debris removed to waste stations.

  • 3.4 Materials are being stored in an orderly & well managed state.

  • 3.5 Adequate site amenities have been provided & are clean & tidy, with provision for cleaning.

  • 3.6 Clean drinking water is available to all contractors.

  • 3.7 Adequate & clean, washing & toilet facilities, providing privacy & toilet paper, are available with provision for regular cleaning.

  • 4.1 Is there a MSDS Register on site & kept in an accessible place?

  • 4.2 Do all site contractors exposed to the hazardous have access to the MSDS register?

  • 4.3 Is appropriate personal protective equipment provided in accordance with MSDS as required?

  • 5.1 Protective barriers at height are in place & are compliant.

  • 5.2 Fall arrest device for height > 2 meters being used.

  • 5.3 Rescue provision from fall arrest device are inadequate.

  • 5.4 Handrails are in place at stairwells

  • 5.5 Are ladders stable & securely fixed at the top & the bottom?

  • 5.6 Are all the rungs & stiles in good condition?

  • 5.7 When using a single or an extension ladder, is the slope of the ladder at least on in four? ( remember : 4 meters up, 1 meter out)

  • 5.8 There is adequate provision for raising / lowering plant, materials & debris.

  • 5.9 Are there any conditions that would result in objects or structures falling, tripping or falling.

  • 5.10 Are there any conditions that would result in objects or structures falling on people or being struck by moving plant?

  • 6.1 Are adequate supplies of PPE available on site for use by H&K staff & or Contractors.

  • 6.2 Are H&K Site Induction requirements for PPE being observed & being enforced?

Site Specific Safety / Management Plan

  • Are there specific items in the safety management plan that are not listed above? If yes list in box below

  • Is the site being run in accordance with the site safety management plan?

Evaluation

  • 1. In your observation is the Site Manager / Safety Officer meeting their obligations as assessed by these criteria?

  • 2. Have there been any areas of non-conformance identified & discussed with the Site Manager/ Safety Officer?

  • 3. Has any the non-conformance been rectified?

  • 4. Has the non- conformance been reported using HK-FM 33?

  • All required corrective actions have been completed & verified as effective. No further action required.

  • Close Out Signature ..

  • Form No 07 (version 5)

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.