HSE internal audit checklist Items 4-6

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hazard ID at Construction

• Is there a HSE Project Plan, is it site specific and is it signed by Mossop staff and Responsible Persons?

  Yes

  No

  N/A

Risk Assessment

• Has the Estimator completed the High Risk Works Checklist and has it been supplied in the HSE folder?

  Yes

  No

  N/A

• Has the Estimator completed the Risk Profile and has it been supplied in the HSE folder?

  Yes

  No

  N/A

• Is the project Design & Construct and if it is has a Design Risk Assessment been requested and/or received from the design team?

  Yes

  No

  N/A

Review prior to Construction

• Have HSE documents been setup, has the Site Establishment Checklist been completed?

  Yes

  No

  N/A

Construction Process

• Are all people attending the site being inducted, is the induction form and register being used, contractors have white card, other competences collected?

  Yes

  No

  N/A

• Are Responsible people being established for each trade and these people being inducted into the role?

  Yes

  No

  N/A

• Are JSA and/or WMS being collected and reviewed using the JSA review form?

  Yes

  No

  N/A

• Is the attendance register being completed daily for entry and exit from site?

  Yes

  No

  N/A

• Are Contractor Responsible Persons completing Daily Pre-start meetings and attending Weekly Responsible Person Meetings?

  Yes

  No

  N/A

• Are Task Audits and Inspections being completed weekly?

  Yes

  No

  N/A

• Have any Directives been issued against any contractors on the site?

  Yes

  No

  N/A

• Are MSDS being supplied with Hazardous or Dangerous Products?

  Yes

  No

  N/A

• Are Dangerous Products being stored correct including segregation?

  Yes

  No

  N/A

• Is the correct PPE signage displayed and being worn on site?

  Yes

  No

  N/A

• Is all electrical equipment on site tested and tagged for the appropriate period (3 months)?

  Yes

  No

  N/A

• Is the Calibration register being used and calibration records kept for all items requiring periodic calibration for accuracy?

  Yes

  No

  N/A

• Is the Plant and Equipment checklist being used, Plant risk assessments obtained, etc.?

  Yes

  No

  N/A

• Is the Hazard Report form available for use and are items recorded on the register?

  Yes

  No

  N/A

• Is the HSE Communications Register being used for record of communication with external parties?

  Yes

  No

  N/A

Accidents

• Are Incidents and injuries being reported and recorded including the first I'd register, injury form, etc.?

  Yes

  No

  N/A

• Have any modifiable Incidents occurred and if so have they been notified to the authority concerned?

  Yes

  No

  N/A

Notifications

• Has SafeWork SA been notified of Cranes, Scaffolding, Demolition over 6 Meters and has the form been put in the HSE folder?

  Yes

  No

  N/A

• Has any Traffic Management been used and if so has the Council or Transport Services been notified and records kept?

  Yes

  No

  N/A

• are site numbers and LTI/MTI incidents being recorded on the record form and reported monthly?

  Yes

  No

  N/A

Other

• Has any work been done that requires isolations and if so have Danger tags and Locks been used?

  Yes

  No

  N/A

• Is Fire Equipment available on site is it maintained and records kept?

  Yes

  No

  N/A

• Is a spill kit available on site and has it been used?

  Yes

  No

  N/A

• Are Site Evacuation procedures in place including Emergency Response and has a drill been conducted?

  Yes

  No

  N/A

• Are Permits to work being used and are they filled out correctly?

  Yes

  No

  N/A

• Did you observe any HSE issues or hazards that require attention on the site during your inspection?

  Yes

  No

  N/A

• Comments

• Site Representative

  Sign

• Auditor

  Sign

• Revision 6 10/05/2012