HSE Focus Inspection

• Company

• Client name

• Location
  Address

• Prepared by

• Date of Inspection

  Date

• Site Supervisor

• Personnel on site

• Works being completed on site

• "Does the crane driver hold the relevant high risk work licence?

  Yes

  No

  N/A

• "Is the operators manual in the crane? Has the equipment prestart book been completed?

  Yes

  No

  N/A

• "Are service records and 12 month inspection/maintenance reports available?

  Yes

  No

  N/A

• "Is the crane fitted with a load indicator and is it operational?

  Yes

  No

  N/A

• "Is the crane fitted with a rated capacity limiter and is it operational?

  Yes

  No

  N/A

• "Are dead-man levers and foot pedals returning to the neutral position automatically upon release by the operator?

  Yes

  No

  N/A

• "Are load charts legible, kept with the crane ?

  Yes

  No

  N/A

• "Are hydraulic rams, hoses, tyres and/or tracks and connections in good order?

  Yes

  No

  N/A

• Is the work area congested ?

  Yes

  No

  N/A

• "Are outriggers clear of excavations, soft or filled ground? Are outriggers fully extended? Note: If outriggers are not fully extended, the reduced safe operating radius must recorded in the SWMS.

  Yes

  No

  N/A

• "Are timbers under outrigger pads secure eg: solid blocked (pig sty formation)?

  Yes

  No

  N/A

• "Where bog mats are used, has certification of the ground bearing capacity been obtained from a geo-technical engineer?

  Yes

  No

  N/A

• "Is there an exclusion zone erected around crane slew radius?

  Yes

  No

  N/A

• "Are precautions in place regarding suspended loads passing over workers?

  Yes

  No

  N/A

• "Is the load a Critical Lift? – More than one crane is utilised. Special lifting equipment or non-standard crane configuration used. Gross load greater than 50 tonnes. Load capacity greater than 85% of chart capacity.

  Yes

  No

  N/A

• "Does the crane have WorkSafe registration (Cranes > than 10 tonnes)?

  Yes

  No

  N/A

• "Are clear communication protocols in place to control lifts (eg: radios clear without interference, whistles can be heard, clear line of sight when signalling)?

  Yes

  No

  N/A

• "Is there the proper number of Tag lines used on all loads (made of 16mm natural fiber rope)?

  Yes

  No

  N/A

• "If crane is operating in close proximity to overhead powerlines, has written permission from the local power company been obtained?

  Yes

  No

  N/A

• Add any additional relevant photos

  Media

• Further Notes/Commentary

• Has a risk assessment been conducted prior to undertaking work at heights?

  Yes

  No

  N/A

• Has barricading been installed to eliminate the fall potential?

  Yes

  No

  N/A

• Are barricades erected at least 1.8 meters away from the fall hazard?

  Yes

  No

  N/A

• Does the barricade have a top and middle rail with a bottom kick board?

  Yes

  No

  N/A

• Are hole covers secured and properly labelled?

  Yes

  No

  N/A

• Where employees are required to Work at heights are they trained?

  Yes

  No

  N/A

• Is a SWMS for the task in place, and have all personnel signed and been instructed on the SWMS?

  Yes

  No

  N/A

• Are employees aware of the correct anchorage points?

  Yes

  No

  N/A

• Is the current quarterly inspection tag or colour displayed?

  Yes

  No

  N/A

• Is any defective fall protection equipment properly tagged out of service?

  Yes

  No

  N/A

• Is there a quarantine area for out of service fall arrest equipment?

  Yes

  No

  N/A

• Are personal fall arrest system components connected above the D ring to limit free fall distance?

  Yes

  No

  N/A

• Are employees working on scaffolding, where fall protection is required, using personal fall arrest systems 100% of the time?

  Yes

  No

  N/A

• Are all anchor points compliant with an annual inspection tag installed and inspected by a qualified person?

  Yes

  No

  N/A

• Are employees connected to the required anchorage points in aerial lifting devices (EWP)?

  Yes

  No

  N/A

• Are employees carrying materials able to maintain 3 points of contact, e.g. using tool belts?

  Yes

  No

  N/A

• Are employees using tool lanyards, as required?

  Yes

  No

  N/A

• When using ladders, do employees maintain 3 points of contact?

  Yes

  No

  N/A

• Is appropriate signage on ladders/platforms indicating fall protection requirements?

  Yes

  No

  N/A

• Add any additional relevant photos

  Media

• Further Notes/Commentary

• Is the workshop area tidy and free from trip hazards?

  Yes

  No

  N/A

• Are the walkways unobstructed?

  Yes

  No

  N/A

• Are sharp objects covered / protected?

  Yes

  No

  N/A

• Are tools and equipment stored correctly when not in use?

  Yes

  No

  N/A

• Are materials stored correctly when not in use?

  Yes

  No

  N/A

• Is there adequate lighting for the work being carried out?

  Yes

  No

  N/A

• Are fire extinguishers easily identifiable, unobstructed and within current test date?

  Yes

  No

  N/A

• Are there RCD’s on all electrical equipment?

  Yes

  No

  N/A

• Are the tools and equipment being used correct for the task being undertaken?

  Yes

  No

  N/A

• Is guarding fitted to all rotating equipment?

  Yes

  No

  N/A

• Are sparks contained and welding screens used during cutting/burning and welding activities?

  Yes

  No

  N/A

• Is the required PPE available?

  Yes

  No

  N/A

• Is the PPE being used correct for task being undertaken?

  Yes

  No

  N/A

• Is dust mitigation implemented in the area?

  Yes

  No

  N/A

• Is there the appropriate bunding of the hazardous materials stored in the workshop?

  Yes

  No

  N/A

• Are the appropriate spill kits available and fully stocked?

  Yes

  No

  N/A

• Are waste segregation measures in place & containers correctly labelled?

  Yes

  No

  N/A

• Is there regular disposal of waste?

  Yes

  No

  N/A

• Add any additional relevant photos

  Media

• Further Notes/Commentary

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report

Sign off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign