MFJ - Work Site Audit Report

• Project Name

• Project Number

• Conducted on

  Date

• Prepared by

• Audit number

PPE

• Required PPE is worn

  Yes

  No

  N/A

• Eye & sun protection is available

  Yes

  No

  N/A

• Hearing protection is available

  Yes

  No

  N/A

• Gloves and dust masks are available

  Yes

  No

  N/A

Permits

• Relevant permits are current

  Yes

  No

  N/A

• Permit conditions are adhered to

  Yes

  No

  N/A

Machine Operations

• Daily plant check has been recorded

  Yes

  No

  N/A

• Seat belt is worn

  Yes

  No

  N/A

• Plant door is closed

  Yes

  No

  N/A

• Plant covers have been removed

  Yes

  No

  N/A

• If not in use, plant is secure

  Yes

  No

  N/A

• Subcontractors' plant records are up to date

  Yes

  No

  N/A

Lifting Operations

• Lifting gear has current test tag

  Yes

  No

  N/A

• Lifting gear is appropriate for the task

  Yes

  No

  N/A

• Personnel is clear of suspended load

  Yes

  No

  N/A

Shafts & Trenching

• Existing services have been located

  Yes

  No

  N/A

• Excavation is secured from traffic

  Yes

  No

  N/A

• Excavation is secured from pedestrians

  Yes

  No

  N/A

• Personnel are within ground supports

  Yes

  No

  N/A

• Barricades are in place

  Yes

  No

  N/A

• Spoil is well away from edge of trench

  Yes

  No

  N/A

• Excavation is adequately supported

  Yes

  No

  N/A

• Means of entry/exit are provided

  Yes

  No

  N/A

• Ladders are secured

  Yes

  No

  N/A

• Fall protection gear is in place

  Yes

  No

  N/A

• Fall protection gear has current test tag

  Yes

  No

  N/A

• CSE gear is available

  Yes

  No

  N/A

• Shafts are covered

  Yes

  No

  N/A

Incident Reporting

• Known incidents are recorded

  Yes

  No

  N/A

• Incidents are reported

  Yes

  No

  N/A

General Site Conditions

• Site is safe and secure

  Yes

  No

  N/A

• Return to work poster is displayed

  Yes

  No

  N/A

• Emergency numbers are displayed

  Yes

  No

  N/A

• Project information sign is displayed

  Yes

  No

  N/A

• Toilet is clean

  Yes

  No

  N/A

• First aid kit is available

  Yes

  No

  N/A

• Spill kit is available

  Yes

  No

  N/A

• Housekeeping is adequate

  Yes

  No

  N/A

• Site traffic is controlled

  Yes

  No

  N/A

• TMP is in place and complied with

  Yes

  No

  N/A

• Site run-off is controlled

  Yes

  No

  N/A

• Sediment controls are as per EMP

  Yes

  No

  N/A

• Erosion controls are as per EMP

  Yes

  No

  N/A

• Flora & fauna management is as per EMP

  Yes

  No

  N/A

• Lighting is available for night work

  Yes

  No

  N/A

• Electrical gear has current test tags

  Yes

  No

  N/A

• Extinguishers have current test tags

  Yes

  No

  N/A

• Parked vehicles have minimal impact on road users, pedestrians and cyclists

  Yes

  No

  N/A

Project Documents

• Site folder is available

  Yes

  No

  N/A

• Latest constructions plans are on site

  Yes

  No

  N/A

• Inductions are up to date

  Yes

  No

  N/A

• Personnel are inducted to SWMS

  Yes

  No

  N/A

• Personnel are inducted to EMP

  Yes

  No

  N/A

• Personnel are inducted to CHMP

  Yes

  No

  N/A

• Daily risk monitoring record is current

  Yes

  No

  N/A

• Chain & Sling register is complete

  Yes

  No

  N/A

• TBM records are complete

  Yes

  No

  N/A

• Subcontractors’ docs are up to date

  Yes

  No

  N/A

Pipe Laying

• Approved materials only are in use

  Yes

  No

  N/A

• Materials are stored correctly

  Yes

  No

  N/A

• Defective materials are isolated

  Yes

  No

  N/A

• Works are as per design

  Yes

  No

  N/A

Safety 1st Fundamentals

• Safety 1st fundamentals are complied with

  Yes

  No

  N/A

Comments/summary