MFJ Constructions - OH&S and Environmental Hazard Inspection Report for Work Sites

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Subcontractors inducted

  Yes

  No

  N/A

• Safe work procedures followed

  Yes

  No

  N/A

• New workers inducted

  Yes

  No

  N/A

• Site diary up to date

  Yes

  No

  N/A

• "As Constructed" information up to date

  Yes

  No

  N/A

• "Inspection and Test Plan" up to date

  Yes

  No

  N/A

Amenities

• Compound secure and safe

  Yes

  No

  N/A

• Compound & site clean and good house keeping practiced

  Yes

  No

  N/A

• Toilet clean and in good condition

  Yes

  No

  N/A

• Amenity huts and lunch room adequate for project

  Yes

  No

  N/A

First Aid

• First aid facilities in place

  Yes

  No

  N/A

• First aid officer nominated

  Yes

  No

  N/A

• Emergency numbers displayed

  Yes

  No

  N/A

Personal Protection Equipment

• Hearing protection available

  Yes

  No

  N/A

• Safety footwear being worn

  Yes

  No

  N/A

• Helmets worn

  Yes

  No

  N/A

• Safety jackets worn

  Yes

  No

  N/A

• Eye and sun protection available

  Yes

  No

  N/A

Trench / Excavation

• Ground support > 1.5m

  Yes

  No

  N/A

• Mine manager onsite

  Yes

  No

  N/A

• Workcover notified > 1.5m

  Yes

  No

  N/A

• Barricade for open trench

  Yes

  No

  N/A

• Lookout on top at all times

  Yes

  No

  N/A

• Relevant permits to work obtained

  Yes

  No

  N/A

Plant and Equipment

• Waste oil collected

  Yes

  No

  N/A

• Daily plant inspections and fault reports being carried out

  Yes

  No

  N/A

• Subcontractors plant in good condition and inspected daily

  Yes

  No

  N/A

• All operators competency tested

  Yes

  No

  N/A

• Vehicles parked to reduce impact on road users and pedestrians

  Yes

  No

  N/A

• Electric leads and tools in good condition and tagged

  Yes

  No

  N/A

Site Safety

• Warning signs, traffic and public in place as per road sign code

  Yes

  No

  N/A

• Toolbox meeting held. Records kept on site

  Yes

  No

  N/A

• Inspect for dangerous goods

  Yes

  No

  N/A

• Applicable MSDS onsite

  Yes

  No

  N/A

• Work practices inspected for potential hazards with workers

  Yes

  No

  N/A

• Warning signs stacked and clean

  Yes

  No

  N/A

• Existing services located

  Yes

  No

  N/A

• Appropriate lighting for night work

  Yes

  No

  N/A

• Inspect for other hazards

  Yes

  No

  N/A

Environmental

• Erosion control arranged

  Yes

  No

  N/A

• Sedimentation control arranged

  Yes

  No

  N/A

Sign Off

• General comments:

• Defect/Suggestion report form and copy of report given to safety coordinator: Yes/No............

• Signed (Inspection officer)

  Sign

• MFJ Constructions (Vic.) Pty. Ltd. Issue 4, 1 April 2007. MFJ-Form 03-01