Infra QOHSE FO 002 Worksite Hazard Identification Checklist V2.0

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• The Worksite Hazard Identification Checklist should be completed on all new client sites

1.0 ESWMS/JSA/Pre-Work Brief

• 1.1 Safe Work Method StatementS for task identified?

  Yes

  No

  N/A

• 1.2 Job Safety Analysis for task identified?

  Yes

  No

  N/A

• 1.3 Pre-Work Briefs for work in rail corridor completed?

  Yes

  No

  N/A

2.0 Fire and Emergency Prepardness

• 2.1 Extinguishers in place and recently serviced?

  Yes

  No

  N/A

• 2.2 Emergency egress and access points clear?

  Yes

  No

  N/A

• 2.3 Emergency Co-Ordinator appointed?

  Yes

  No

  N/A

• 2.4 Emergency Evacuation signs displayed?

  Yes

  No

  N/A

• 2.5 Employees aware of Emergency Assembly points and can explain?

  Yes

  No

  N/A

• 2.6 Date of last fire Drill?

  Yes

  No

  N/A

3.0 Electrical

• 3.1 Are plugs, sockets, switches and leads in good condition?

  Yes

  No

  N/A

• 3.2 Is all electrical equipment tested & tagged?

  Yes

  No

  N/A

4.0 Hazardous Substances, Dangerous Goods.

• 4.1 Chemical Register and MSDS available on site for hazardous substances?

  Yes

  No

  N/A

• 4.2 Risk Assessments completed for identified hazardous substances and dangerous goods and controls in place?

  Yes

  No

  N/A

• 4.3 Appropriate storage and sign posted where required.

  Yes

  No

  N/A

• 4.4 All hazardous substances clearly identified?

  Yes

  No

  N/A

5.0 First Aid

• 5.1 Cabinets and/or First Aid Kits intact and orderly?

  Yes

  No

  N/A

• 5.2 Are employees aware of location of First Aid equipment?

  Yes

  No

  N/A

• 5.3 Eye wash or safety showers available?

  Yes

  No

  N/A

• 5.4 Emergency numbers displayed or ready available?

  Yes

  No

  N/A

6.0 Floors & Stairs

• 6.1 Even surfaces, no cracks, no loose boards or raised grill, vents or manhole covers?

  Yes

  No

  N/A

• 6.2 Walkways adequately lit and clearly marked?

  Yes

  No

  N/A

• 6.3 Stairs have non-slip surfaces and have handrails?

  Yes

  No

  N/A

7.0 Equipment & Machinery

• 7.1 Is equipment and machinery adequately guarded?

  Yes

  No

  N/A

• 7.2 Are emergency stop switches within easy reach?

  Yes

  No

  N/A

• 7.3 Are hand tools in good condition?

  Yes

  No

  N/A

• 7.4 No nip points or gaps that may cause possible hand/finger injuries?

  Yes

  No

  N/A

• 7.5 Adequate space around equipment or machinery?

  Yes

  No

  N/A

• 7.6 Isolation procedures evident and clearly displayed?

  Yes

  No

  N/A

• 7.7 PPE requirements clearly displayed?

  Yes

  No

  N/A

8.0 General Housekeeping

• 8.1 Adequate lighting?

  Yes

  No

  N/A

• 8.2 Emergency lighting operable?

  Yes

  No

  N/A

• 8.3 Are walkways clear of obstructions?

  Yes

  No

  N/A

• 8.4 Waste bins located at suitable points?

  Yes

  No

  N/A

• 8.5 Noise levels controlled?

  Yes

  No

  N/A

• 8.6 Ventilation controlled?

  Yes

  No

  N/A

9.0 Mobile Equipment

• 9.1 Are there Pre-start checklists for mobile equipment?

  Yes

  No

  N/A

• 9.2 Are there Risk Assessments carried out on mobile equipment?

  Yes

  No

  N/A

• 9.3 Is there a traffic management system in place to separate mobile equipment from pedestrians?

  Yes

  No

  N/A

10.0 Environmental Controls

• 10.1 Spill Kits available on site?

  Yes

  No

  N/A

• 10.2 Does site induction include environmental controls?

  Yes

  No

  N/A

• 10.3 Are there relevant environmental controls addressed in the relevant SWMS?

  Yes

  No

  N/A

• 11.0 (STOP) High Risk Activities

• 11.1 Is there repetitive heavy manual handling and is it identified in SWMS?

  Yes

  No

  N/A

• 11.2 Are employees working alone or in remote locations and is it identified in SWMS?

  Yes

  No

  N/A

• 11.3 Is there confined space work and is it identified in SWMS?

  Yes

  No

  N/A

• 11.4 Is there working at heights and is it identified in SWMS?

  Yes

  No

  N/A

• 11.5 Is there Excavation work and is it identified in SWMS?

  Yes

  No

  N/A

• 11.6 Scaffolding or rigging and is it identified in SWMS?

  Yes

  No

  N/A

• 11.7 Building construction, asbestos and demolition and is it identified in SWMS?

  Yes

  No

  N/A

• 11.8 High voltage work and is it identified in SWMS?

  Yes

  No

  N/A

12.0 Manual Handling Assessment

• 12.1 Is there instruction on manual handling on site.

  Yes

  No

  N/A

• 12.2 Are employees able to work without having to reach repetitively to low levels, above shoulder height, below mid thigh or out from the body?

  Yes

  No

  N/A

• 12.3 Have all objects, work practice and work environment where appropriate and as far as reasonably practicable, been designed, constructed and maintained so as to eliminate risks arising from manual handling.

  Yes

  No

  N/A

• 12.4 Are employees handling any heavy, hot/cold, slippery or bulky objects and if so are there adequate control measures in place.

  Yes

  No

  N/A

• 12.5 Is the work area and objects designed to eliminate sideways twisting of body?

  Yes

  No

  N/A

• 12.6 Is the job self paced to allow safe work practices e.g. Not repetitive?

  Yes

  No

  N/A

• 12.7 Is mechanical handling equipment available such as lifting and carrying aids such as trolleys, trolley jacks or hoists?

  Yes

  No

  N/A

• 12.8 Is there instruction on the use of manual handling equipment?

  Yes

  No

  N/A

• 12.9 Is the manual handling equipment provided in good working order?

  Yes

  No

  N/A

• 12.10 Are items being handled correctly e.g straight back, knees bent and load close to body?

  Yes

  No

  N/A

• 12.11 Are employees able to work without repetitive movement e.g lifting, pulling and pushing?

  Yes

  No

  N/A

• 12.12 Have employees been provided with manual handling training?

  Yes

  No

  N/A

Action Plan

• Hazards identified/controls

Sign off

• Checklist completed by?

  Sign

• Employees sign off

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• Employees sign off

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• Clients sign off

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