INSP-IAUD-02.21

• Audit number

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 General

• Everyone has completed company induction?

  Yes

  No

  N/A

• Everyone Site Inducted?

  Yes

  No

  N/A

• Presrart Toolbox Completed within last week?

  Yes

  No

  N/A

• Photo of last Toolbox if available?

  Media

• Have all staff read understood and signed the current SWMS/JHA for works?

  Yes

  No

  N/A

• Have all workers understood and signed the site SMPs?

  Yes

  No

  N/A

• Have any Health & Safety concerns been raised by crew & have they been correctly dealt with?

• Last Audit was Complete on;

  Date

• Is there any outstanding Items from the last inspection?

  Yes

  No

  N/A

2.0 Housekeeping & Materials zone

• Is there good evidence of stacking and storage practices being used?

  Yes

  No

  N/A

• Access & Egress ways are kept clear?

  Yes

  No

  N/A

• Are exclusion zones being used and in place?

  Yes

  No

  N/A

• Is standard safety signage posted at key locations? (Incomplete, Do Not Use, etc)

  Yes

  No

  N/A

• Is Scaffold tag system in place & relevant dates displayed?

  Yes

  No

  N/A

3.0 PPE - Sufficient & Correctly being used?

• Hard Hat AS/NZS Compliant

• Steel Cap Work Boots AS/NZS Compliant

• Hi-Vis Work Shirt AS/NZS Compliant

• Gloves AS/NZS Compliant

• Eye Protection AS/NZS Compliant

• Ear Protection where needed being used?

• Harnesses & Lanyards correctly applied and adjusted?

4.0 Fall Protection Equipment

• Has the Company inspection register been kept up to date?

  Yes

  No

  N/A

• Quarterly tagging visible on all fall arrest/restraint equipment onsite?

  Yes

  No

  N/A

5.0 Working At Heights

• Is the task being carried out to AS/NZ STANDARDS?

  Yes

  No

  N/A

• Have the crew adopted the 1m build technique by installing the full deck of boards 1m below and working from 2 fixed boards minimum ? (No timber LVLs)

  Yes

  No

  N/A

• Are handrails being used to non working build lifts where a person could fall?

  Yes

  No

  N/A

• Has crew installed Access/Egress at the earliest opportunity between lifts?

  Yes

  No

  N/A

6.0 Lifting Opperations (Gin Wheel)

• Gin Wheel is correctly positioned and fixed?

  Yes

  No

  N/A

• Is the area below the lifting point cordoned off?

  Yes

  No

  N/A

• Have users got knowledge of knots?

  Yes

  No

  N/A

• Is the rope of the Gin Wheel free from defects and suitable?

  Yes

  No

  N/A

• Are fittings and small items being raised and lowered in purpose built lifting bags?

  Yes

  No

  N/A

7.0 Workmanship & Structual Integrity

• Is Scaffold built in accordance with AS/NZ STANDARDS?

  Yes

  No

  N/A

• Are ALL ties to Plan and recorded in the tie register?

  Yes

  No

  N/A

• Are tie BOA coils torqued and Hilti screw anchors installed as per manufacturers specifications?

  Yes

  No

  N/A

• Are ladders used tied at both sides and at a 4:1 ratio in good working order?

  Yes

  No

  N/A

• Are all platforms fully boarded with Toe Boards, Hand & Mid Rails correctly fixed?

  Yes

  No

  N/A

• Have Gates been Installed at key ladder/stair access points?

  Yes

  No

  N/A

• Are company procedures being followed for checking/maintaining equipment being implemented?

  Yes

  No

  N/A

• Safe stacking practices observed eliminating unsecured items?

  Yes

  No

  N/A

• Safe storage of material observed at height whilst building or stripping?

  Yes

  No

  N/A

• Are there any gaps greater than 225mm off the main working deck or 300mm above or below the main working deck where there is a risk of falling objects?

  Yes

  No

  N/A

• Is scaffold deck #1 clear of building debris?

  Compliant

  Non-Compliant

  N/A

• Photos of deck #1

  Media

• Is scaffold deck #2 clear of building debris?

  Compliant

  Non-Compliant

  N/A

• Photos of deck #2

  Media

• Is Scaffold deck #3 clear of building debris?

  Compliant

  Non-Compliant

  N/A

• Photos of deck #3

  Media

• Is scaffold deck #4 clear of building debris?

  Compliant

  Non-Compliant

  N/A

• Photos of deck #4

  Media

• Is Scaffold deck #5 clear of building debris?

  Compliant

  Non-Compliant

  N/A

• Photos of deck #5

  Media

• Is Scaffold deck #6 clear of building debris?

  Compliant

  Non-Compliant

  N/A

• Photos of deck #6

  Media

• Supervisor/ Lead Hand

  Sign

• Inspector

  Sign

• Site representitive

  Sign

• QSAS Manager

  Sign