Lift Project Hazard Identification and Risk Assessment

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Working at Heights

• 1.1. Are full height or capped lockable hoardings fitted?

  Yes

  No

  N/A

• 1.2. Do the hoardings have the correct slam locks and notices displayed?

  Yes

  No

  N/A

• 1.3. Are entrance barriers and toe boards fitted inside the hoardings where entrances have been removed?

  Safe

  At Risk

  N/A

• 1.4. Where landing entrances are retained are entrance barriers available?

  Yes

  No

  N/A

2. Scaffolds

• 2.1. Is shaft scaffolding erected.

  Yes

  No

  N/A

• 2.2. Is the scaffolding unsafe or incomplete?

  Safe

  At Risk

  N/A

• 2.3. Is there an inspection protocol for scaffold?

  Yes

  No

  N/A

• 2.4. Is the scaffold inspection tagged?

  Yes

  No

  N/A

3. Lifting Equipment

• 3.1. Is the SWL information displayed on the lifting point?

  Safe

  At Risk

  N/A

• 3.2. Is the test certification available on site?

  Safe

  At Risk

  N/A

• 3.3. Is there any unsafe or damaged lifting equipment, including ropes, slings, chains, hooks being used?

  Safe

  At Risk

  N/A

• 3.4. Lifting equipment unlabelled with no SWL displayed?

  Safe

  At Risk

  N/A

4. Access routes

• 4.1. Access route to the lift shaft safe

  Yes

  No

  N/A

• 4.2. Suitable floor protection provided on access route

  Yes

  No

  N/A

5. Harness and Equipment

• 5.1. Unsafe or damaged harness or equipment?

  Safe

  At Risk

  N/A

• 5..2 Unsafe or uncertified anchor points?

  Safe

  At Risk

  N/A

• 5.3. Lack of inspection protocol for equipment?

  Safe

  At Risk

  N/A

• 5..4. Lack of or inadequate formal training for operators?

  Safe

  At Risk

  N/A

6. Ladders

• 6.1. Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• 6.2. Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• 6.3. Ladder not properly secured?

  Safe

  At Risk

  N/A

• 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

7. Hazardous Manual Tasks

• 7.1. Lack of identification hazardous manual tasks?

  Safe

  At Risk

  N/A

• 7.2. Lack of assessment of hazardous manual tasks?

  Safe

  At Risk

  N/A

• 7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  Safe

  At Risk

  N/A

• 7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

  Safe

  At Risk

  N/A

8. Hazardous Chemical (including fuel and oil)

• 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  Safe

  At Risk

  N/A

• 8.3. Inadequate spill containment equipment?

  Safe

  At Risk

  N/A

• 8.4. Safety Data Sheets not accessible on site?

  Safe

  At Risk

  N/A

• 8.5. Lack of emergency procedures for injury/spills/fire etc?

  Safe

  At Risk

  N/A

9. Emergency Response

• 9.1. Lack of, or no emergency plans for site?

  Safe

  At Risk

  N/A

• 9.2. Emergency procedures not displayed at site?

  Safe

  At Risk

  N/A

• 9.3. Lack of, or inadequate first aid kits aid equipment for site?

  Safe

  At Risk

  N/A

• 9.4. Insufficient access to formally trained First Aiders?

  Safe

  At Risk

  N/A

10. Personal Protective Equipment (PPE)

• 10.1. Lack of, or inadequate PPE

  Yes

  No

  N/A

• 10.2. Lack of system to issue, inspect, replace and monitor PPE?

  Yes

  No

  N/A

• 10.3. Lack of training in safe use, clean-up and inspection of PPE?

  Yes

  No

  N/A

11. Housekeeping

• 11.1. Inadequate housekeeping, site untidy with rubbish/ materials obstructing access?

  Safe

  At Risk

  N/A

• 11.2. Equipment stored in container or agreed storage location?

  Yes

  No

  N/A

• 11.3. All stored equipment correctly protected against damage?

  Safe

  At Risk

  N/A

12. Work Environment

• 12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• 12.2. Insufficient lighting of work area/shaft/motor room?

  Safe

  At Risk

  N/A

• 12.3. Lack of, or inadequate noise/ vibration control?

  Safe

  At Risk

  N/A

13. Electrical Hazards

• 13.1. Unsafe electrical leads? (damaged, out of test date or untested)

  Safe

  At Risk

  N/A

• 13.2. Lack of RCD protection?

  Safe

  At Risk

  N/A

• 13.3. Where a transformer is being used, 240v power lead less than 2m long and safely run?

  Safe

  At Risk

  N/A

• 13.3. Electrical equipment near water?

  Safe

  At Risk

  N/A

• 13.4. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

  Safe

  At Risk

  N/A

15. Administrative Procedures

• 15.1. Lack of/or inadequate Site Safety Plan?

  Safe

  At Risk

  N/A

• 15.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  Safe

  At Risk

  N/A

• 15.3. Lack of, or inadequate, induction for workers, contractors, visitors?

  Safe

  At Risk

  N/A

• 15.4. Lack or, or inadequate, supervisory arrangements?

  Safe

  At Risk

  N/A

• 15.5. All operatives carrying suitable CSCS cards for works they are undertaking?

  Yes

  No

  N/A

• 15.6. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  Safe

  At Risk

  N/A

• 15.7. Lack of, or inadequate system to review SWMS as needed?

  Safe

  At Risk

  N/A

• 15.8. Lack of/or inadequate incident notification procedures?

  Safe

  At Risk

  N/A

• 15.9. Lack of, or inadequate, routine inspections, monitoring, audits?

  Safe

  At Risk

  N/A

• 15.10. Lack of/or inadequate consultative arrangements?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

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