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