HWR CONTRACTING SAFETY TOUR

• Document No.

• Audit Title

• Site

• Conducted on

  Date
• Location
  Address

• Personnel

• Prepared by

GENERAL INFORMATION

• Company?

• Region/ Division?

• Manager in Charge?

• Foreman in Charge?

• Description of Work?

1.0 - REACTION OF PEOPLE

• 1.1 - Adjusting Personal Protective Equipment?

  Safe

  At Risk

  N/A

• 1.2 - Changing Position?

  Safe

  At Risk

  N/A

• 1.3 - Re Arranging Job?

  Safe

  At Risk

  N/A

• 1.4 - Stopping Job?

  Safe

  At Risk

  N/A

• 1.5 - Performing Lockouts?

  Safe

  At Risk

  N/A

2.0 - POSITION OF PEOPLE

• 2.1 - Striking against objects?

  Safe

  At Risk

  N/A

• 2.2 - Struck by objects?

  Safe

  At Risk

  N/A

• 2.3 - Caught in, on or between objects?

  Safe

  At Risk

  N/A

• 2.4 - Trips, slips or falls?

  Safe

  At Risk

  N/A

• 2.5 - Lifting, stretching, repetitive movements?

  Safe

  At Risk

  N/A

• 2.6 - Awkward position?

  Safe

  At Risk

  N/A

• 2.7 - Contact with temperature extremes?

  Safe

  At Risk

  N/A

• 2.8 - Contract with electricity (underground, overhead services)?

  Safe

  At Risk

  N/A

• 2.9 - Inhaling, ingesting, overcome by hazardous materials?

  Safe

  At Risk

  N/A

3.0 - PERSONAL PROTECTIVE EQUIPMENT

• 3.1 - Head

  Yes

  No

  N/A

• 3.2 - Eyes and Face

  Yes

  No

  N/A

• 3.3 - Ears

  Yes

  No

  N/A

• 3.4 - Hi Viz Clothing

  Yes

  No

  N/A

• 3.5 - Long Legs and Arms

  Yes

  No

  N/A

• 3.6 - Feet

  Yes

  No

  N/A

• 3.7 - Hands

  Yes

  No

  N/A

4.0 - TOOLS AND EQUIPMENT

• 4.1 - Correct tools and equipment for the job?

  Yes

  No

  N/A

• 4.2 - Plant and tools used correctly?

  Yes

  No

  N/A

• 4.3 - Safety equipment devices installed (signs, barriers, pins, guards, seat belts, certification tags)?

  Yes

  No

  N/A

• 4.4 - Tools and equipment in a safe condition?

  Yes

  No

  N/A

5.0 - PROCEDURES AND HOUSEKEEPING

• 5.1 - Correct procedures followed?

  Yes

  No

  N/A

• 5.2 - Procedures not known or understood?

  Yes

  No

  N/A

• 5.3 - Housekeeping standards adequate?

  Yes

  No

  N/A

• 5.4 - Housekeeping standards not known/ understood?

  Yes

  No

  N/A

6.0 - VEHICLE PRE START

• 6.1 - Sheets completed

  Yes

  No

  N/A

• 6.2 - Sheets completed as per company procedures and timeframes?

  Yes

  No

  N/A

7.0 - LOGBOOKS

• 7.1 - Filled out correctly, ie breaks, no abbreviations, readable?

  Yes

  No

  N/A

• 7.2 - Filled out up to the last 24 hour break?

  Yes

  No

  N/A

8.0 - SITE INDUCTION

• 8.1 - Was a full induction completed as per the company expectations?

  Yes

  No

  N/A

• 8.2 - Had the hazard ID been completed daily?

  Yes

  No

  N/A

• 8.3 - Has everyone on site completed the site induction and signed the hazard ID?

  Yes

  No

  N/A

• 8.4 - Is everyone on site following the requirements of the hazard ID?

  Yes

  No

  N/A

• 8.5 - Is there an approved traffic management plan on site?

  Yes

  No

  N/A

9.0 - TRAFFIC MANAGEMENT

• 9.1 - Is there an approved and signed copy of the TMP on site?

  Yes

  No

  N/A

• 9.2 - Is the traffic management set out as per the approved TMP?

  Yes

  No

  N/A

• 9.3 - Are all signs, cones and hi viz clothing in an acceptable condition?

  Yes

  No

  N/A

• 9.4 - Safety zones, (longitudinal, lateral and taper) are free of plants and equipment, materials and personnel?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign