Information

  • Client

  • Site / Project

  • Conducted on

  • Prepared By

  • Location
  • Enter address if not identified

InterWATCH

  • Is this section relevant?

Safety Conversation

  • Safety Share/ Safety Alerts or L2BL communicated

Personnel Details

  • Identified Workgroup

  • SNRP Details

  • Interflow Worker(s) Details

  • Contractor(s) Details

Work Pack Risk Assessment

  • All roles and responsibilities have been identified and are understood?

  • Work Pack has been completed in full consultation with all - includes Subcontractors i.e. Traffic Controllers?

  • Work Method Statements have been correctly identified for the scope of work and can be validated as having been reviewed in full by all members of the work group

Identify any High Risk Work Activities and verify controls have been implemented adequately to mitigate RISK

  • Additional Notes on Implemented Controls

Photos

  • Add media

InterCHECK

  • Is this Section relevant?

A. Site Establishment - Housekeeping

  • Is this Section relevant?

  • A1. Is the work area tidy?

  • A2. Is pedestrian access around work site clearly identified and in place?

  • A3. Is the site properly barricaded and isolated from the general public?

  • A4. Are overhead hazards identified and isolated?

  • A5. Are hoses secured, isolated and protected? Are mats in use?

  • A6. Are air hose clamps secured and safety pin in place?

  • A7. Has the site been fully set up as per the requirements nominated in the Traffic Management Plan?

  • A8. Is the Traffic Plan operating effectively?

  • A9. Has the Traffic Management Plan been signed off by the Interflow crew leader and has the Traffic Plan number been recorded on the work pack?

  • A10. Is the Traffic Plan site specific and all relevant fields completed?

B. Documentation

  • Is this section relevant?

  • B1. Has the work pack been signed off by all people on site including subcontractors?

  • B2. Are all controls identified and listed within work pack 2 - Hazard Identification?

  • B3. Have nominated controls for work scope as identified within the work method statement been implemented and identified as working effectively.

  • B4. Is there a Quality, Environment and Safety Management Plan readily available?

  • B5. Does the crew have access to required SDS information (Chemwatch or Hardcopy)?

  • B6. Can crews locate an immediate SDS that identifies first aid response or otherwise for chemicals being used?

  • B7. Has the Client control room been notified of the current work activity? Can this be verified?

  • B8. Is a Flow Management plan being used onsite?

  • Is the plan working effectively?

  • B9. Has the Crew Leader completed the daily flow management checklist as required in the flow plan?

  • ADVISE THE CREW LEADER TO STOP WORK - review risks and implemented controls along with complete the required checklist

  • B10. Are Hazardous Manual Task controls implemented and working effectively i.e. Use of mechanical aids?

C. Confined Space Entry

  • Is this section relevant?

  • C1. Has the confined space permit been completed?

  • C2. Have all confined space controls as identified on the permit been implemented and identified as working effectively?

  • C3. Can 'Hook-up' (to a rated/ tagged anchor point) or 'Cover-up' (security grate covering OPEN access chamber) be positively identified?

  • ADVISE CREW TO STOP WORK AND IMPLEMENT immediate controls to mitigate OPEN ACCESS chamber RISKS

  • C4. Is an SDS readily available for chemicals identified on the confined space permit? This may be accessible via Chemwatch or be a hard copy.

  • C5. Has the Standby person established a means of communication with the person in the confined space and emergency services?

  • C6. Has the gas test response 'Bump Test' been recorded on the Entry permit?

  • C7. Is the gas test response bottle (bump test bottle) in date?

  • C8. Can the crew demonstrate how to complete a bump test?

  • C9. Is ventilation (either natural or forced) implemented in line with the hazard identification checklist (Work pack 2) ?

  • C10. Has all confined space equipment been inspected and validated as being within test and tag currency?

  • C11. Is 'DANGER CONFINED SPACE' signage/ barriers erected?

  • ADVISE CREW TO STOP WORK AND IMPLEMENT immediate controls to mitigate OPEN ACCESS chamber RISKS

  • C12. Is the Self Rescue Breathing unit available at the confined space?

  • C13. Has the rescue plan rehearsal been recorded on the work pack?

  • C14. Do crew members have individual Confined Space training tickets readily available onsite?

D. Plant and Equipment

  • Is this section relevant?

  • D1. Housekeeping - is all equipment, materials secured / stored correctly on or in the vehicle(s)?

  • D2. Are flammable liquids stored in correct containers and labelled? i.e. de-cantered products

  • D3. Is the fire extinguisher(s) available and verified as current within Test and Tag?

  • D4. Is the interflow Plant Inspection Checklist(s) available and complete?

  • D5. Is the First Aid kit available and in date ?

  • Items such as Eyewash need to be verified as not having expired - IF EXPIRED the items are to be replaced immediately, or the kit deemed/ tagged 'unserviceable'.

  • D6. Has the allocated driver(s) been signed off in the front of the plant checklist?

  • D7. Is the operators drivers license(s) appropriate and current for the vehicle being driven?

  • D8. Are all electrical leads/ RCD's and power tools currently tested and tagged?

  • D9. Are the portable generator sets protected by an RCD?

  • D10. Have lifting chains been Tested and Tagged?

  • D11. Is a tag line being used to direct/ guide equipment when being lifted?

  • D12. IF a Vehicle Loading Crane (VLC) is being used, is the operator trained and has he/she been deemed competent?

  • Select controls implemented by the Operator as evidence of understanding of associated risks

E. Employees

  • Is this section relevant?

  • E1. Is eye protection worn at all times?

  • E2. Are Hard Hats and brims being worn

  • E3. Is hand protection available for use? i.e. attached to self with a clip?

  • Are these gloves serviceable and identified as correct type for task?

  • E4. Is high visibility clothing being worn? If Night work......appropriate PPE?

  • E5. Is hearing protection available (on person) and being worn by all at risk when required? i.e. when jacking this includes the stand by person located above the access chamber?

  • E6. Are hand washing facilities available? - Note: this includes both water and appropriate sanitizer/cleaner

  • E7. Is safety footwear in good condition and fastened accordingly?

  • E8. Are P2 masks available and being worn when required?

F. Excavation

  • Is this section relevant

  • F1. Are trenches 1.5m or more in depth benched, battered, shored or supported by a Geotechnical Survey?

  • F2. Do excavations have barriers or handrails in place to prevent falls?

  • F3. Are ladders secured in excavations and extend out of the excavation by 1m?

  • F4. Is the Excavation edge clear of spoil? i.e. positioned at least 900mm from excavation.

  • F5. Is excavated material protected by silt fencing?

  • Are 25mm thick road plates secured with pins and the leading edge of the plate ramped with cold mix?

  • Does the road plate have and anti-skid surface?

G. Environmental

  • Is this section relevant?

  • G1. Is the Environmental Management Plan available and understood by all?

  • G2. Are erosion and sediment control in place eg. Silt Fencing, Sand Bags, Silt Socks etc.?

  • G3. Is contaminated waste collected, disposed of and tracked accordingly?

  • G4. Are Emergency spill kit(s) available?

  • G5. Are all identified fuels bunded correctly when stored?

H. Subcontractor

  • Is this section relevant?

  • H1. Does the subcontractor understand the specific scope of work?

  • H2. Is the Contractor appropriately trained/ and has been deemed competent to complete the task?

  • Tickets and/or qualifications have been verified/Sighted? i.e. Construction Card

  • H3. Has the subcontractor signed onto the work pack or the site induction record?

  • H4. Has the subcontractor and/or employees completed the Interflow induction?

  • WORK MUST BE IMMEDIATELY STOPPED - THE SUBCONTRACTOR(S) IS/ ARE TO BE INDUCTED

I. Training

  • Is this section relevant?

  • 1.1 Does the Crew Leader/ Foreman have a copy of the Site Management SOP readily available?

  • 1.2 Has the Crew Leader been audited on the Site Management SOP?

InterSPECT

  • Is this type of Workplace Verification relevant?

1. Monthly Focus

  • Is this section relevant?

  • Add media

2. Office and Amenities

  • Is this section relevant?

  • 1. Is there an established Safety Notice board/ relevant information displayed?

  • 2. Are appointed persons names/ Photos displayed i.e. Safety Reps, First Aiders, Fire Wardens etc.?

  • 3. Fire Extinguishers available and correctly identified?

  • 4. Access to fire extinguishers is unobstructed?

  • 5. Exits are cleared/ unobstructed and signs are appropriately illuminated?<br>

  • 6. All office materials stored correctly out of walkways?

  • 7. Bins are provided and emptied (included separation i.e. Recycle)?<br>

  • 8. Kitchen area clean and tidy?<br>

  • 9. All building electrical equipment (inclusive of power boards) is in good working order supported by current Test and Tag?

  • 10. Toilets clean and tidy, hand wash, soap, paper towel supplied?

  • 11. Tops of cabinets or shelves adjacent to walkways are clear of items that may fall.

  • 12. Waste segregation measures in place & containers labelled

  • 13. Has and Emergency Response drill been conducted within the last 12 months?

3. First Aid and Facilities

  • Is this section relevant?

  • 1. Current first aid equipment list available in cabinet?

  • 2. Contents useable and within use by dates?

  • 3. Emergency procedures / phone numbers displayed?

  • 4. Trained First Aid personnel identified for crews and within office areas?

  • 5. First Aid equipment easily identified/ located?

  • 6. First Aid equipment is stored correctly i.e. Wall mounted/ vehicle box?

  • 7. Medical waste disposed of correctly? i.e. Sharps container

  • 8. Has the project identified and setup a local Medical Provider i.e. Sonic Health Plus, has this information been communicated?

4. Workshop and Store

  • Is this section relevant?

  • 1. Work areas tidy?

  • 2. Regular disposal of waste/ Segregation identified?

  • 3. Walkways unobstructed?

  • 4. Adequate lighting for the work being carried out?

  • 5. Sharp objects covered / protected?

  • 6. Fire extinguishers identified, checked, unobstructed?<br>

  • 7. RCD’s on all electrical equipment?

  • 8. All electrical equipment serviceable with current with Test and Tag?

  • 9. Tools and equipment identified as serviceable and stored correctly?

  • 10. Authorized guarding fitted to equipment i.e. Grinder/ Barrel Cutter?

  • 11. Sparks contained / welding screens used?

  • 12. PPE available/ serviceable and correct for task?

  • 13. Materials stored correctly i.e. Flammables in fire proof cabinet, segregation and compatibility considered?

  • 14. Tools and equipment correct for the task?

  • 15. Spill kits available?

  • 16. Dust mitigation in area?

  • 17. Bunding and/or storage of HAZ materials/ substances considered?

5. Housekeeping and Access and Egress

  • Is this section relevant?

  • 1. Materials stacked safely and correctly?

  • 2. Laydown areas defined clean and tidy?

  • 3. Signage erected to identify hazardous storage / disposal area?

  • 4. Signs and barricading erected and maintained around worksite or identified hazardous area?

  • 5. Solid barricading erected and maintained around potential fall areas and complies with legislative requirement?

  • 6. Sharp objects capped i.e. star pickets, rebar, tools?

  • 7. General housekeeping standard is being maintained?

  • 8. Bin locations prominent, adequate and emptied regularly?

  • 9. Access and egress points clear of obstruction?

  • 10. Access to elevated work areas complies with site requirements?

  • 11. Handrails installed on ramps & stairs etc. where applicable?

  • 12. Ladders industrial when required are secured, 1 to 4 meter lean, the ladder projects 1 meter above the platform?

6. Fall Prevention

  • Is this section relevant?

  • 1. All fall prevention equipment recorded on a register?

  • 2. All fall protection equipment is currently Tested and Tagged?

  • 3. Equipment in sound condition, free of visible damage?

  • 4. Range of equipment available is adequate for the work scope and is correctly set up?

  • 5. Equipment has been inspected prior to use by a competent person?

  • 6. WMS correctly identified, is specific for the task and understood by all?

  • 7. Personnel are trained and current in the use of equipment?

  • 8. Fall arrest systems installed and being operated by an identified competent person?

  • 9. Anchor point /s comply with safety requirements?

  • 10. Safety harness stored correctly when not used i.e. within a PPE storage bag?

  • 11. Safety harness fitted correctly for purpose i.e. not loose?

7. Confined Space Entry

  • Is this section relevant?

  • 1. Permit is Valid & Authorized?

  • 2. Person/s Trained and deemed competent to enter Confined Space?

  • 3. Pre-Start documentation, WMS, Procedure, Drawings etc. readily available?

  • 4. All identified controls have been implemented and communicated?

  • 5. Equipment flushed, purged, bump tested?

  • 6. Alternate entry points secured?

  • 7. Equipment depressurized / drained?

  • 8. Extraction / forced ventilation plan authorized, discussed and communicated amongst all?

  • 9. Emergency response requirements - Rescue plan in place/ all contact numbers available and discussed?

  • 10. Exclusion zone, barricading and signage set up inclusive of SPECIFIC Confined Space signage?

  • 11. Lighting - Low voltage lighting installed & functional?

  • 12. Entry / exit log in place and completed?

  • 13. Initial atmospheric test conducted?

  • 14. Standby person/ Rescuer identified in place, trained, understands responsibilities?

  • 15. Breathing apparatus available? Is the CSE person/s remaining attached? Has this been considered?

  • 16. Rescue equipment currently tagged and tested i.e. Tripod?

  • 17. Fit for work (inclusive of immunization status - particularly if entering Sewer) has been considered by all involved in work scope?

  • 18. PPE requirements identified & complied with?

  • 19. Communications in place, suitable and understood by all?

8. Lifting Equipment

  • Is this section relevant?

  • 1. All lifting equipment recorded on a register?<br>

  • 2. PPE correct for task?

  • 3. Safe working loads marked on all lifting equipment?

  • 4. Equipment is clearly identified as being within current Test and Tag i.e. Appropriate colour tag/ date displayed?<br>

  • 5. Equipment stored appropriately, hung, vented, out of UV direct etc.?

  • 6. All Lifting Equipment has been inspected prior to use and has been identified as being fit for purpose and in good condition?

  • 7. Slings adequately protected i.e. packing?<br>

  • 8. Tag lines used on all loads (16mm natural fiber rope), to ensure that the persons remain out of the 'LINE OF FIRE'?

  • 9. WMS/ Pre-Start (RA) process reflects work scope?

  • 10. Person(s) qualified to use equipment i.e. Dogger/ Rigger?

  • 11. Round soft slings not being used as head slings or temporary support of pipes etc.?

  • 12. Round soft slings not used for lifting other than pipework?

9. Cranes

  • Is this section relevant?

  • 1. Exclusion zone established around slew area, proximity to overhead considered/ exclusion zones understood?

  • 2. Outriggers fully extended on timber/composite support/ packed as per manufacturers specifications/ engineers recommendations and are protected from traffic disturbance by a physical barrier and applicable signage?

  • 3. Adequate ground bearing support / level surface clear of excavations and/or evidence of subsidence?

  • 4. Daily inspection checklist completed / safety devices checked/ load charts available and being used?

  • 5. Crane Operators / Riggers communication methods i.e. whistle/ hand signals are clear?

  • 6. Operators Manual located within the crane?

  • 7. Chains removed / secured in preparation for travelling?

  • 8. Lift Plan/ Log and or evaluation completed by operator?

  • 9. Rigger / Dog-man carrying out spotters duties as required eg interface with moving load & personnel

  • 10. Man-cage permit in place & complied with Man Cage Tested and Tagged?

  • 11. Spill kit readily available or located on the crane?

  • 12. Crane Certification observed i.e. Crane Safe Sticker?

  • 13. If a Contractor has the Safe Work System been Validated/ accepted by Interflow?

  • 14. Slings, chains, hooks, Shackles and eyes are certified and within Test and Tag?

10. Scaffolding

  • Is this section relevant?

  • 1. Scaff-tag placed at all access points and clearly visible?

  • 2. Access built to AS/COP requirements?

  • 3. Scaffold has been inspected within the 30 day inspection period or otherwise as required?

  • 4. Competent person erecting / modifying / dismantling?

  • 5. Where erecting, modifying or dismantling area below is and exclusion zone and appropriately barricaded & sign posted?

  • 6. All working platforms are fully planked & secured?

  • 7. Handrail, Mid-rail & toe board fitted?

  • 8. Ladder(s) project 1 meter above the landing platform and is secured?

  • 9. Erect / dismantle – Harness & lanyards used correctly?

  • 10. Ladder safety rail fitted to access?

  • 11. WMS/ Pre-start or RA accurately reflects work scope?

  • 12. Scaffold materials stored in a safe manner?

  • 13. Mesh screen fitted where objects may be dislodged?

11. Electrical Equipment

  • Is this section relevant?

  • 1. Leads are elevated above ground by non conductive support / material?

  • 2. Leads not obstructing access and egress ways?

  • 3. Are lead plugs in sound condition (no exposed wires) etc. labelled correctly and identified as current with T&T? <br>i.e. Red (Jan, Feb, Mar) / Green (Apr, May, Jun) / Blue (Jul, Aug, Sep) / Yellow (Oct, Nov, Dec)

  • 4. Leads not secured or tied off directly to scaffolding or handrails?

  • 5. Are all connection ends and plugs are clean and fitting correctly?

  • 6. All portable electrical tools are energized through an RCD that is currently within T&T?

  • 7. 240V leads do not exceed 30m in length?

  • 8. Double adapters/ Piggy back plugs not being used?

  • 9. All electrical equipment is being stored correctly when not in use i.e. out of the weather?

  • 10. Are Switchboards/ RCD's correctly labelled?

  • 11. If live work is being performed, is this duly authorized and under permit?

12. Mobile Plant

  • Is this section relevant?

  • 1. Can you Identify the Plant by Registration or Serial Number?

  • 2. Has a Daily pre start inspection checklist completed by operator?

  • 3. Is the operator appropriately licensed / Deemed competent to operate the plant?

  • 4. If faults are identified have these been accurately reflected on the Vehicle Checklist?

  • 5. Can Operator licenses/ competencies be verified on an internal register?

  • 6. Are safety devices and warning signals fitted and in good condition – i.e. First Aid Kit/ Fire Extinguishers / Spill kit / reverse alarms / seat belts / beacon etc.?

  • 7. When not in use the Plant is appropriately parked up i.e. Home garaged/ In designated parking area/ At Depot?

  • 8. Have noise impacts been considered?

  • 9. Has dust mitigation been considered?

13. Employee Conduct

  • Is this section relevant?

  • 1. Sound communication amongst all on site inclusive of Sub-contractors?

  • 2. Does the Employee understand that they are empowered to step back and reassess if required?

  • 3. Is the employee aware of the reporting requirements in the event of an incident?

  • 4. No throwing / dropping tools or equipment, materials arranged/ organized, personal/ construction waste considered?

  • 5. Right Tool for the Right job being considered?

  • 6. Tools and equipment are being used appropriately?

  • 7. Individual job planning/ Risk management evident i.e. Work Pack completion?

  • 8. Employee considers all risks associated with Falling from, being exposed to, caught between and/ or struck by anything onsite and has implemented controls for protection.

14. WMS/ Task Based Risk Assessment

  • Is this section relevant?

  • 1. Is a WMS applicable for the scope of work? (Include Sub-contractors) - Has it been authorized and Reviewed?

  • 2. Crew Lead/ Construction Manager has verified throughout the day that work methods are in accordance with the WMS/ Work Pack?

  • 3. Has the work-pack/ Pre-start been completed collectively, Inclusive of Subcontractors?

  • 4. Have the WMS's been developed/ reviewed and agreed upon by all 'Consultative'? Note last review date

  • 5. Have all controls identified via HazID (Recon) / within the WMS/ or as identified within the Prestart (Work Pack 2) been implemented?

  • 6.<br>Work Pack Information i-Pad/ Box etc. readily accessible at the site/ work location contains - Permit(s), WMS, Procedures, SDS's, drawings, ITP's etc.?

  • 7. Have all emergency requirements been clearly identified and communicated via Prestart/ Work Pack process?

15. Permit to Work

  • Is this section relevant?

  • 1. Has the correct permit been selected for the task e.g. Excavation and Trenching, Confined Space Entry, Work at Height, Traffic Management etc.?

  • 2. Is the task identified on the permit in line with observed work scope?

  • 3. Can all required certificates and supporting documentation to support the permit be readily accessed?

  • 4. Is the issued Permit appropriately authorized?

  • 5. Has the permit been altered/ changed or marked up?

  • 6. Is the permit within the validity period

  • 7. Has the permit been revalidated/relinquished? Verify Dates

  • 8. Is the permit (i.e. Confined Space Permit) located within the vicinity of the CS or the work group on site?

  • 9. Have all controls been communicated/ understood and/ implemented by all?

  • 10. All persons required to work under the permit have been trained and deemed competent?

  • 11. Can all those working under the permit be identified as having reviewed SOP's/ WMS?

16. Hazardous Substances

  • Is this section relevant?

  • 1. Readily available access to SDS information, i.e. Chem-Watch on Tablet?

  • 2. Identified persons have been trained and deemed competent to access SDS information on Chem-Watch i.e. Mini SDS?

  • 3. Are training records available for personnel using or handling hazardous substances? i.e. familiarization/ awareness training.

  • 4. Segregation considered on vehicle or in store / warning signs displayed as applicable?

  • 5. Emergency equipment adequate and available ie. Spill containment?

  • 6. All containers are correctly labelled if De-cantered?

  • 7. Are risk control measures been implemented and understood by all?

  • 8. Are adequate first aid facilities available i.e. First Aid Kit/ Eye wash?

  • 9. Ventilation adequate to remove and maintain atmospheric levels below exposure limits?

  • 10. Are Hazardous substances being disposed off correctly?

  • 11. 3m clearance maintained around storage area?

  • 12. All packages are closed while not in use?

  • 13. Spillage retention measures adopted where containers are opened for transfer? i.e. temp bund

17. Welding/ Hot Work

  • Is this section relevant?

  • 1. Task based RA completed along with permit in place for work scope?

  • 2. Serviceable Fire extinguisher located in close proximity?

  • 3. Sparks / hot metal particles contained?

  • 4. Is the correct PPE being worn for the task/

  • 5. Welding screens and fire blankets in place?

  • 6. Is waste being disposed of correctly, i.e used welding rods?

  • 7. Leads / hoses routed in a safe manner?

  • 8. Grinders used in accordance with procedures? Handles fitted?

  • 9. All combustible materials are separated from the hot work area?

  • 10. Cylinders secured, gauges operative, flashback arresters fitted and hoses in good condition?

  • 11. Is double eye protection used when welding/ Grinding or Oxy Cutting?

  • 12. Is the work-crew aware of monitoring requirement post work?

  • 13. Welding leads/ oxy hoses/ Flash arresters inspected and tagged accordingly?

18. Excavations

  • Is this section relevant?

  • 1. Has the Emergency Response Plan been considered and fully communicated as part of the Pre-start?

  • 2. Excavation Permit is Valid & Authorised - Fully complete?

  • 3. All identified controls have been implemented and communicated?

  • 4. WMS, DBYD, Drawings etc. readily available?

  • 5. IF SERVICES i.e. GAS/ POWER/ TELCOMMUNICATION are identified, have these been POSITIVELY LOCATED?

  • ENSURE WORKERS STOP WORK!!!! - NON DESTRUCTIVE STEPS (i.e. Potholing by hand) ARE TO BE TAKEN TO POSITIVELY LOCATE THE ASSET - IF NOT POSSIBLE ELEVATE TO SUPERVISOR/ FOREMAN

  • 6. Safe Access & egress considered?

  • 7. Is the excavations > 1.5 in depth? Is it Bench, Battered, Shored?

  • 8. If greater than 1.5m in depth and Benched, Battering or Shoring is not identified has the site been Geotechnical Surveyed?

  • ENSURE THAT ALL WORK IS STOPPED AND THAT CONTROLS ARE IMMEDIATELY IMPLEMENTED

  • 9. Barricading & Signage maintained to a high standard - taut and level position,<br>< 1.5m flagging & hard barricade or otherwise.....<br>> 1.5m Danger flagging & hard barricading with 'Danger Deep Excavation' Signage displayed

  • 10. Has a Spotter Requirement been identified (i.e. electrical)?

  • 11. When using machine after POSITIVELY IDENTIFYING services are excavation scrapes greater than 100mm?

19. Lighting/ Nightshift

  • Is this section relevant?

  • 1. Lighting/ illumination of all designated work areas adequate?

  • 2. Provided on or in vicinity of operating/ moving machinery?

  • 3. Excavations well lit where required considerations for slip, trip, fall?

  • 4. Laydown/ equipment storage area/ yard?

  • 5. Car park area adequately illuminated?

  • 6. Provided to all scaffolding platforms in use.

  • 7. If performing Night Work is PPE the correct type?

20. Environment

  • Is this section relevant?

  • 1. The Environmental Management Plan is readily available and understood?

  • 2. Spill kits/ Socks/ Coil logs/ Silt fencing etc. for sediment and erosion control available and installed as required?

  • 3. Spills reported and cleaned up/ waste disposed of and tracked accordingly?

  • 4. Impacts on Flora and Fauna minimized

  • 5. All Plant and Equipment is serviceable and free of oil drips / seepage?

  • 6. Appropriate waste disposal containers available?

  • 7. Waste segregation measures i.e. Re-cycle in place & containers labelled?

  • 8. Hazardous waste disposed of appropriately?

  • 9. Are water drains protected from construction materials?

  • 10. Are weeds being proliferated? Do we have wash-down responsibilities if so are 'Weed Declarations' available?

  • 11. Dust control measures?

  • 12. Overall Housekeeping

  • 13. Noise levels are monitored and controlled, impact on residents?

21. Driving Safety

  • Is this section relevant?

  • 1. Has the driver been trained and assessed as competent for the vehicle being driven? Is the person appropriately licensed?

  • 2. Is the vehicle fitted with an In Vehicle Monitoring System?

  • 3. Has the Driver competed a full vehicle pre-inspection prior to operation?

  • 4. Is the vehicle fitted with operational reversing beeper?

  • 5. Is the vehicle fitted with an operational in date fire extinguisher?

  • 6. Is the vehicle fitted with a First Aid Kit?

  • 7. Is the vehicle suitable for identified Site conditions?

  • 8. Is the vehicle complying with manufacturer's personnel carrying requirements.

  • 9. Do personnel wear seatbelts? Are they serviceable?

  • 10. Does the vehicle contain a Spill Kit?

22. Electrical Isolations

  • Is this section relevant?

  • 1. If electrical work is subcontracted, is this being performed by a licensed/ competent person who has been adequately on-boarded?

  • 2. Electrical work performed under permit? Has the permit been authorized?

  • 3. A test for zero energy has been conducted by a Competent Persons prior to commencing work.

  • 4. Working on live conductors assessed as the only practicable solution and approved.

  • 5. Minimum of 2 persons when working on live exposed conductors.

  • 6. Isolation Authorities have been designated and approved

  • 7. All isolations verified by Competent Persons.

  • 8. Isolations are locked and tagged.

  • 9. De-isolations are conducted by Competent Persons.

23. Earthmoving

  • Is this section relevant?

  • 1. Has placement of material been considered? (face thickness for batters, angle of repose etc.)?

  • 2. Is there enough area for safe and productive operation (vehicle interaction) of machines?

  • 3. Is the equipment being used correctly for task/ work scope?

  • 4. Is access to the work area appropriate (Congestion, close proximity to other vehicles)?

  • 5. Is access to the work area clearly sign-posted, barricaded and delineated?

  • 6. Is entry being controlled (Warning and no entry signs, security etc.)?

  • 7. Is there observed over loading leading to spillage?

  • 8. Is there adequate positive communication to perform the task safely? (Radios and or spotters or use of Hand Signals)

  • 9. Is there adequate and appropriate lighting in place?

  • 10. Do the batters appear to be stable?

24. Prevention of Dropped Objects

  • Is this section relevant

  • 1. Can any of the crew be struck by Dropped Objects?

  • 2. Has control heirarchy i.e. 'Elimination' been considered' i.e. Removal of the hazard by performing work/task on the ground?

  • 3. PRE-START Meeting - Crew Lead has discussed potential dropped object hazards resulting from, and exposure to, interfacing Contractors & workgroups.

  • 4. Have risk associated with Work at Height been identified within the Pre-start (WP2)?

  • 5. Have controls for materials at height been implemented i.e. Grate/ Hand Tools, Pneumatic tools etc.

  • 6. Scaffolding; couplings/clips, tubes & planks considered and currently tagged and tested?

  • 7. Has Hierarchy of control 'Substitution' - i.e. use of alternate access, substitute tools & equipment, substitute work method been considered?

  • 8. Have Engineering Controls been considered - i.e. Edge protection, catch scaffold/safety net, bins, gaps in handrails and floors covered, use of toe boards, chin straps on helmets, use of lanyards on hand tools, material and equipment to be secured whilst dismantling, lifting or moving?

25. Hazardous Manual Tasks

  • Is this section relevant?

  • 1. Have risk associated with Hazardous Manual Handling tasks been discussed during the Pre-Start?

  • 2. Are warm up stretches/ preparatory movements performed before starting the task?

  • 3. Have identified roles and the associated TASKS been risk assessed in line with the PErforM program?

  • 4. Is there adequate space i.e. free from obstacles - for the person performing the task?

  • 5. Correct, PPE, tools and equipment selected for tasks being performed, i.e. use of mechanical devices if available been considered?

  • 6. Have controls been implemented for all identified repetitive or sustained postures, movements or forces? i.e. rotation of personnel or use of mechanical aids?

  • 7. Has the workers posture been assessed?

  • 8. If exposed to vibration have controls such as 'rotation' and/ or suitability of equipment been considered?

26. Waste Management

  • Is this section relevant?

  • 1. Appropriate number of bins available for construction and personal waste?

  • 2. Appropriate types of bin available for waste segregation (i.e. front lift, skips, paper, steel, wood, hazardous waste, aerosol cans, oily waste) -largely directed toward the depot or non mobile sites

  • 3. The frequency of waste collection is sufficient for area

  • 4. Bins labelled correctly (e.g. Waste Metal/Steel, Paper, Hazardous Waste)

  • 5. Is liquid waste identified in bins (top loading and blue skip bins)

  • 6. Paper and/or cardboard recycling bins are not contaminated with other types of waste

  • 7. Bins are blocked by materials/vehicles/plant/equipment preventing the Waste Contractor removing?

  • 8. Worksite or bin surrounds are clean and tidy no litter/waste on the ground

  • 9. Are the bins blocking Emergency Exits?

  • 10. If regulated waste is being removed from site, is a Waste tracking certificate being generated and submitted to DEHP, along with tracking in a central register?

27. Mechanical Isolations

  • Is this section relevant

  • 1. Has the controlling work permit and any mechanical isolation documentation been authorized by an approving authority?

  • 2. Has a risk assessment been conducted to identify all potential hazardous materials and stored energy sources

  • 3. Have all personnel working under the permit been appropriately trained?

  • 4. Are there drawings, plans or sketches indicating the location of the Isolation points

  • 5. If utilizing a lock box/ Lock board etc. has process been followed in accordance with an applicable LOTO procedure/ standard?

  • 6. Have the isolation/s been effected by an Authorized Isolator and verified by a third party?

  • 7. In accordance with the isolation plan are isolation points controlled as required?

  • 8. Where personal locks are utilized are they affixed to the lock box or multi-hasp? And does this number align with a Sign On/Sign off Register?

  • 9. Has the isolation tag been correctly filled in, Authorized and attached correctly to the isolation point?

28. Pre-Start Meeting/ Completion of Work-Pack

  • Is this Section Relevant?

  • 1. Have all workers onsite inclusive of any subcontractors been included in the Pre-start meeting?

  • 2. Did the Pre start include all site emergency communication requirements i.e. identification of an emergency assembly point?

  • 3. Did the Pre start meeting cover the daily tasks/activities for the work group and include detail around associated risks (WP2) inclusive of step-back process if there is a change to the work scope?

  • 4. Were all onsite interactions/ interfaces i.e. Plant/ Plant, Plant/ Personnel discussed?

  • 5. Did the Pre start Meeting include discussion around being correctly warmed up i.e. stretches or pre task activities to reduce risk of injury?

  • 6. Were all work-pack documents completed as required?

  • 7. Are those identified for specific roles i.e. Crew Leader/ SNRP/ Standby/ Downhole etc. verified as accredited?

  • 8. Have all persons onsite inclusive of subcontractors been inducted and how is this validated?

29. Supervision

  • Is this section relevant?

  • 1. Has the site supervisor the ability to manage and understand the scope of work for the day?

  • 2. Does the site supervisor effectively interface and co-ordinate with all stakeholders?

  • 3. Can the site supervisor demonstrate documented planning? E.g. WMS and use of Chemwatch - Minimum 2 week look ahead works program?

  • 4. Is housekeeping and site security effectively managed?

  • 5. Can the site supervisor effectively respond to site safety issues?

  • 6. Does the site supervisor manage High Risk work activities?

  • 7. Has the site supervisor ensured that the work Crew have the appropriate tools and equipment to deliver the work scope without any adverse effects to quality/ safety/ environment and the community?

  • 8. Does the site supervisor manage environmental activities appropriately i.e sediment fence/ CEMP/ REF?

Verification Completed by

  • Full Name

  • Full Name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.