Maintenance Site Inspection

• Contractor

• Job Location

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Induction Details

• Are all staff inducted to be on site and displaying their contractor ID?

  Yes

  No

  N/A

• Optional: Take photo of work site

  Media

1. Working at Heights

• 1.1. Have all risks of fall been identified? (including voids, pits, and trenches)

  Yes

  No

  N/A

• 1.2. Are all the identified controls implemented?

  Yes

  No

  N/A

2. Plant and Equipment

• 2.1. Is all plant/equipment in good working order (including missing or damaged guards)?

  Yes

  No

  N/A

• 2.2. Is the correct plant /equipment being used for job? (e.g. grinding discs for cutting)

  Yes

  No

  N/A

• 2.4. Are all persons qualified and competent to operate equipment?

  Yes

  No

  N/A

• 2.8. Is all equipment on site in Service? (Are leads tagged, have harnesses been tagged)

  Yes

  No

  N/A

3. Scaffolds

• 3.2. Is the scaffold complete and are appropriate scafftags attached where required?

  Yes

  No

  N/A

• 3.5. Are Safe Work Loads (SWL) displayed and adhered to? (tools, stored materials, number of persons)

  Yes

  No

  N/A

4. Ladders

• 4.1. Have ladders been inspected/ maintained?

  Yes

  No

  N/A

• 4.2. Is ladder set up safely and secured ( e.g is the ladder tied off, is there a stable base footing the ladder?)

  Yes

  No

  N/A

• 4.3. Is the Ladder suitable for job? (e.g. metal ladder used for electrical work)

  Yes

  No

  N/A

5. Hazardous Chemical (including fuel and oil)

• 5.1. Are all chemicals stored in a safe location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  Yes

  No

  N/A

• 5.2. Is there adequate spill containment equipment?

  Yes

  No

  N/A

• 5.3. Are Safety Data Sheets accessible on site and available?

  Yes

  No

  N/A

• 5.4. Is there emergency procedures for injury/spills/fire etc?

  Yes

  No

  N/A

• 5.5. Is there sufficient and correct, PPE?

  Yes

  No

  N/A

• 5.6. Is the equipment in suitable storage containers? (unlabeled or stored in food containers)

  Yes

  No

  N/A

6. Emergency Response

• 6.1. Are the Emergency procedures known to all and documented?

  Yes

  No

  N/A

• 6.2. Is there available first aid kits for site?

  Yes

  No

  N/A

• 6.3. Are there formally trained First Aiders for all shifts?

  Yes

  No

  N/A

7. Traffic Management

• 7.1. Is there an adequate Traffic Management Plan (TMP) in place?

  Yes

  No

  N/A

• 7.2. Are all persons on site aware of the TMP?<br>(contractors and visitors)

  Yes

  No

  N/A

• 7.3. Are there sufficient controls available for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

  Yes

  No

  N/A

8. Personal Protective Equipment (PPE)

• 8.1. Is there adequate PPE (including sun protection)

  Yes

  No

  N/A

• 8.2. Is there a system to issue, inspect, replace and monitor PPE?

  Yes

  No

  N/A

• 8.3. Is there training in the safe use, clean-up and inspection of PPE?

  Yes

  No

  N/A

9. Work Environment

• 9.1. Are staff aware of appropriate amenities? (toilets, wash areas, lunch rooms, etc)

  Yes

  No

  N/A

• 9.2. Is there sufficient lighting for the works?

  Yes

  No

  N/A

• 9.3. Is there adequate housekeeping?

  Yes

  No

  N/A

• 9.4. Is there adequate noise/ vibration control?

  Yes

  No

  N/A

10. Electrical Hazards

• 10.1. Are all electrical leads safe ( not damaged, in test date or tested)?

  Yes

  No

  N/A

• 10.2. Is there RCD protection?

  Yes

  No

  N/A

• 10.3. Are Leads placed appropriately ( not on ground or on metal structures)?

  Yes

  No

  N/A

• 10.4. Are there Lock-out/tag-out (LOTO) procedures for electrical equipment and have they been implemented where required?

  Yes

  No

  N/A

11. Environmental Hazards

• 11.1. Is there an adequate dust control system?

  Yes

  No

  N/A

• 11.2. Is there adequate controls in place for run-off/ environmental spills

  Yes

  No

  N/A

12. Administrative Procedures

• 12.1. Have the necessary permits (Council, EPA, WHS, also Hot Works, Confined Space etc) been obtained?

  Yes

  No

  N/A

• 12.2. Have all inductions been completed for workers, contractors, visitors?

  Yes

  No

  N/A

• 12.3. Are there adequate Safe Work Method Statements (SWMS) for high- risk work?

  Yes

  No

  N/A

• 12.4. Are there adequate systems to review SWMS as needed?

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

• Enter any additional comments or positive Observations.

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign