Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

1 EMERGENCY RESPONSE

  • 1.1 Current Emergency Evacuation Plan & Procedure displayed in appropriate positions around site

  • 1.2 Fire Extinguishers are marked correctly on evacuation plan

  • 1.3 Emergency assembly & Muster points are highlighted on the evacuation plan

  • 1.4 Location of First Aid kits are marked on the evacuation plan

  • 1.5 Emergency Exits are marked correctly on evacuation plan

  • 1.6 Emergency Numbers displayed on evacuation plan and include

  • 1.6 Emergency Numbers displayed on evacuation plan include:

  • * Local Police Station

  • * Local Fire Brigade

  • * Local Hospital

  • * Western Power or electricity source

  • * Gas

  • * Chemwatch

  • * Water & Sewerage

  • * Site Managers phone number

  • 1.7 Firefighting equipment in place and in good condition

  • 1.8 Fire extinguishers are correct type for the area

  • 1.9 Fire extinguisher signage is in place and correct

  • 1.10 Fire extinguishers are serviced every 12 months and fitted with anti-tamper tags

  • 1.11 1 metre clearance maintained around fire fighting equipment

  • 1.12 Access to fire fighting equipment is clear

  • 1.13 Fire Breaks in place and adequate

  • 1.14 Access to switchboards is clear and unobstructed

  • 1.15 Smoke alarms fitted in nominated locations

  • 1.16 Emergency assembly / muster area(s) sign posted

  • 1.17 Emergency assembly / muster area(s) have a clear path to them and are free of debris

  • 1.18 First Aid kits are available with correct signage displayed

  • 1.19 First Aid kits in good condition and fully stocked (contents list is located on inside of kit - check)

  • 1.20 Are names of first aiders on site located on the first aid kit

  • 1.21 Sign in sheets accurate

  • 1.22 Emergency 'exit' signs present and illuminates (above fire doors and directing exits)

  • 1.23 Exits and stairs clear and unobstructed

2 House Keeping

  • 2.1 Access / Egress to work sites

  • 2.2 Caps on star pickets & rebar

  • 2.3 Rubbish bins provided and used

  • 2.4 Materials neatly stacked

  • 2.5 Work platforms clear

  • 2.6 Adequate lighting - night work

  • 2.7 All hoses off ground

  • 2.8 Correct signage in place & readable

  • 2.9 Hazardous Sub's labeling & storage

  • 2.10 Waste stored / removed correctly

  • 2.11 Recycling is occurring

  • 2.12 Do employees pick up stock / litter / spillages off floor & site area

3 Offices and Ablutions

  • 3.1 Crib room clean, tidy and hygienic

  • 3.2 Floors are clean, clear with a safe path of travel throughout area

  • 3.3 Floor coverings / surfaces in good condition

  • 3.4 Toilets clean and hygienic

  • 3.5 No evidence of sewage spills or overflows

  • 3.6 Barricading / signs in place where required

  • 3.7 Access and Egress; trip hazards, condition of flooring, anti-slip, handrails

  • 3.8 Emergency Evacuation Plan

  • 3.9 Air conditioning & Ventilation adequate

  • 3.10 Filing Cabinets / Shelving - not overloaded

  • 3.11 Leads, Lighting, Emergency Lighting

  • 3.12 Housekeeping, cleanliness, food / rubbish disposal, hygienic

  • 3.13 Individuals Work Stations

  • 3.14 Office equipment; Shredder protected, good height, ventilation, noise

  • 3.15 Equipment such as chairs, desks, computers, etc. are in good working condition

  • 3.16 Lights are working, covers in place where required and adequate for the job

  • 3.17 Double adaptors are not being used

  • 3.18 Electrically operated machines have current testing and tagging (includes kitchen appliances older than 12 months

  • 3.19 Power points and power leads are good condition (no leads across floors or on wet surfaces)

  • 3.20 First Aid Kit available

  • 3.21 MSDS available

4 Personal Protective Equipment (PPE)

  • 4.1 PPE available at the worksite

  • 4.2 All appropriate PPE being worn

5 Mechanical / Workshop

  • 5.1 9" grinders not in use

  • 5.2 Clips fitted to all hoses

  • 5.3 Correct discs used in grinders

  • 5.4 Ladders secured and tagged

  • 5.5 guards fitted to machinery/ tools

  • 5.6 All power tools fitted with dead man

  • 5.7 Portable electrical equipment Tagged and current

  • 5.8 Wheel chocks in use / available

  • 5.9 Hand held tools are in good condition and stored appropriately

  • 5.10 Are sufficient stocks of PPE kept?

  • 5.11 Manual handling aids available

  • 5.12 Gas bottles secured / protected from damage or falling over ( e.g strapped or chained to secured fixture)

  • 5.13 Ladders used are in good working condition

  • 5.14 Safety warning signs present:

  • * Manual Handling

  • * Eye protection

  • * Keep out - Authorized Personnel only

  • * Visitors report to the Office

  • * Chemicals

  • 5.15 Employees are wearing correct PPE

  • 5.16 A register of authorized employees to operate plant / equipment is available

  • 5.17 Keys are to remain in Plant and Equipment when not in use on site

  • 5.18 Stacked items are safe - not overhanging or leaning

  • 5.19 Are pallets in good condition?

6 Electrical

  • 6.1 Condition of leads, plugs etc

  • 6.2 ELCB / RCD used for portable tools

  • 6.3 All equipment tagged correctly

  • 6.4 Leads off ground not near water

  • 6.5 Isolations appropriate & completed

  • 6.6 Earth leads on welders good condition

7 Vehicles and Mobile Equipment

  • 7.1 All vehicles reverse parking

  • 7.2 Road rules are being followed

  • 7.3 Vehicles meet Minepower requirements

  • 7.4 Weekly pre-start inspection completed and logged on all light vehicles

  • 7.5 Daily Pre-start inspection completed and logged on all machinery

  • 7.6 Are they completed by employees

  • 7.7 Are Corrective Actions of defects completed in a timely manner

  • 7.8 Flashing lights & headlights working and being used

  • 7.9 Maintained, clean and sanitary

  • 7.10 Spotter used as required

  • 7.11 Clean / No loose debris

  • 7.12 Radio procedures being followed

8 Traffic Management

  • 8.1 Full segregation of Light Vehicle & Surface Mining Equipment is in place

  • 8.2 Park up areas are correct

  • 8.3 Traffic management plans are in place

  • 8.4 Management plans publicised

  • 8.5 Speed limits are marked correctly

9 Roads and Surfaces

  • 9.1 Windrows correct height

  • 9.2 Surfaces firm and safe

  • 9.3 Roads adequate width

  • 9.4 Delineators in place

10 Excavations and Mining

  • 10.1 Battered back

  • 10.2 Barricaded correctly

  • 10.3 Easy entry and exit to Digger

  • 10.4 Loading of Trucks sequenced

  • 10.5 Correct method of digging is being used

  • 10.6 Dumpy park up defined

  • 10.7 All signals appropriate

11 Job Start

  • 11.1 Job Hazard Analysis (JHA) appropriate & completed

  • 11.2 JHA on the job and understood

  • 11.3 Field Level Risk Assessments (FLRA) have been undertaken

  • 11.4 Permits appropriate & completed

  • 11.5 Isolations appropriate & completed

  • 11.6 Work area demarked and sign posted

  • 11.7 Material Safety Data Sheets (MSDS) for chemicals at the workplace

  • 11.8 Access/egress to work area

12 Occupational Health

  • 12.1 Dust levels low and controlled

  • 12.2 Noise levels acceptable

  • 12.3 Fibrous Material is being controlled

  • 12.4 Vibration is being controlled

13 Hot Work

  • 13.1 Permit in place

  • 13.2 Flashback arresters on cylinders and hand pieces

  • 13.3 All equip (hoses, etc) in good condition

  • 13.4 Fire extinguishers available for all Hot Work

  • 13.5 Earth clamps in correct location

14 Working at Heights

  • 14.1 WAH is being eliminated

  • 14.2 Fall arrest equipment used

  • 14.3 Permit to work at Height in place

  • 14.4 Spotters in place as required

  • 14.5 ECO barricading in place

  • 14.6 Drop zone barricading in place

  • 14.7 Dropped objects prevention is in place

15 Craneage Operations

  • 15.1 Crane log books and documentation in place in the crane

  • 15.2 Cranes set up correctly

  • 15.3 Crane operator competent

  • 15.4 Crane lift risk assessment form in place

  • 15.5 Crane suitable for the task

16 Confined Space

  • 16.1 Confined space permit in place

  • 16.2 Sentry space permit in place

  • 16.3 Procedure being followed

  • 16.4 Space safe

17 Hydrocarbon Storage

  • 17.1 All hydrocarbon materials inside bunds

  • 17.2 Oil spill equipment available, status

  • 17.3 No evidence of stains / spillage

  • 17.4 Bunds fully effective

  • 17.5 Fuel-containing equipment and plant in trays or provided with other bunding

18 Flora and Fauna

  • 18.1 All clearing approved

  • 18.2 VDAs in place for all activities

  • 18.3 Rehabilitation carried out correctly

  • 18.4 Priority flora is identified and fenced

  • 18.5 Topsoil stockpiled and signposted

  • 18.6 No evidence of unauthorized disturbance

  • 18.7 Easy exit for fauna from trenches & pits

  • 18.8 Bore caps in place & conduit ends taped

  • 18.9 All weed free certificates in place

  • 18.10 No weeds growing in project areas

19 Water Management

  • 19.1 Flow meters / volumes recording in place

  • 19.2 Water holding facilities appropriately constructed (drainage of standpipes, depth)

  • 19.3 Water holding facilities stock fenced & have exit ropes

20 Erosion

  • 20.1 No erosion from stockpiles

  • 20.2 No erosion of gullies and streams

21 Sewerage Treatment

  • 21.1 Facility approved & permits in place

  • 21.2 Alarms/warning devices in place for clearing capacity

  • 21.3 Receiving effluent tank higher capacity then freshwater input tank

22 Occupational Health and Safety Administration

  • 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

  • 22.2 Has a register of corrective actions been developed

  • 22.3 Is this register of corrective actions being reviewed by the management team on a regular basis

  • 22.4 Has a register of Hazardous Materials been developed

  • 22.5 Names of OH&S Reps Displayed on Notice Board

  • 22.6 Incident / Accident Recording, Reporting & Investigation Folder is available and current

  • 22.7 Blank IMS1.9.F02 Incident Report Forms are available

  • 22.8 IMS1.9.SP01 Incident Reporting Procedure (Flowchart) is displayed in office and crib room

  • 22.9 Was corrective action taken in a timely manner

  • 22.10 Danger Tags are available and being used correctly site wide

  • 22.11 State Specific Legislation Posters

  • 22.12 Smoke Free Legislative Posters

  • 22.13 Current Company OHSE Policies are on display in a prominent position

  • 22.14 Is the management team (Project Manager, Supervisors etc.) actively involved in Health and Safety activities

  • 22.15 Are Workplace Safety Activities being completed in accordance with the Monthly Safety Program

  • 22.16 Review Toolbox Minutes from last six meetings

  • 22.17 Are employees given an opportunity to provide feedback or suggestions on Health & Safety matters

  • 22.18 Have Site Specific Risk Assessments been completed on contractors

  • 22.19 Is the Site Specific Risk Assessment Current (Risk Assessment must be no older than 2 years old.)

  • 22.20 Have controls been put in place to control hazards identified (review site specific risk assessment)

  • 22.21 Has the Site Specific Risk Assessment been signed off by the Operations Manager and the Client (review site specific risk assessment

  • 22.22 Does the Site conduct regular evacuation drills? Did the employees participate (Review the last few Fire Drill Records)

  • 22.23 When was the last one (Last evacuation drill not to be more than 6 months)

  • 22.24 New employees have completed an Employee Checklist with Human Resources & Site Admin (record kept in personnel file)

  • 22.25 IMS1.0.D04 General Employee Handbook has been provided to employees. (employee declaration is in personnel files)

  • 22.26 IMS12.0.M03 Mining Employee Handbook has been provided to employees (employee declaration is in personnel files)

  • 22.27 IMS12.1.M02 Protected Persons Lockout Handbook has been provided to employees (employee declaration is in personnel file)

  • 22.28 Employee has completed the IMS12.0.A01 General Induction Assessment (view assessment in personnel file)

  • 22.29 Employee has completed the IMS12.0.A03 Mining Induction Assessment (view assessment in personnel file)

  • 22.30 Employee has completed the IMS12.1.A02 Protected Person Isolation Assessment (view assessment in personnel file)

  • 22.31 Has the employee completed Specific Training (review on the job training records)

  • 22.32 Has the employee received / or has the ability to access Safe Work Procedures & or specific machine handbooks (review employee file for sign off

  • 22.33 Employees who conduct specialized tasks have received Verification of Competencies ( VOC) or appropriate training if required (check employee personnel files for record of training (Assessment Matrix)

  • 22.34 Has each crew been established with a First Aider (check training matrix)

  • 22.35 Employees who conduct specialized tasks have received appropriate training in OH&S Related Matters (check employee personnel files for record of training (certificate or attendance registers)

  • 22.36 Employees have received appropriate training in return to work (check training matrix)

  • 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

  • 23.1 Are only approved chemicals being used as per the Approved Chemical Register

  • 23.2 Chemicals stored on site are not expired or obsolete

  • 23.3 Chemicals are not decanted (substances must be in original containers with original labels)

  • 23.4 Are all the chemicals clearly labelled

  • 23.5 Material Safety Data Sheets present at location where Chemicals are kept and easily accessible

  • 23.6 Containers in which chemicals are stored are in good condition and are not leaking

  • 23.7 Nominated area in which chemicals are stored is locked allowing only restricted access and bundled

  • 23.8 Gas bottles secured/ protected from damage or falling over (e.g strapped or chained to secured fixture)

  • 23.9 Is there adequate ventilation where chemicals are stored?

  • 23.10 Spill kits available and fully stocked

  • 23.11 Are emergency showers or eye wash stations available & easily assessable?

24 Explosive Magazine Construction

  • 24.1 Design approved by Chief Inspector of Explosives

  • 24.2 Magazine of greater than 250kg capacity is licensed by Chief Inspector of Explosives

  • 24.3 The magazine is located at least 50 meters away from any entrance to any underground mine

  • 24.4 False roof in place to protect magazine from heat when used north of the 25th parallel

  • 24.5 Air vents in place with weather protection

  • 24.6 The magazine is lined with close jointed timber without exposed steel or iron surfaces

  • 24.7 Mortise deadlock locking mechanism or close shackled padlock with secure fitting

  • 24.8 Metal external surface to be electrically bonded to at least two down conductors within 15 metres of each other

  • 24.9 Earthing of no greater than 10 ohms checked and recorded by an electrician

  • 24.10 Metal fences are electrically bonded

  • 24.11 Where required by the magazine licence lightning protection with conductors

  • 24.12 There are no electrical wiring inside unless it has been approved by the Chief Inspector of Explosives

  • 24.13 There is no combustible or flammable material within 8 metres of the magazine

  • 24.14 The magazine is located at least the prescribed distance from any protected works installation of facility

  • 24.15 Explosive magazine is in excess of 10 metres from any detonator magazine

25 Explosive Signage and Emergency Equipment

  • 25.1 Prominent "EXPLOSIVE" signs displayed on magazine

  • 25.2 Licence number prominently displayed

  • 25.3 Magazine rules are posted inside the magazine

  • 25.4 "NO SMOKING" signs prominently displayed

  • 25.5 Fire extinguishers are posed at the magazine access

  • 25.6 Manufactures name and date of manufacture displayed on relocatable magazines

26 Explosive Stock Control

  • 26.1 A responsible person has been appointed to control the magazine

  • 26.2 The appointment is recorded in the record book

  • 26.3 The keys are kept by the appointed person

  • 26.4 The appointed person keeps the records of incoming and outgoing stocks

  • 26.5 There is a system in place to rotate stock

  • 26.6 Stock delivered is promptly secured in the magazine

  • 26.7 Stock levels are within the licence limits

27 Explosive House Keeping

  • 27.1 A broom and door mat is available in the magazine to clean up

  • 27.2 No split material is left in the magazine

  • 27.3 The magazine floor is clean and dry

  • 27.4 Explosives are safely stacked to a height no greater than 2 metres

  • 27.5 Air gaps are maintained between explosives and the magazine walls

  • 27.6 No additional unauthorized materials are stored in the magazine

  • 27.7 No explosives are stored loose in the magazine

  • 27.8 Incompatible explosive products are not stored adjacent to each other

  • 27.9 Cladding, vent shrouds and vent gauges are in good condition

  • 27.10 Moulding around the magazine is in good condition where it is a licence requirement

28 Explosive Procedures

  • 28.1 There is a procedure in place to maintain installation

  • 28.2 No maintenance involving hot work occurs until the magazine is empty and thoroughly cleaned

  • 28.3 There is a procedure in place to secure and evacuate the magazine area during a lightning storm

  • 28.4 There is an emergency procedure in place to deal with fire at or near the magazine

  • 28.5 There is a procedure for the disposal of old or damaged explosives

  • 28.6 Magazine is kept locked except when stock movement or other authorized activities are occurring

Review

  • Remarks

  • Person completing form

  • Witness/Participant

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