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
Section 1: Premises and Housekeeping
Facilities & Structures
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Lighting sufficient for tasks undertaken
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Floors maintained free from dirt, liquids, debris, tools and materials
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Walkways, store areas and keep clear zones clearly demarcated
Site Documentation
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Are Pre-start toolbox meetings conducted and documented?
Hygiene
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Toilet facilities maintained in a clean hygienic condition.<br><br>
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Crib/lunch room facilities include adequate seating, sink with hot and cold potable water.<br><br>
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Crib/lunch room facilities maintained in a clean hygienic condition.<br><br>
Guarding and Barricades
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Machine guarding is in place around all rotating machinery such as elevators, belts etc.
Eye washes and safety showers
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Eye washes and safety showers are accessible.<br><br>
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Suitable signs and lights indicate the presence of eyewashes and safety showers.<br><br>
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Eye washes and safety showers are clean and operational
Workplace signage
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Signs are legible.<br><br>
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Signs are in place to inform PPE requirements.
Storage Areas
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Storage racks purpose built with appropriate durable shelving.<br><br>
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Flammable liquids stored in purpose built cupboards.<br><br>
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Acids, chemicals and corrosives stored in accordance with MSDS and Dangerous Goods Requirements
Waste Management
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Rubbish bins and bulk bins available, emptied and covered as appropriate
Spill Management
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Suitable absorbents used for clean-up<br><br>
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Spill kits maintained and available<br><br>
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Spill procedures current and available
Re-fuelling Facilities
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Fuel overflow collection facility i.e. sump or similar installed<br><br>
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Ease of access to overflow facility to clean/drain<br><br>
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Emergency stop fitted and accessible
Wash Down Facilities
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Sealed wash down area<br><br>
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Waste water collection and containment measures installed<br><br>
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Water disposed of appropriately<br><br>
Section 2: Mechanical, Electrical, Environment and Personal Safeguarding
Confined Spaces
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Confined space signs visible <br><br>
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Confined space permits being used<br><br>
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Personnel trained
Plant and Isolation
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Equipment has an isolation point that can have a lock attached to it<br><br>
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Sufficient personal danger tags and out of service tags<br><br>
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Personnel have a personal isolation lock
Ladders, Handrails & Scaffolding
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Portable ladders in good condition with non-slip feet
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Fixed ladders guarded and in good condition.
Lifting Gear
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SWL’s displayed<br><br>
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Inspection records current
Pressure Vessels & Cylinders
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Flash back arrestors fitted and hoses and fittings in good condition<br><br>
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Pressure vessels registered and in good condition
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Cylinders stored and transported correctly<br><br>
Hazardous Substances (Cleaning agents and chemicals)
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Stored Correctly<br><br>
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MSDS Available<br><br>
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Hazardous substance register
Mobile Plant
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Pre-start checklist completed daily<br><br>
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Fire extinguishers present<br><br>
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Serviced regularly
Electrical Installations and Equipment
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Leads and equipment have current tags
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RCDs used<br><br>
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Portable/extension leads tagged and protected from traffic / water
Respiratory Equipment
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Provided where required<br><br>
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Equipment clean and serviceable
Workplace Noise
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Noise areas identified<br><br>
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Hearing protectors provided
Bulk Storage
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Hydrocarbon drums and bulk tanks contained by suitable bunding.<br><br>
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Bunding is free from water, vegetation and debris.<br><br>
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Bunds are closed to prevent spills and able to be drained of accumulated water.<br><br>
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Storage tanks and drums are free from leaks.
Fire and Emergency Evacuation
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Extinguishers in place and accessible?<br><br>
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Signs indicating specific use of extinguishers?<br><br>
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Exits clear of obstructions?<br><br>
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Extinguishers checked 6 monthly and tagged?
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Emergency Assembly Point in place and signed?
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Has the site conducted a site evacuation in the past 12 months?
First Aid
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Cabinets and contents clean and orderly?<br><br>
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No replacement materials required?<br><br>
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Cabinets contents checked regularly?
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Name: Signature: Date: