Host Client Annual WHS Inspection - Version 3

• Host Business name

• Address
  Address

• Conducted on

  Date

• Prepared by

• Host representative.

• Host contact details, Email, phone number

• Host Employers QBCC licence number

• Host Employers total qualified staff.

• Host Employers direct employed apprentices.

• Host Employers GTO employed apprentices.

• Inspection number

• WorkCover Certificate of currency

  Media

• Public liability certificate of currency

  Media

1. WHS Documentation

• 1.1 Does the Host inspected have an up to date WHS Management Plan?

  Compliant

  Non-Compliant

• 1.2 Do all employees have access to the WHS management plan?

  Yes

  N/A

• How do they have access?

  Digital

  Paper vision

• 1.3 If any high risk work is being conducted in the business, do the workers sign on to the Safe Work Method Statement, and are they site specific?

  Yes

  N/A

• 1.4 What incident / injury report system is currently in place?

  Select Digital Paper vision

  • Digital
  • Paper vision

• Is it Digital or Paper based

  Digital

  Paper vision

• 1.5 Does the Host provide a company induction?

  Yes

  No

• 1.6 Does the Host conduct site specific induction?

  Yes

  No

• 1.7 Does the host company have a dedicated OHS person providing advise? Who?

  Yes

  No

• 1.8 Does the Host company run Toolbox meetings?

  Yes

  No

• How often?

• 1.9 Is there any other safety training provided to staff and PAV/PAQ Apprentices.

  Yes

  No

• What sort of training?

2. SWMS - 19 High risk construction work categories.

• 2.1 Involving Demolition

  Yes

  N/A

• 2.2 Involving a confined Spaces

  Yes

  N/A

• 2.3 On or near chemical, fuel or refrigeration lines.

  Yes

  N/A

• 2.4 Involving tilt-up or precast concrete.

  Yes

  N/A

• 2.5 Where the is a risk of a person falling more than 2mtrs.

  Yes

  N/A

• Is there a rescue plan?

  Yes

  No

• 2.6 On or near Pressurised Gas piping or mains.

  Yes

  N/A

• 2.7 In areas where there are artificial extremes of temperature.

  Yes

  N/A

• 2.8 Trenching and excavation depth over 1.5mtrs?

  Yes

  N/A

• Is there a rescue plan ?

  Yes

  No

• 2.9 On or near energised electrical installations or services.

  Yes

  N/A

• 2.10 On or adjacent to roadways or railways used by road or rail traffic

  Yes

  N/A

• 2.11 In areas that may have a contaminated or flammable atmosphere.

  Yes

  N/A

• 2.12 Involving the use of explosives.

  Yes

  N/A

• 2.13 At workplaces where there is any movement of powered Mobile Plant.

  Yes

  N/A

• 2.14 Structural alterations that require temporary support to prevent collapse.

  Yes

  N/A

• 2.15 Involving a tunnel.

  Yes

  N/A

• 2.16 In, over or adjacent to water or other liquids where there is a chance of drowning.

  Yes

  N/A

• 2.17 Involving diving.

  Yes

  N/A

• 2.18 Involving removal or likely disturbance of asbestos (note: Preparation of asbestos control plan is taken to be preparation of a swms)

  Yes

  N/A

• 2.19 On telecommunications towers.

  Yes

  N/A

Corrective Actions

• Corrective Action to be taken.

Signed off

• Is the Annual meeting complete?

  Yes

  No

• Master Plumbers Representative

  Sign

• Host Client Representative

  Sign

• Date completed

  Date

• On completion of this Host client WHS Inspection Checklist please send/export the document to <> and forward a copy to the Manager. Any action items forward these to the Host employer.

Version Control - V1 - 05/10/2022