Tier 1 Group Workplace Inspection JSO

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personnel On Site

• Is the correct PPE being used onsite for each specific task

  Yes

  No

  N/A

• Does worker have correct training WTC for working on site

  Yes

  No

  N/A

General Site

• Has job start been filled out correctly

  Yes

  No

  N/A

• Have all staff and visitors been inducted onto JobStart

  Yes

  No

  N/A

• Have all underground services been located

  Yes

  No

  N/A

• Are current utility plans on site

  Yes

  No

  N/A

• Is the excavation permit accurate, complete, current and on site

  Yes

  No

  N/A

• Have the weekly drill/ excavator checks been completed for the last week

  Yes

  No

  N/A

• Is the drill rig earthed correctly

  Yes

  No

  N/A

• If working at heights are all health and safety requirements being met

  Yes

  No

  N/A

• Is the worksite clean and free of clutter

  Yes

  No

  N/A

• Has MBIE (Worksafe) been notified of excavation greater then 1.5m deep

  Yes

  No

  N/A

• Are fuels and chemicals safely and securely stored

  Yes

  No

  N/A

• Are Material Safety Data Sheets (MSDS) on site for all fuels and chemicals

  Yes

  No

  N/A

Environmental work practices

• Is damage to work area being minimised

  Yes

  No

  N/A

• Are leaks and spills and discharges being controlled

  Yes

  No

  N/A

• Have sediment and erosion controls been installed

  Yes

  No

  N/A

• Are the drains and gutters being controlled at the source

  Yes

  No

  N/A

Plant and Equipment

• Does operator/driver have correct licences and endorsements

  Yes

  No

  N/A

• Are all wof/cof/rego/RUC current

  Yes

  No

  N/A

• Are tie down equipment secure and in good condition

  Yes

  No

  N/A

• Are mobile plant operators wearing seat belts

  Yes

  No

  N/A

Public Safety

• Are barriers/ fences being used correctly

  Yes

  No

  N/A

• Are all barriers in good condition and COPTTM compliant

  Yes

  No

  N/A

• Is the Drill fully fenced with a 1m clearance

  Yes

  No

  N/A

• Are temporary walkways in place for pedestrians

  Yes

  No

  N/A

Traffic Control

• Is a TMP required and in place

  Yes

  No

  N/A

• Has the TMP been set out in accordance with the approved TMP

  Yes

  No

  N/A

• Is there a STMS responsible for the site

  Yes

  No

  N/A

• Has a traffic control checklist/ audit been completed and recorded on jobstart

  Yes

  No

  N/A

• Is there an escape route for the traffic controller

  Yes

  No

  N/A

Emergency Equipment

• Is there a suitable first aid kit onsite

  Yes

  No

  N/A

• Are fire extinguishers present and easily accessible

  Yes

  No

  N/A

• Is the site able to call emergency services

  Yes

  No

  N/A

• Is there a suitable spill kit onsite

  Yes

  No

  N/A

Electrical Equipment

• Have all tools and leads been checked and tagged in the last 6 months

  Yes

  No

  N/A

• Has Ladder and harness been tagged with last 6 months

  Yes

  No

  N/A

• Site Rating

  Select Very Good (Professional Attitude) Satisfactory (A few minor issues) Poor (Dangerous issues and/ or repeat issues)

  • Very Good (Professional Attitude)
  • Satisfactory (A few minor issues)
  • Poor (Dangerous issues and/ or repeat issues)

Comments

• Any corrective actions or note to help improve next Audit