Information
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Project Name
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Project No.
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Audited by
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Location
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Date
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Project Manager
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Supervisor
Admin
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1.0 CMP (H&S / Quality / Enviro)
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1.1 Health and Safety Manuel HEB Web
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1.2 Subcontractors Plan / HSR 14 Approved
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1.3 Fatigue Management Plan
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1.4 Hazard Board Complete
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1.5 Hazard IDs completed/updated and shown
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1.6 Notifiable Works
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1.7 Permits - Confined Spaces, Hot, Dig etc
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1.8 Job Safety Analysis -HSR 09
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1.9 Tool Box meeting record
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1.10 Emergency Plan and Practice Drills
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1.11 First Aid kit stocked / First Aiders
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1.12 Fire Extinguisher
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1.13 Personal Inducted
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1.14 Visitor Register Book
House Keeping
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2.0 Work area clean and tidy
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2.1 Access ways clear
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2.2 Materials stacked safely
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2.3 Rubbish Bins provided
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2.4 Slips and trips controlled
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2.5 All verticals reinforcing bars capped
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2.6 Combustibles stowed safely
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2.7 Night works / Lighting / Methodology
Plant & Machinary
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3.0 Being operated correctly / safely
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3.1 ROPS / TOPS / FOPS fitted
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3.2 Amber beacon operating
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3.3 Operators wearing seat belts
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3.4 COF / WOF / Inspection Certificate
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3.5 Plant in good condition
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3.6 Operator holds proof of training
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3.7 Reversing alarm
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3.8 Plant check sheets completed
Scaffolding
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4.0 Safe tag / Signed / Number
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4.1 Decking to standard
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4.2 Hand rails / 900mm height / Mid rails
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4.3 Access ladder
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4.4 Kick boards
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4.5 Ties / Bracing
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4.6 Foundation / Correctly placed
Environmental
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5.0 Spill Kits on Site and complete / dewatering
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5.1 No tracking debris on road
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5.2 Concrete and Lime discharges contained
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5.3 Appropriate Erosion and Sediment Control
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5.4 Dust and noise mitigated
General Site Safety
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6.0 Danger Construction sign
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6.1 Report to Site Office Sign
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6.2 Assembly point sign
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6.3 Haul Road Layout plan
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6.4 Site shed clean and tidy
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6.5 Toilet clean / hand washing facilities
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6.6 Drinking water / Toilets clean and available
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6.7 Utilities services marked and protected
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6.8 Perimeter fencing / barriers
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6.9 Holes / Pits covered or fenced
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6.10 Public access footpath / Vehicles
Trenches / Excavating / Dewatering
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7.0 Depth / Shallow / is the depth > 1m
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7.1 Check soils types
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7.2 Batters / Sides ok
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7.3 Shoring up to the correct standard OK
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7.4 Trench shield / fit for poses
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7.5 Spoil dumps 600mm from edge
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7.6 Undermining / water flowing
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7.7 Edge Protection / Fencing 2m
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7.8 Egress and access / Ladders
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7.9 Temporary works design
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7.10 Engineer sign off
Chemicals
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8.0 MSD sheets available / PPE available
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8.1 Oils / Motor hydraulic
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8.2 Petrol / Diesel / Chemical storage
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8.3 Hazards Goods register on site
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8.4 Operatives using correct PPE
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8.5 Fire extinguisher available<br>
Workers
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9.0 Safety boots worn
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9.1 Orange hi-viz vests worn
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9.2 Gloves / Earmuffs / Glasses / Hardhats
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9.3 Dust masks / Overalls
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9.4 Produce site safe card
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9.5 Produce training / license
Confined Spaces
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10.0 Permit on hand - HSR 21/22/17
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10.1 Is access to the area restricted / signs
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10.2 Tripod and winch used
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10.3 Gas detectors being used
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10.4 Atmosphere readings recorded
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10.5 Fan forced air being used
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10.6 Training
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10.7 Breathing apparatus
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10.8 Rescue plan
Cranes
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11.0 Operator / Dogman properly trained
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11.1 M & I current
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11.2 Weekly inspections carried out
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11.3 Lifting tackle / man cage certified
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11.4 Crane assembly form (HSR 51)
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11.5 Operator lifting for correct grading
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11.6 Is ground level and compacted
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11.7 Potential overhead services clash
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11.8 Tandem lift approval
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11.9 lift plan in place for big lifts
Fall Protection
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12.0 Solid had rail
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12.1 Day-glow fence, 2m from edge
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12.2 Body harness worn / correctly
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12.3 Life lines secured / correctly
Public Access
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13.0 Is work place secure or have barriers
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13.1 Is appropriate signage in place
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13.2 Are walkways clean / free of debris
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13.3 Is site access controlled
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13.4 Temporary vehicle crossing provided
Traffic Management
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14.0 TMP available on site / approved
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14.1 Correct layout
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14.2 Signs and equipment in good condition
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14.3 STMS within 30 minutes of site
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14.4 Vehicle access for residents
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14.5 Inspection 2 hourly
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14.6 NZTA ID cards STMS/TC
Electrical
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15.0 Life guard units tagged 3 months
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15.1 Leads tagged three months
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15.2 Electrical tools
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15.3 Leads protected in traffic areas
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15.4 Leads not in water
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15.5 Main switch board door secure
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15.6 Splitter boxes / double adapters
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Auditor Name & Signature
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Project Manager Name & Signiture
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