INTEGRATED MANAGEMENT SYSTEM SITE HSE INSPECTION CHECKLIST

• 1.0 INSPECTION DETAILS

• Inspection Number:

• Project:

• Date/Time:

  Date

• Inspected by:

2.0 SAFETY REQUIREMENTS

• ACCESS WAYS – level, clearly defined, well-lit, clear of rubbish and materials.

  Yes

  No

  N/A

• PENETRATIONS –covered or barricaded, covers trafficable and secure

  Yes

  No

  N/A

• HOUSEKEEPING – Work area clean, materials stacked and no trip hazards.

  Yes

  No

  N/A

• PEDESTRIAN ACCESS – Safe, no obstructions, gates closed, signage up

  Yes

  No

  N/A

• SITE SECURE – Fence intact and site secured from unauthorised acces

  Yes

  No

  N/A

3.0 PRE-START

• COMPLETED – Conducted and communication written on allocated form

  Yes

  No

  N/A

• ACKNOWLEDGMENT – ALL workers on site signed on to pre-start form

  Yes

  No

  N/A

4.0 PLANT

• INDUCTION – inducted, Risk Assessment, maintenance records

  Yes

  No

  N/A

• OPERATOR – ticketed/licenced, verified as competent

  Yes

  No

  N/A

• PRE-START – logbook completed, faults reported, all safety items working

  Yes

  No

  N/A

• EXCLUSION ZONE – established and signposted

  Yes

  No

  N/A

• LIFTING GEAR – current tag, stored correctly, suitable WLL

  Yes

  No

  N/A

• LIFTING (CRANES) – MRC on boom, Crane Safe current, crane pad engineered, operator holds correct HRW licence

  Yes

  No

  N/A

• LIFTING (EXCAVATORS) – MRC/SWL on boom, suited to load/burst valves >1T capacity, bucket removed, engineered lift points

  Yes

  No

  N/A

• LIFT STUDY – Completed as required

  Yes

  No

  N/A

5.0 ELECTRICAL

• TOOLS AND LEADS – current test tag, raised off ground on insulated stands/hooks

  Yes

  No

  N/A

• RCDs – used, current test tag, tested before use

  Yes

  No

  N/A

• Working at Heights - Harnesses are attached, fall protection used

  Yes

  No

  N/A

• Plant & Equipment - Clearly identified, clean, load limits visible and known, test equipment within calibration date

  Yes

  No

  N/A

6.0 PERMITS

• ACTIVE PERMIT – Permit in place (hot works / excavation / confined space / work at height / client specific), approved and current

  Yes

  No

  N/A

• APPROVAL – Permit signed by Responsible Person

  Yes

  No

  N/A

• ACKNOWLEDGMENT – All relevant workers signed on to permit

  Yes

  No

  N/A

7.0 EMERGENCIES/INCIDENTS

• DRILLS – Undertaken as per drill schedule – refer to PSP

  Yes

  No

  N/A

• SIGNAGE – Evac diagram, emergency procedures and contacts displayed in appropriate areas

  Yes

  No

  N/A

• FIRST AID – First aid kit checked minimum quarterly, designated site first aiders displayed around site and with kit

  Yes

  No

  N/A

• REPORTING – Incidents recorded on form and reported to National HSEQ Manager

  Yes

  No

  N/A

• Yes

  No

  N/A

8.0 WORKING AT HEIGHTS (WAH)

• GENERAL – Protection from fall, certificates of competency, permit (where harness required)

  Yes

  No

  N/A

• LADDERS – secured, no damage, industrial & suited to task (i.e no work from straight ladders)

  Yes

  No

  N/A

• USE OF WORKBOX – Work Box Checklist completed and signed off

  Yes

  No

  N/A

• SCAFFOLD – Complete & suitable for use, Scaff tag in date (maximum 30 days)

  Yes

  No

  N/A

• WORKING PLATFORMS (EWPs) - Fit for purpose, inducted, harness/lanyard provided and used

  Yes

  No

  N/A

• EMERGENCY – rescue plan in place and practiced

  Yes

  No

  N/A

8.0 HOT WORKS

• GENERAL – set up safely, PPE, equipment tested and tagged, Hot Works Permit, extinguisher within 5m

  Yes

  No

  N/A

• WELDING – Screens / blankets in place, PPE, warning signage, tested and tagged, compliant leads, extinguisher

  Yes

  No

  N/A

• TOTAL FIRE BAN – FRV / CFA (Vic), CFS (SA) exemption permit in place

  Yes

  No

  N/A

9.0 EXCAVATIONS

• NOTIFICATION (VIC) – WorkSafe notification sent 3 days prior

  Yes

  No

  N/A

• SERVICES – DBYD, positively identified and marked on ground

  Yes

  No

  N/A

• CONSTRUCTION – benched, battered, shields

  Yes

  No

  N/A

• PROTECTION – barricades, covered, Daily Inspection checklist completed and signed off

  Yes

  No

  N/A

• ACCESS – ladder, step or ramp access provided

  Yes

  No

  N/A

• EMERGENCY – procedure in place and drilled / practiced

  Yes

  No

  N/A

10. CONCRETE / STRUCTURES

• FORMWORK – Temporary Works Design in place and approved, constructed as per TWD

  Yes

  No

  N/A

• FORMWORK – delineation, no protruding screws, de-nailing, fall protection

  Yes

  No

  N/A

• REINFORCING BARS – Adequate reo end bar protection (horizontal bars = yellow caps, vertical bars <1m = timber, cap with steel plate

  Yes

  No

  N/A

11. PILING (TUBULAR, SHEET, CFA)

• STORAGE – tube piles/CFA pile cages chocked to prevent rolling, sheet piles overlapped/on dunnage

  Yes

  No

  N/A

• SERVICES – DBYD for location, services identified and marked, clear of O/H services, Elec. Spotter

  Yes

  No

  N/A

• FALL PROTECTION – Barricades around pile auger, tube piles >900mm above ground, open piles/holes (<900mm or ground level) covered and cover secured

  Yes

  No

  N/A

• INSTALL – Vibe heads/hammers free of leaks, secondary sling in place, exclusion zone

  Yes

  No

  N/A

12. HAZARDOUS SUBSTANCES / DANGEROUS GOODS

• STORAGE – bunded storage, signage, segregated, spill kits, extinguisher/s

  Yes

  No

  N/A

• DOCUMENTS – SDSs available, register on site, workers trained in use.

  Yes

  No

  N/A

• <br>PPE – Available, all required being worn as per SDS

  Yes

  No

  N/A

13. ASBESTOS / LEAD RISK WORKS

• NOTIFICATION – Regulator notified of ACM removal/high risk lead works

  Yes

  No

  N/A

• REMOVAL – ACM/lead removal by licensed personnel, air monitoring, clearance certificate by hygienist.

  Yes

  No

  N/A

• PPE – All required being worn as per SWMS

  Yes

  No

  N/A

• DISPOSAL – transport and disposal certificates

  Yes

  No

  N/A

14. WORKING ON, OVER or NEAR WATER

• INDUCTION – Personnel on board inducted to vessel

  Yes

  No

  N/A

• SAFETY – PFDs worn, in date and in good condition, life ring/s onboard

  Yes

  No

  N/A

• WATER CONDITIONS SAFE – Tidal works, wash, swell, forecast weather

  Yes

  No

  N/A

• VESSELS – Survey current, securely moored, safe access, prestart completed.

  Yes

  No

  N/A

• BARGES – Personnel capacity as per survey, stability assessment, plant/loads secured, Unattended Checklist completed

  Yes

  No

  N/A

15. GENERAL

• PPE (HARD HAT, GLASSES, HI VIS, BOOTS, SLEEVES, TROUSERS) – worn as required

  Yes

  No

  N/A

• SWMS – In place for the task, signed by workers, approved by management

  Yes

  No

  N/A

• AMENITIES – serviceable, clean, complete.

  Yes

  No

  N/A

• FIRE EXTINGUISHERS – Correctly located and inspection current (6 months).

  Yes

  No

  N/A

• SIGNAGE – Relevant signs in place

  Yes

  No

  N/A

4.0. ENVIRONMENTAL REQUIREMENTS CRITERIA

• AIR QUALITY – Dust and sawdust controlled. No excessive dust generated. Use of water cart to suppress dust.

  Yes

  No

  N/A

• AIR QUALITY – Plant emissions, fumes, gasses, no vehicle emitting visible smoke continuously for >10 seconds

  Yes

  No

  N/A

• AIR QUALITY – No loose debris, odours, leaking gasses, etc

  Yes

  No

  N/A

• WATER QUALITY – No waste discharged into the sea or waterway (river or creek)?

  Yes

  No

  N/A

• WATER QUALITY – Water quality parameters (e.g., Turbidity, pH, dissolved oxygen, etc) tested where specified in the Contract?

  Yes

  No

  N/A

• FLOATING BOOM / SILT CURTAIN – Boom intact, secure & complete

  Yes

  No

  N/A

• SEDIMENT CONTROL – Sediment control measures (eg. gravel sausages, silt fencing) in good order, maintained?

  Yes

  No

  N/A

• SEDIMENT CONTROL – Vehicles not depositing material on public roads

  Yes

  No

  N/A

• SOIL MANAGEMENT – Stockpiles of soils neat, no sign of erosion, scouring?

  Yes

  No

  N/A

• SOIL MANAGEMENT – Disturbed areas rehabilitated / landscaped as specified?

  Yes

  No

  N/A

• SOIL MANAGEMENT – no stockpiles of contaminated soils, disposed of as required

  Yes

  No

  N/A

• SPILL KITS – within 10m, stocked, suitable for hydrocarbon

  Yes

  No

  N/A

• NOISE CONTROL – No excessive noise from machinery or plant.

  Yes

  No

  N/A

• NOISE CONTROL – Noisy activities worked during prescribed work hours?

  Yes

  No

  N/A

• VIBRATION – monitoring as required, records and calibration maintained

  Yes

  No

  N/A

• WASTE MANAGEMENT – Concrete washout discharged onto plastic lined pit or receptacle?

  Yes

  No

  N/A

• WASTE MANAGEMENT – Skips/bins on site for construction waste

  Yes

  No

  N/A

• FLORA & FAUNA – No fill around tree trunks, barriers around trees to be retained

  Yes

  No

  N/A

• FLORA & FAUNA – "No Go Zones" in place? No harm to native animals or threatened species

  Yes

  No

  N/A

• COMPLAINTS - Complaints and NCRs recorded and resolved?

  Yes

  No

  N/A

OTHER COMMENTS

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Note* This is an IAuditor version of: HSE INSPECTION CHECKLIST 2P21-06-A