Lifelines Gisborne District Council General Worksite HS&E Inspection V2

• Main Contractor

• Site / Location
  Address

• Conducted on

  Date

• Prepared by

• Document No.

• Personnel on site

• Completed

  Date

• Score

GENERAL HEALTH AND SAFETY

• First Impression and general housekeeping

  Safe

  At Risk

  N/A

• Visitors are proactively advised of the risks and asked to sign on to the Hazard ID / Risk Control Plan

  Yes

  No

  N/A

• Workplace Safety Rules are being followed on site (eg Life Saving Rules / Cardinal Rules etc)

  Yes

  No

  N/A

• Site Hazard ID / Risk Control Plans completed and all Risk controls in place

  Yes

  No

  N/A

• All staff and visitors signed on to the Hazard ID / Risk Control Plan including subcontactors

  Yes

  No

  N/A

• TMP set up correctly and effectively controlling traffic with safe routes for pedestrians and cyclists

  Safe

  At Risk

  N/A

• Plant and Equipment Prestarts completed with good history

  Safe

  At Risk

  N/A

• Operators are skilled and competent to operate the plant and equipment

  Safe

  At Risk

  N/A

• Seatbelts are used on all plant where fitted

  Yes

  No

  N/A

• Operations are 4m clear of overhead lines at all times

  Safe

  At Risk

  N/A

• Relevant SWMS / JSA's for the high-risk tasks on site

  Yes

  No

  N/A

• Correct PPE for the task worn by everyone and in good condition

  Yes

  No

  N/A

• Sanitary Facilities available including water and sun protection

  Yes

  No

  N/A

• Electrical Equipment protected from damage, tagged and within test. RCDs in use

  Safe

  At Risk

  N/A

• Manual Handling risks identified and managed

  Yes

  No

  N/A

• Lifting equipment tagged and within test

  Yes

  No

  N/A

WORK AREAS

• High risk or Notifiable Work is managed. eg Confined Space entry, Working at height, lifting etc

  Yes

  No

  N/A

• Permits in place where required eg close approach near power or gas

  Yes

  No

  N/A

• Falls from unprotected edges, excavations and holes managed

  Safe

  At Risk

  N/A

• Dial B4 you dig completed when penetrating deeper than 300mm and all services marked out

  Yes

  No

  N/A

• Shoring (trench shields) in place when deeper than 1.5m and / or suitable batter or bench

  Safe

  At Risk

  N/A

• Material storage including stockpiles well managed and positioned safely

  Safe

  At Risk

  N/A

• Pedestrians, cyclists and motorists are protected after work hours

  Safe

  At Risk

  N/A

ENVIRONMENTAL - HSNO

• Adequate Environmental Management Plan on site and resource consent conditions are understood and complied with

  Yes

  No

  N/A

• Waterways are protected. Sediment, run off control and measures are adequate and effective

  Safe

  At Risk

  N/A

• Heritage, Archaeology and Cultural aspects are understood and managed

  Safe

  At Risk

  N/A

• Fuels, Chemicals and Contaminates are stored safely

  Safe

  At Risk

  N/A

• Spill kits appropriate type and size for the volume of products on site

  Yes

  No

  N/A

• Waste and Energy minimization measures are being followed eg Plant not left idling

  Safe

  At Risk

  N/A

EMERGENCY MANAGEMENT, SIGNAGE AND COMMUNICATIONS

• Communication equipment, RT, Cellphone, EPERB

  Safe

  At Risk

  N/A

• Exits, Entry and Assembly Points clearly marked and clear of hazards

  Yes

  No

  N/A

• Fire Extinguishers in place and within test

  Yes

  No

  N/A

• First Aid Kits in place and well stocked

  Yes

  No

  N/A

• Emergency Response Procedures' noted on Hazard ID / Prestart and understood

  Yes

  No

  N/A

COMMENTS AND RECOMMENDATIOS

• Enter corrective actions that will be undertaken

SIGN OFF

• Auditor

  Sign

• Site Supervisor

  Sign