Information
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Site conducted
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PGSR Project No. and Name
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Client Company
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Client Office Address / Location:
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Client Representative Name
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Contact Mobile No.
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Conducted on
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Conducted By
Project Site Details
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Name of Site
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Address
Commitment and policy: Health & Safety Issue
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1. Has the host employer appointed a management representative? (Senior manager responsible for ensuring safety is managed properly)
- Yes
- No
- N/A
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Pleas provide the Senior Manager's name
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2. Has the management representative undergone any workplace health and safety training?
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Please provide a copy of their competency
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3. Does the host employer have documented workplace health and safety policy?
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Please provide a copy for PGSR records
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4. Does the host employer have documented workplace health and safety responsibilities?
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Please provide a copy for PGSR records
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5. Does the host employer have documented consultation procedures?
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Please provide a copy for PGSR records
Planning: Health & Safety Issue
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1. Does the host employer have a safety plan that clearly identifies objectives (e.g. eliminate injuries caused by grinders) relating to the clients industry/business?
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Please provide a copy for PGSR records
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2. Has the safety Plan been reviewed with last 12 months or otherwise current?
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3. If there is a safety plan, do the objectives have timeframes and are resources, personnel and responsibilities allocated?
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When will this be updated?
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4. Does the host employer have hazard identification and risk assessment procedures?
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Please provide a copy for PGSR records
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5. Does the host employer have in place a documented process to control major workplace hazards, such as plant, electricity, Confined Spaces, Working at Hieghts and hazardous substances?
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Please provide a copy for PGSR records
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6. Does the host employer manage risks consistent with the 'hierarchy of control'? (i.e. eliminating, substituting, isolating, engineering and administrative & PPE)
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Please provide a copy for PGSR records
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7. Has the host employer identified the most common causes of injury within their workplace?
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Please name the common causes of injury
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Does the host employer have a Risk Register for the tasks that are being undertaken?
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Please provide a copy for PGSR records
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8. Does the host employer have a procedure for procurement in which safety is included?
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Please provide a copy for PGSR records
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9. Does the host employer have written safe work procedures that reflect the way in which jobs should be done to ensure safety, or are they simply question/answer style work instructions?
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Please provide a copy for PGSR records
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10. Does the host employer know which health and safety legislation applies to their business?
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What can we do about this?
Implementation: Health & Safety Issue
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1. Does the host employer make people in their workplace aware of their health and safety responsibilities?
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Conducts Pre Project Induction
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Provides Company Policy/Procedure
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Provides clear documented instructions on employees health and safety responsibilities
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2. Does the host employer provide workers with information, training and supervision to ensure they perform the work safely?
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Training is provided
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Supervision is provided
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Safe Work Procedures are provided
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Other
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3. Does the host employer have a specific documented process in place for managing the safety of workers and contractors?
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Please provide a copy for PGSR records
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4. Does the host employer have a formal induction process?
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Please provide a copy for PGSR records
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5. Does the host employer keep WHS and other training records?
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Please provide a copy for PGSR records
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6. Does the host employer ensure incidents are reported, investigated and actions taken to prevent a recurrence, and are followed up? If so, How?
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Please provide a copy for PGSR records
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If so, How?
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7. Does the host employer provide workers with suitable personal protective equipment?
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Hard Hat
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Safety Foot Wear
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Hi Vis Protective Shirts
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Hi Vis Protective Pants
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Other?
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8. Have the host employer's workers been trained to correctly use, maintain and store personal protective equipment?
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What can we do about this?
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9. Is there a process to involve workers in workplace health and safety issues (e.g. consultations, toolbox meetings with two-way flow of information/WHS committee meetings)?
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What can we do about this?
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10. Does the host employer have a formal (documented and well-understood) process for workers reporting safety concerns?
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Please provide a copy for PGSR records
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11. Does the host employer ensure workers adhere to the policies and procedures? If so, how?
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What can we do about this?
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If so, how?
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12. Is there a documented process for identifying the hazards that can cause injury, harm or illness and for ensuring the risks are controlled?
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Please provide a copy for PGSR records
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13. Are hazardous substance clearly labelled and safely stored?
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What can we do about this?
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14. Is there a folder or software system that contains material safety data sheets for all substances used or stored at the workplace?
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What can we do about this?
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15. Are residual current devices (safety switches) fitted to electrical equipment that is frequently moved?
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What can we do about this?
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16. Are all circuits protected with earth leakage circuit breakers?
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What can we do about this?
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17. Does the host employer have emergency procedures for the workplace that reflect the types of emergencies they could encounter?
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What can we do about this?
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18. Have the host employer's workers been trained in what to do in an emergency?
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Pre Project Induction
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Emergency Drills Conducted
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19. Are periodic checks made to ensure emergency exits are well signposted, easily opened and clear of obstacles?
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What can we do about this?
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20. Do workers have access to adequate first aid facilities, such as first aid kits and wash stations?
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What can we do about this?
Management and Evaluation: Health & Safety Issue
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1. Does the employer review the policies and procedures to identify whether they are working and still suitable?
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What can we do about this?
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2. Is there a process to evaluate the recorded workplace injuries and illnesses?
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What can we do about this?
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3. Does the host employer have a process in place to monitor their compliance with legal duties?
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What can we do about this?
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4. Does the host employer have a process to periodically monitor health and safety in the workplace (i.e. to make sure the safety standard doesn't deteriorate)?
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What can we do about this?
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5. Does the host employer have a process to report work-related injuries of illnesses to the labour hire agency?
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What can we do about this?
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How is this to be done?
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Is the host employer aware incidents and injuries are to be reported to PGSR with 12hrs of the occurrence?
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Has the Host Employer Safety representative been informed by PGSR?
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6. Does the host employer have a process to report and record any notifiable incidents to Workplace Health and Safety Authority?
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What can we do about this?
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7. Are managers and supervisors reviewed against their management of safety?
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What can we do about this?
Management review: Health & Safety issue
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1. Does the host employer have a program of evaluating their approach to health and safety that identifies whether the approach is properly implemented and is effective in meeting their WHS objectives?
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What can we do about this?
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2. Does the host employer have a process for using the audit information within their WHS planning for future years?
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What can we do about this?
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3. Does senior management review the outcomes of audits?
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What can we do about this?