Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
1 EMERGENCY RESPONSE
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1.1 Current Emergency Evacuation Plan & Procedure displayed in appropriate positions around site?
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1.2 Fire Extinguishers are marked correctly on evacuation plan?
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1.3 Emergency assembly & Muster points are highlighted on the evacuation plan?
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1.4 Location of First Aid kits are marked on the evacuation plan?
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1.5 Emergency Exits are marked correctly on evacuation plan
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1.6 Emergency Numbers displayed on evacuation plan?
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Tick if the emergency numbers displayed on evacuation plan include:
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Local Police Station
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Local Fire Brigade
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Local Hospital
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Power or electricity source
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Gas
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Chemwatch
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Water & Sewerage
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Site Managers phone number
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1.7 Firefighting equipment in place and in good condition?
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1.8 Fire extinguishers are correct type for the area?
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1.9 Fire extinguisher signage is in place and correct?
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1.10 Fire extinguishers are serviced every 12 months and fitted with anti-tamper tags?
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1.11 One metre clearance maintained around fire fighting equipment?
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1.12 Access to fire fighting equipment is clear?
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1.13 Fire Breaks in place and adequate?
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1.14 Access to switchboards is clear and unobstructed?
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1.15 Smoke alarms fitted in nominated locations?
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1.16 Emergency assembly / muster area(s) sign posted?
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1.17 Emergency assembly / muster area(s) have a clear path to them and are free of debris?
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1.18 First Aid kits are available with correct signage displayed?
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1.19 First Aid kits in good condition and fully stocked (contents list is located on inside of kit - check)?
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1.20 Are names of first aiders on site located on the first aid kit?
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1.21 Sign in sheets accurate?
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1.22 Emergency 'exit' signs present and illuminates (above fire doors and directing exits)?
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1.23 Exits and stairs clear and unobstructed?
2 House Keeping
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2.1 Access / Egress to work sites up to standard?
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2.2 Caps on star pickets & rebar?
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2.3 Rubbish bins provided and used?
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2.4 Materials neatly stacked?
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2.5 Work platforms clear?
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2.6 Adequate lighting for night work?
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2.7 All hoses off ground?
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2.8 Correct signage in place & readable?
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2.9 Hazardous Sub's labeling & storage?
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2.10 Waste stored / removed correctly?
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2.11 Recycling is occurring?
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2.12 Do employees pick up stock / litter / spillages off floor & site area?
3 Offices and Ablutions
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3.1 Crib room clean, tidy and hygienic?
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3.2 Floors are clean, clear with a safe path of travel throughout area?
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3.3 Floor coverings / surfaces in good condition?
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3.4 Toilets clean and hygienic?
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3.5 No evidence of sewage spills or overflows?
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3.6 Barricading / signs in place where required?
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3.7 Access and Egress; trip hazards, condition of flooring, anti-slip, handrails?
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3.8 Emergency Evacuation Plan?
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3.9 Air conditioning & Ventilation adequate?
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3.10 Filing Cabinets / Shelving - not overloaded?
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3.11 Leads, Lighting, Emergency Lighting?
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3.12 Housekeeping, cleanliness, food / rubbish disposal, hygienic?
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3.13 Individuals Work Stations clean and tidy?
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3.14 Office equipment; Shredder protected, good height, ventilation, noise - all adequate?
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3.15 Equipment such as chairs, desks, computers, etc. are in good working condition?
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3.16 Lights are working, covers in place where required and adequate for the job?
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3.17 Double adaptors are not being used?
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3.18 Electrically operated machines have current testing and tagging (includes kitchen appliances older than 12 months)?
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3.19 Power points and power leads are good condition (no leads across floors or on wet surfaces)?
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3.20 First Aid Kit available?
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3.21 MSDS available?
4 Personal Protective Equipment (PPE)
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4.1 PPE available at the worksite?
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4.2 All appropriate PPE being worn?
5 Mechanical / Workshop
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5.1 9" grinders not in use?
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5.2 Clips fitted to all hoses?
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5.3 Correct discs used in grinders?
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5.4 Ladders secured and tagged?
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5.5 guards fitted to machinery/ tools?
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5.6 All power tools fitted with dead man?
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5.7 Portable electrical equipment Tagged and current?
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5.8 Wheel chocks in use / available?
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5.9 Hand held tools are in good condition and stored appropriately?
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5.10 Are sufficient stocks of PPE kept?
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5.11 Manual handling aids available?
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5.12 Gas bottles secured / protected from damage or falling over ( e.g strapped or chained to secured fixture)?
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5.13 Ladders used are in good working condition?
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5.14 Safety warning signs present including:
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Manual Handling
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Eye protection
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Keep out - Authorised Personnel Only
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Visitors report to the Office
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Chemicals
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5.15 A register of authorised employees to operate plant / equipment is available?
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5.18 Stacked items are safe - not overhanging or leaning?
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5.19 Are pallets in good condition?
6 Electrical
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6.1 Condition of leads, plugs etc - adequate upon assessment?
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6.2 ELCB / RCD used for portable tools - adequate upon assessment?
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6.3 All equipment tagged correctly?
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6.4 Leads off ground not near water?
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6.5 Isolations appropriate & completed?
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6.6 Earth leads on welders good condition?
7 Vehicles and Mobile Equipment
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7.1 All vehicles parked according to parking rules?
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7.2 Road rules are being followed?
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7.3 Vehicles meet Minepower requirements?
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7.4 Weekly pre-start inspection completed and logged on all light vehicle?<br>Refer to Daily Re-start Inspection Checklist
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7.5 Daily Pre-start inspection completed and logged on all machinery?<br>Refer to Daily Pre-start inspection checklist
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7.6 Flashing lights & headlights working and being used?
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7.7 Are vehicles and equipment clean / no loose debris?
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7.12 Radio procedures being followed?
8 Traffic Management
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8.1 Full segregation of Light Vehicle & Surface Mining Equipment is in place?
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8.2 Park up areas are correct?
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8.3 Traffic management plans are in place?
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8.4 Speed limits are marked correctly?
9 Roads and Surfaces
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9.1 Windrows at correct height?
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9.2 Surfaces firm and safe?
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9.3 Roads have adequate width?
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9.4 Delineators are in place?
10 Excavations and Mining
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10.1 Battered back?
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10.2 Barricaded correctly?
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10.3 Easy entry and exit to Digger?
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10.4 Loading of Trucks sequenced?
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10.5 Correct method of digging is being used?
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10.6 Dumpy park up defined?
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10.7 All signals appropriate?
11 Job Start
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11.1 Job Hazard Analysis (JHA) appropriate & completed?<br>Refer to JHA checklist
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11.2 JHA on the job and understood?
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11.3 Field Level Risk Assessments (FLRA) have been undertaken?<br>Refer to FLRA cheklist
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11.4 Permits appropriate & completed?
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11.5 Isolations appropriate & completed?
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11.6 Work area de-marked and sign posted?
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11.7 Material Safety Data Sheets (MSDS) for chemicals at the workplace?
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11.8 Access/egress to work area appropriate?
12 Occupational Health
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12.1 Dust levels low and controlled?
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12.2 Noise levels acceptable?
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12.3 Fibrous Material is being controlled?
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12.4 Vibration is being controlled?
13 Hot Work
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13.1 Permit in place?
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13.2 Flashback arresters on cylinders and hand pieces?
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13.3 All equip (hoses, etc) in good condition?
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13.4 Fire extinguishers available for all Hot Work?
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13.5 Earth clamps in correct location?
14 Working at Heights
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14.1 WAH is being eliminated?
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14.2 Fall arrest equipment used?
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14.3 Permit to work at Height in place?
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14.4 Spotters in place as required?
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14.5 ECO barricading in place?
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14.6 Drop zone barricading in place?
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14.7 Dropped objects prevention is in place?
15 Craneage Operations
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15.1 Crane log books and documentation in place in the crane?
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15.2 Cranes set up correctly?
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15.3 Crane operator competent?
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15.4 Crane lift risk assessment form in place?
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15.5 Crane suitable for the task?
16 Confined Space
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16.1 Confined space permit in place?
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16.2 Sentry space permit in place?
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16.3 Procedure being followed?
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16.4 Space safe?
17 Hydrocarbon Storage
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17.1 All hydrocarbon materials inside bunds?
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17.2 Oil spill equipment available, status?
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17.3 No evidence of stains / spillage?
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17.4 Bunds fully effective?
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17.5 Fuel-containing equipment and plant in trays or provided with other bunding?
18 Flora and Fauna
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18.1 All clearing approved?
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18.2 VDAs in place for all activities?
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18.3 Priority flora is identified and fenced?
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18.4 Topsoil stockpiled and signposted?
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18.5 Easy exit for fauna from trenches & pits?
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18.6 Bore caps in place & conduit ends taped?
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18.10 No weeds growing in project areas?
19 Water Management
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19.1 Flow meters / volumes recording in place?
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19.2 Water holding facilities appropriately constructed (drainage of standpipes, depth)?
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19.3 Water holding facilities stock fenced & have exit ropes?
20 Erosion
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20.1 No erosion from stockpiles?
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20.2 No erosion of gullies and streams?
21 Sewerage Treatment
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21.1 Facility approved & permits in place?
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21.2 Alarms/warning devices in place for clearing capacity?
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21.3 Receiving effluent tank higher capacity then freshwater input tank?
22 Occupational Health and Safety Administration
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22.1 Is there a procedure for personnel to refuse working where they feel that injury or harm could occur to themselves or to other people?
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22.2 Has a register of Hazardous Materials been developed?
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22.3 Names of OH&S Reps Displayed on Notice Board?
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22.4 Incident / Accident Recording, Reporting & Investigation Folder is available and current?
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22.5 Danger Tags are available and being used correctly site wide?
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22.6 Current Company OHS Policies are on display in a prominent position?
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22.7 Review Toolbox Minutes from last six meetings?
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22.8 Have Site Specific Risk Assessments been completed on contractors?<br>Refer to Site Specific Risk Assessment Checklist
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22.9 Is the Site Specific Risk Assessment Current? (Risk Assessment must be no older than 2 years old.)
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22.10 Have controls been put in place to control hazards identified? (review site specific risk assessment)
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22.11 Does the Site conduct regular evacuation drills? Did the employees participate (Review the last few Fire Drill Records)
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22.11(1) When was the last one (Last evacuation drill not to be more than 6 months)
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22.12 Has the employee completed Specific Training (review on the job training records)
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22.13 Has the employee received / or has the ability to access Safe Work Procedures? (review employee file for sign off)
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22.14 Has each crew been established with a First Aider?
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22.15 Employees who conduct specialist tasks have received appropriate training in OH&S Related Matters? (check employee personnel files for record of training (certificate or attendance registers)
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22.16 Employees have received appropriate training in return to work? (check training matrix)
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22.37 Has OH&S Training been conducted for OH&S Representatives within 12 months of accepting the position? (review personnel files or training matrix)
23 Chemicals
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23.1 Are only approved chemicals being used as per the Approved Chemical Register?
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23.2 Chemicals stored on site are not expired or obsolete?
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23.3 Chemicals are not decanted? (substances must be in original containers with original labels)
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23.4 Are all the chemicals clearly labelled?
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23.5 Material Safety Data Sheets present at location where Chemicals are kept and easily accessible?
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23.6 Containers in which chemicals are stored are in good condition and are not leaking?
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23.7 Nominated area in which chemicals are stored is locked allowing only restricted access and bundled?
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23.8 Gas bottles secured/ protected from damage or falling over? (e.g strapped or chained to secured fixture)
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23.9 Is there adequate ventilation where chemicals are stored?
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23.10 Spill kits available and fully stocked?
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23.11 Are emergency showers or eye wash stations available & easily assessable?
Review
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Remarks
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Person completing form
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Witness/Participant