MICO Site Safety Checklist

• Audit Title

• Location - MICO
  Address

• Conducted on

  Date

• Prepared by

• Personnel

Traffic/Pedestrian Management

• Is Traffic/pedestrian management required<br>

  Yes

  N/A

• Are staff/pedestrians segregated from equipment where possible

  Yes

  No

  N/A

• Any other issues

  yes

  no

  n/a

Plant/Vehicles

• Plant/vehicles in use

  Yes

  N/A

• Prestart completed (spot check)

  Yes

  No

  N/A

• PPE worn for vehicles in use (cap lamps, self rescuer, respirator etc.)

  Yes

  No

  N/A

• Are they tagged on or off? (Cardex)

  Yes

  No

  N/A

• Exclusion zones established and in force where required

  Yes

  No

  N/A

• Lifting/working at heights equipment tagged in date and and appears suitable for use

  Yes

  No

  N/A

• Loads are restrained/covered adequately

  Yes

  No

  N/A

• Equipment guarding in good condition and being utilised

  Yes

  No

  N/A

• Hearing protection worn where required operating or near plant and equipment (quick cut saw etc)

  Yes

  No

  N/A

• Any other issues

  yes

  no

  n/a

Confined Space

• Confined space

  Yes

  N/A

• Permit current

  Yes

  No

  N/A

• Gas detector being used and calibrated (6 month)

  Yes

  No

  N/A

• SWMS relevant to task

  Yes

  No

  N/A

• Any other issues

  yes

  no

  n/a

Excavation

• Excavation

  Yes

  N/A

• Is excavation over 1.5m

  Yes

  N/A

• Is excavation benched battered or shored

  Yes

  No

  N/A

• Do controls appear sufficient

  Yes

  No

  N/A

• Excavation sufficiently barricaded

  Yes

  No

  N/A

• Any intrusions (water etc)

  Yes

  No

  N/A

• Are staff in the trench

  Yes

  N/A

• Is there any at risk activity

  yes

  no

  n/a

• Do staff have any concerns

  yes

  no

  n/a

• Is there a mechanism in place for excavation checks/inspections

  Yes

  No

  N/A

Manual Handling

• Manual handling

  Yes

  N/A

• Are staff using gloves where required

  Yes

  No

  N/A

• Are mechanical aids available when needed

  Yes

  No

  N/A

• Are staff suitably trained

  Yes

  No

  N/A

• Any other issues

  yes

  no

  n/a

Hazardous Materials/Chemicals

• Hazardous materials/chemicals

  Yes

  N/A

• Stored correctly

  Yes

  No

  N/A

• Segregated correctly

  Yes

  No

  N/A

• SDS present, current and relevant

  Yes

  No

  N/A

• Labelling correct per GHS

  Yes

  No

  N/A

• Evidence of material/chemical being used correctly and handled as per SDS (PPE)

  Yes

  No

  N/A

• Spill kit/Emergency equipment available

  Yes

  No

  N/A

• Eye wash station/shower required

  Yes

  N/A

• Is water cool and station free of debris

  Yes

  No

  N/A

• Are there procedures in place for testing station

  Yes

  No

  N/A

• Any other issues

  yes

  no

  n/a

Working at Heights

• Working at heights

  Yes

  N/A

• Scaffolding being used

  Yes

  N/A

• Erected by competent persons

  Yes

  No

  N/A

• Fitted with scafftags (signed and in date)

  Yes

  No

  N/A

• EWP being used

  Yes

  N/A

• Operator licensed and trained

  Yes

  No

  N/A

• Appears to be operated correctly as per operators manual

  Yes

  No

  N/A

• Ladders being used and have load rating and are undamaged

  Yes

  No

  N/A

• Permit current for tasks over 1.5m

  Yes

  No

  N/A

• SWMS relevant to task

  Yes

  No

  N/A

• Any other issues

  yes

  no

  n/a

General Site

• SWMS being used for high risk activities

  Yes

  No

  N/A

• Personnel inducted to site (spot check)

  Yes

  No

  N/A

• Site personnel adhering to PPE procedure

  Yes

  No

  N/A

• Slips trips and falls/ site hazards appear adequately managed

  Yes

  No

  N/A

• Adequate facilities onsite for staff (Toilets, hygiene, fresh water, shade)

  Yes

  No

  N/A

• Electrical equipment test and tagged and plugged into RCD

  Yes

  No

  N/A

• Hot work hazards managed

  Yes

  No

  N/A

• First aid kit/s available and current

  Yes

  No

  N/A

• Adequately trained first aid persons available

  Yes

  No

  N/A

• Suitable fire extinguishers available and tested

  Yes

  No

  N/A

• Sunscreen available

  Yes

  No

  N/A

• Any other issues

  yes

  no

  n/a