Information
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Document No.
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Audit Title
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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
General OHS
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There is a current documented health and safety policy?
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The service company is able to demonstrate knowledge of current health and safety information
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There is a process to ensure that health and safety management for the workplace is reviewed annually
Hazard Management
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Employees are actively involved in Health and Safety
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There is a systematic process to identify and record actual and potential hazards in the workplace
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There is a process to identify significant hazards?
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Appropriately trained and/or experienced people lead the identification and management of hazards?
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There are appropriate controls in place for each significant hazard based on the hierarchy in the HSE act?
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When a significant hazard is managed using minimisation, employees exposure to the hazard is monitored (including monitoring employees health)?
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Permit to work systems are in place for appropriate tasks?
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Specialist advice is sought for managing hazards when appropriate?
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There is a process to review health and safety after a critical event or if there is a change in work procedures or health and safety policy
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There is a process to identify hazards associated with any new equipment, work processes or altered equipment?
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There is a process to ensure that Hazard Control Plans are communicated to, and used by Sub Contractors?
Incident and Injury Reporting
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There is a system for reporting incidents (including near misses), injuries and work related illness?
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Serious Harm notifications are sent to Worksafe New Zealand?
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There is a process to investigate incidents that injuries that have a potential to cause harm or caused harm?
Emergency Planning
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Emergency evacuation trial completed within the last 6 months?
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Does the Service Company have a Business Continuity plan (that incorporates a Pandemic Plan) that ensures service levels are maintained?
External Health and Safety Accreditation
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The Service Company is accredited by an external agency in relation to Health and Safety
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Select date
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ACC WSMP or Partnership Plan
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Date and level ACC attainment?
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Select date
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Issues noted by external agency during the audit?
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Is there a plan to address issues identified by the external review and progress in achieving the planned improvements?
Mobile specific requirements
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A copy of the Mobile Health and Safety plan is held by the Service Company and used to inform the project specific health and safety plan.
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A project specific health and safety plan includes controls for the safety critical tasks identified in the Mobile Health and Safety Plan?
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Incident/Accident records are kept specifically for the project?
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Copies of relevant legislation, standards and codes of practice are available for project and line managers
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Criteria to select and manage contractors includes health and safety
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All subcontractors have been assessed and are adequately resourced and competent for the work they are undetaking
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All subcontractors have been provided with information relating to Health and Safety for the work they are undertaking?
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Subcontractors competency for the work they are undertaking is regularly assessed?
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Health and safety responsibilities are included in Line Managers/Project Managers Job descriptions?
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Sub contractor site field inspection completed regularly and a copy available?
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Safety Induction for Sub Contractors Completed
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Toolbox talk information provided to line managers for discussion with contractors?
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Safety alerts are sent to contractors
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Regular site inspections/audits are undertaken to ensure that sub contractors work methods on site conform to the proejct safety plan requirements?
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Plans and agreement (time bound) to rectify an issues identified by site field inspections?
Agreement
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Required corrective/preventative actions
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Agreed date of completion
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Select date
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Auditor
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Service Partner Representative