Mobile Site HSE Inspection

• Client / Site

• Conducted on

  Date

• Document No. BIMS-187-33

• Location:
  Address

• Mobile Camp Number:

• Company:

• Assessor/s

Assessor

• Assessor

  Sign

1. Floor surface

• Trip hazards

  Acceptable

  Action Required

  N/A

• Slipping hazards

  Acceptable

  Action Required

  N/A

• Cracks, holes, damaged flooring

  Acceptable

  Action Required

  N/A

2. Stair cases

• Clear from obstruction

  Acceptable

  Action Required

  N/A

• Hand rails seccure

  Acceptable

  Action Required

  N/A

• Stairs and handrails to Australian Standards

  Acceptable

  Action Required

  N/A

3. Ladder to top of diesel tank

• Hand rails seccure

  Acceptable

  Action Required

  N/A

• Platform in place and secure

  Acceptable

  Action Required

  N/A

4. Housekeeping

• Tripping/slipping hazards

  Acceptable

  Action Required

  N/A

• Storage of material

  Acceptable

  Action Required

  N/A

• Site waste managed (bins, bags)

  Acceptable

  Action Required

  N/A

5. Lighting

• Visually adequate

  Acceptable

  Action Required

  N/A

• Lights operating

  Acceptable

  Action Required

  N/A

• Employee concerns

  Acceptable

  Action Required

  N/A

6. Thermal comfort

• Doesn't feel too hot or cold

  Acceptable

  Action Required

  N/A

• Employee concerns

  Acceptable

  Action Required

  N/A

• Appropriate ventilation

  Acceptable

  Action Required

  N/A

7. Electrical safety

• Power cords and cables (stored neatly - no trip hazards, no obvious damage, wear or other conditions that might render unsafe)

  Acceptable

  Action Required

  N/A

• Electrical cords on portable equipment tested and tagged

  Acceptable

  Action Required

  N/A

• Electrical fittings in good condition

  Acceptable

  Action Required

  N/A

• Trailer correctly earthed to ground

  Acceptable

  Action Required

  N/A

8. Personal protective equipment

• Suitability

  Acceptable

  Action Required

  N/A

• Condition

  Acceptable

  Action Required

  N/A

• Availability

  Acceptable

  Action Required

  N/A

• Location signed

  Acceptable

  Action Required

  N/A

9. Plant and equipment

• Adequate guarding

  Acceptable

  Action Required

  N/A

• Servicable

  Acceptable

  Action Required

  N/A

• Signed - Diesel Combustible Liquid, Waste Water, Potable Water

  Acceptable

  Action Required

  N/A

• Trailer toolboxes clip securely closed

  Acceptable

  Action Required

  N/A

• Trailer road worthiness (tyre tread condition)

  Acceptable

  Action Required

  N/A

• Brake lines for trailer (splits, lines perished)

  Acceptable

  Action Required

  N/A

• Ropes and straps (in good condition)

  Acceptable

  Action Required

  N/A

10. Emergency items

• Signed exits

  Acceptable

  Action Required

  N/A

• Free from obstruction

  Acceptable

  Action Required

  N/A

• Fire extinguishers in place, serviced and accessible (mounted and signed)

  Acceptable

  Action Required

  N/A

• Smoke alarms fitted in accommodation area

  Acceptable

  Action Required

  N/A

• First aid attendants trained, certificate current and they are identified

  Acceptable

  Action Required

  N/A

• First aid boxes accessible, regular servicing and stock not out of date

  Acceptable

  Action Required

  N/A

• Emergency evacuation protocol posted

  Acceptable

  Action Required

  N/A

11. Chemical items

• Register of chemical substances

  Acceptable

  Action Required

  N/A

• SDS sheets for chemicals

  Acceptable

  Action Required

  N/A

• SDS sheets within 5 years old

  Acceptable

  Action Required

  N/A

• Location of registern signed

  Acceptable

  Action Required

  N/A

• Gas lines in good condition

  Acceptable

  Action Required

  N/A

• Chemical hoses in good condition

  Acceptable

  Action Required

  N/A

• Gas lines not leaking

  Acceptable

  Action Required

  N/A

• Gas cylinders tested within 10 years

  Acceptable

  Action Required

  N/A

• Knowledge of chemical substances being used

  Acceptable

  Action Required

  N/A

• Dangerous goods signed, no smoking signs on both sides of trailer, fuel cans correctly labeled

  Acceptable

  Action Required

  N/A

12. Environmental

• Grey water captured, not going to grade

  Acceptable

  Action Required

  N/A

• Pipework not leaking

  Acceptable

  Action Required

  N/A

• Fittings and joins for pipework not leaking

  Acceptable

  Action Required

  N/A

• Chemicals spill contained to trailer

  Acceptable

  Action Required

  N/A

• Impact with environment

  Acceptable

  Action Required

  N/A

• Knowledge of chemical substances being used

  Acceptable

  Action Required

  N/A

• No contaminated soil present

  Acceptable

  Action Required

  N/A

• No evidence of unauthorized land disturbance

  Acceptable

  Action Required

  N/A

13. Work practices

• Management of manual tasks (lifting, lowering, pushing, pulling, twisting, restraining, etc)

  Acceptable

  Action Required

  N/A

• Initiate manual task risk assessments as required

  Acceptable

  Action Required

  N/A

• Hand safety awareness

  Acceptable

  Action Required

  N/A

14. Signage

• Diesel tank signed "Diesel Combustible Liquid"

  Acceptable

  Action Required

  N/A

• "No Smoking" signs posted

  Acceptable

  Action Required

  N/A

• L.P.G tanks signed, if enclosed for transport - signage posted on the outside of toolbox

  Acceptable

  Action Required

  N/A

• Waste outlet for toilet signed "Waste"

  Acceptable

  Action Required

  N/A

• Petrol cans labeled

  Acceptable

  Action Required

  N/A

15. Kitchens

• Food scraps cleaned, placed in bin

  Acceptable

  Action Required

  N/A

• No grease, oil, rubbish on benches

  Acceptable

  Action Required

  N/A

• Condition of appliances

  Acceptable

  Action Required

  N/A

• Cleanliness

  Acceptable

  Action Required

  N/A

• Cupboards not overloaded

  Acceptable

  Action Required

  N/A

• Area clean and tidy

  Acceptable

  Action Required

  N/A

• Dates on food to show when it was brought

  Acceptable

  Action Required

  N/A

• Food not past "expiry date"

  Acceptable

  Action Required

  N/A

16. Toilet/shower

• Cleanliness

  Acceptable

  Action Required

  N/A

• Adequate hand cleaning materials

  Acceptable

  Action Required

  N/A

17. Cultural heritage

• Consideration to Cultural Heritage in location setup

  Acceptable

  Action Required

  N/A

• Breaches to Cultural Heritage (EHS 11)

  Acceptable

  Action Required

  N/A

18. Additional observations

• Observations

Observation

• Observation

• Observation Status

  Acceptable

  Action Required

  N/A

• Were any HAZARDS identified? (If YES: Attach copies of the relevant information, raise BIMS (if appropriate) and record references in the summary below)

  YES

  NO

• Were any other actions identified? (If Yes: Attach copies of relevant information, and record in the summary below)

  YES

  NO

• Action items:

Action Item

• Action required:

• Assigned to:

• Due date:

  Date

• Initial:

  Sign

• Completed:

  Yes

  No