Lanser Civils- Sub Contractor

• Site

• Conducted on

  Date

• Prepared by

General Administration

• Is there a Site Specific Health and Safety Plan?

  Yes

  No

  N/A

• Is there a Health and Safety Policy?

  Yes

  No

  N/A

• Is the Health and Safety been signed?

  Yes

  No

  N/A

• Valid Letter of Good of Good Standing

  Yes

  No

  N/A

• Signed Mandatory Agreement

  Yes

  No

  N/A

Appointments

• Contractor Appointment Signed

  Yes

  No

  N/A

• 16(2) Appointment Signed

  Yes

  No

  N/A

• Site Supervisor Appointment Signed

  Yes

  No

  N/A

• Risk Assessor Appointment Signed

  Yes

  No

  N/A

• Fall Protection Plan Developer Appointment Signed

  Yes

  No

  N/A

• Accident and Incident Investigator Appointment Signed

  Yes

  No

  N/A

• Hand Tool Inspector Appointment Signed

  Yes

  No

  N/A

• Portable Electrical Tool Inspector Appointment Signed

  Yes

  No

  N/A

• Ladder Inspector Appointment Signed

  Yes

  No

  N/A

• Stacking and Storage Supervisor Appointment Signed<br>

  Yes

  No

  N/A

• Emergency Co-Ordinator Appointment Signed

  Yes

  No

  N/A

• Health and Safety Representative Appointment Signed

  Yes

  No

  N/A

• Fire Extinguishing Equipment Inspector Appointment Signed

  Yes

  No

  N/A

• First Aider Appointment Signed

  Yes

  No

  N/A

• Scaffold Erector Appointment Signed

  Yes

  No

  N/A

• Scaffold Supervisor / Inspector Appointment Signed

  Yes

  No

  N/A

• Temporary Works Supervisor Appointment Signed

  Yes

  No

  N/A

• Excavation Supervisor Appointment Signed

  Yes

  No

  N/A

• Mobile Plant Inspector Appointment Signed

  Yes

  No

  N/A

• Mobile Operators Appointments Signed

  Yes

  No

  N/A

Certificates and Medicals

• Construction Supervisor CV on File

  Yes

  No

  N/A

• Risk Assessor Certificate on File

  Yes

  No

  N/A

• Fall Protection Plan Developers Certificate on File

  Yes

  No

  N/A

• Accident and Incident Investigator Certificate on File

  Yes

  No

  N/A

• Safety Officer / Manager Registered with SACPCMP

  Yes

  No

  N/A

• SACPCMP Letter / Certificate on File

  Yes

  No

  N/A

• First Aider Certificate on File

  Yes

  No

  N/A

• Scaffold Erector Certificate on File

  Yes

  No

  N/A

• Scaffold Inspector Certificate on File

  Yes

  No

  N/A

• Medicals of all workers on File

  Yes

  No

  N/A

Accident and Incidents

• Any Accidents or Incidents on site in the last 30 days

  Yes

  No

  N/A

• If so have you notified the Contractor and other relevant parties

  Yes

  No

  N/A

• If so, are all the necessary documents in place<br>

  Yes

  No

  N/A

Risk Assessment Communication

• Is the Risk Assessment site specific?

  Yes

  No

  N/A

• Have the Risk Assessment been Communicated to all workers and did they sign the register

  Yes

  No

  N/A

• Risk Assessment Reviewed and Monitored

  Yes

  No

  N/A

Fall Protection Plan Communication

• Is the Fall Protection Plan Site Specific?

  Yes

  No

  N/A

• Have the Fall Protection Plan been Communicated to all workers and did they sign the register

  Yes

  No

  N/A

• Fall Protection Plan Reviewed and Monitored

  Yes

  No

  N/A

Checklists and Registers

• Portable Fire Equipment Register

  Yes

  No

  N/A

• First Aid Box Register

  Yes

  No

  N/A

• PPE Issue Register

  Yes

  No

  N/A

• Hand Tool Inspection Register

  Yes

  No

  N/A

• Portable Electrical Tools Register

  Yes

  No

  N/A

• Ladder Inspection Register

  Yes

  No

  N/A

• Daily Plant Inspection Register (Generators and other Small Plant)

  Yes

  No

  N/A

• Excavation Register

  Yes

  No

  N/A

• Scaffold Register

  Yes

  No

  N/A

• Temporary Works Register

  Yes

  No

  N/A

Toolbox Talks

• Have Toolbox Talks been done at least once a week with all workers on site

  Yes

  No

  N/A

Induction Training

• Was all workers inducted prior of work being done on site

  Yes

  No

  N/A

Personal Protective Equipment (PPE) - Compliance on Site

• Workers - Safety Boots

  Yes

  No

  N/A

• Workers - Reflective Vests

  Yes

  No

  N/A

• Workers - Hard Hats

  Yes

  No

  N/A

Housekeeping and Stacking and Storage

• Stacking and Storage done as per Safety Plan and Risk Assessment

  Yes

  No

  N/A

• Effective Waste Removal

  Yes

  No

  N/A

Emergency Equipment

• First Aid Box available on site

  Yes

  No

  N/A

• Adequate Fire Fighting Equipment available on site

  Yes

  No

  N/A

• Audit Conducted by:

  Sign