HNZ Health, Safety and Security

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre-site checks

• Have you checked the CRIP rating - if the property is tenanted

  Yes

  No

  N/A

• Have you checked the property/surrounds risk information

  Yes

  No

  N/A

• Have you completed a SWP if needed<br>

  Yes

  No

  N/A

• Have you arranged the visit as per established protocols and notified others

  Yes

  No

  N/A

Self assessment and Situational Awareness

• Is my Secure Locate activated

  Yes

  No

  N/A

• Is it safe to exit my vehicle

  Yes

  No

  N/A

• Is the site safe and secure to enter

  Yes

  No

  N/A

• Am I inducted to this site

  Yes

  No

  N/A

• Am I wearing the correct PPE

  Yes

  No

  N/A

Access on site

• Is fencing installed to prevent access to site

  Yes

  No

  N/A

• Is access control effective, no unauthorised access

  Yes

  No

  N/A

• Is "Sign in and Out" system in place

  Yes

  No

  N/A

Signage

• Is the Hazard/Risk Register board in place

  Yes

  No

  N/A

• Has the Hazard/Risk Register board been updated today

  Yes

  No

  N/A

• Are the PPE requirements displayed

  Yes

  No

  N/A

• Are "No Entry" signs in place <br>

  Yes

  No

  N/A

• Are "Danger" signs in place appropriate for risk e.g. Asbestos

  Yes

  No

  N/A

• Is a "Report to site office" sign in place

  Yes

  No

  N/A

Induction

• Is induction offered to me

  Yes

  No

  N/A

• Are the risks on site described

  Yes

  No

  N/A

• Do the risks mentioned match the Hazard/Risk Register board

  Yes

  No

  N/A

• Are the PPE requirements described

  Yes

  No

  N/A

• Is my induction recorded

  Yes

  No

  N/A

Emergency Equipment

• Is a fire extinguisher available

  Yes

  No

  N/A

• Is the first aid kit complete and available

  Yes

  No

  N/A

• Is a spillage kit on site

  Yes

  No

  N/A

• Are risk specific Emergency Response Plans available and easy to access

  Yes

  No

  N/A

• Are emergency numbers available and easily accessible

  Yes

  No

  N/A

Documentation

• Are clearance certificates on site e.g. Asbestos, Methamphetamine

  Yes

  No

  N/A

• Is a SSSP available on site

  Yes

  No

  N/A

• Is the SSSP in daily use

  Yes

  No

  N/A

• Are safety meeting minutes added to the SSSP

  Yes

  No

  N/A

• Is SSSP content known on site

  Yes

  No

  N/A

• Are SDS available and easy to access

  Yes

  No

  N/A

• If a Traffic Management Plan is in place, is it being followed

  Yes

  No

  N/A

• Is an Asbestos Removal Control Plan on site, if needed. Is it being followed?

  Yes

  No

  N/A

Housekeeping and Facilities

• Is general site tidy and orderly

  Yes

  No

  N/A

• Are materials stacked safely

  Yes

  No

  N/A

• Are materials damaged beyond use (chemical decontamination only)

  Yes

  No

  N/A

• Are bins used for hazardous materials lined

  Yes

  No

  N/A

• Are hazardous materials in bins wrapped

  Yes

  No

  N/A

• Are stacking areas demarcated

  Yes

  No

  N/A

• Are hazards demarcated (e.g. trenches)

  Yes

  No

  N/A

• Are waste materials stored in bins

  Yes

  No

  N/A

• Are waste materials sorted for recycling

  Yes

  No

  N/A

• Are bins marked correctly

  Yes

  No

  N/A

• Are toilet facilities and running water accessible on site

  Yes

  No

  N/A

• Are exposed reinforcing bars capped

  Yes

  No

  N/A

Personnel on site

• ID tags carried and current (except new build sites)

  Yes

  No

  N/A

• Supervisor or designated backup available on site during observation

  Yes

  No

  N/A

Observation of PPE and manual handling

• Are requirements known on site

  Yes

  No

  N/A

• Are all workers wearing correct PPE

  Yes

  No

  N/A

• Are there clean/contaminated areas for PPE on/off and cleaning

  Yes

  No

  N/A

• Are acceptable manual handling methods being used for tasks observed

  Yes

  No

  N/A

Working at Height

• Has the most appropriate equipment been chosen

  Yes

  No

  N/A

• Confirm no elevated work observed within 4 m of power lines

  Yes

  No

  N/A

Scaffolding

• Is edge protection installed effectively

  Yes

  No

  N/A

• Is the tag valid (present, weekly, inspection recorded, completed in full)

  Yes

  No

  N/A

• If >5m high has WorkSafe been notified

  Yes

  No

  N/A

• If >5m high was it erected by current certificate of competence holder

  Yes

  No

  N/A

• Is scaffolding installed to standard (incl. base boards, platforms, toe boards, etc.)

  Yes

  No

  N/A

Ladders

• Is the ladder set up at 1:4 ratio (1m horizontal to 4m vertical)

  Yes

  No

  N/A

• Can users maintain 3 points of contact at all times

  Yes

  No

  N/A

• Is the ladder secured at top and base to prevent slipping sideways/out

  Yes

  No

  N/A

• Do all ladders have more than 3 steps

  Yes

  No

  N/A

Power Supply

• Are safety devices in place

  Yes

  No

  N/A

• Has power been isolated (e.g. foil, near lines, refurbishment)

  Yes

  No

  N/A

• If power isolated is a lockout device in place with a tag

  Yes

  No

  N/A

• Have leads been tagged

  Yes

  No

  N/A

• Are tags valid

  Yes

  No

  N/A

• Do leads appear to be in good working order

  Yes

  No

  N/A

• Are leads used in safe manner

  Yes

  No

  N/A

Power tools

• Are power tools tagged

  Yes

  No

  N/A

• Are tags valid

  Yes

  No

  N/A

• Do the power tools seem to be in good working order

  Yes

  No

  N/A

Tools and Machinery

• Are safety devices operable I.e. not tampered with

  Yes

  No

  N/A

• Are the right tools or machinery being used for the job

  Yes

  No

  N/A

• Are all dangerous parts guarded

  Yes

  No

  N/A

• Do tools and machinery appear to be in good working order

  Yes

  No

  N/A

Hazardous Substances

• Is dust control in place for respirable dust e.g. Timber, Silica, lead,etc.)

  Yes

  No

  N/A

• Are lead test results on site

  Yes

  No

  N/A

• Is a chemical stripping method used for lead based paint removal

  Yes

  No

  N/A

• Is a drop cloth in place for lead based paint removal

  Yes

  No

  N/A

Additional notes

• No additional notes or comments

  Yes

  No

  N/A

Positive Observations

• No positive observations to add

  Yes

  No

  N/A

Opportunities for improvement

• No opportunities for improvement to report

  Yes

  No

  N/A

Actions completed

• No actions completed

  Yes

  No

  N/A

Agreed future/corrective actions

• No actions to record

  Yes

  No

  N/A