Monthly WHS Report

• Site conducted

• Location
  Address

• Conducted on

  Date

• Report completed by

Actions from Previous WHS Report

• Is this the first WHS Report for this project?

  Yes

  No

  N/A

• If applicable, are all previously raised NCR's closed out?

  Yes

  No

  N/A

• Close out NCR's, complaints and any incidents before commencing this report

• Has a site specific induction been completed for all HRC employees and applicable contractors?

  Yes

  No

  N/A

• Do all employees and contractors on site that are employed by HRC have a White Card?

  Yes

  No

  N/A

• Has Operator ticket/qualification been checked prior to commencing work and copies filed?

  Yes

  No

  N/A

• Does HRC Administration have colour copies of all Operator's tickets/qualifications?

  Yes

  No

  N/A

• Have all Plant operators been assessed as competent by the Project Manager, Site Engineer, Site Foreman or Trainer Assessor? (VOC Form Completed)

  Yes

  No

  N/A

• Have all employees and applicable contractors been assessed as competent in identifying and implementing the correct PPE for the task?

  Yes

  No

  N/A

• Are all employee and applicable contractors competent in the Environmental requires for the site?

  Yes

  No

  N/A

• Do all HRC employees and applicable contractors have access to company policies and procedures - either electronically or hard copies?

  Yes

  No

  N/A

• Are all workers under HRC control wearing required PPE as per SWMS?

  Yes

  No

  N/A

SWMS and Risk Assessment

• Are SWMS present on site?

  Yes

  No

  N/A

• Have all applicable site personnel been inducted into SWMS and have they signed the appropriate pages?

  Yes

  No

  N/A

• Do SWMS specify appropriate controls to eliminate or minimise identified hazards?

  Yes

  No

  N/A

• Have the controls specified in the SWMS been implemented on site?

  Yes

  No

  N/A

• Have the SWMS been reviewed monthly or after any safety incident occurs?

  Yes

  No

  N/A

• Have prestart inspections been conducted for ALL Plant and equipment on a daily basis?

  Yes

  No

  N/A

• Have workers been given the opportunity to provide feedback and/or consultation?

  Yes

  No

  N/A

Hazard Identification and Risk Assessment

• Has a Hazard Identification and Risk Assessment Form been completed for this project?

  Yes

  No

  N/A

• Is the H.I.R.A being reviewed every 3 months or after any safety incidents?

  Yes

  No

  N/A

• Is the risk rating of the hazards appropriate?

  Yes

  No

  N/A

• Are the controls identified adequate and implemented properly?

  Yes

  No

  N/A

PPE

• Is the PPE fit for the purpose of the project?

  Yes

  No

  N/A

• Are all workers under HRC control wearing the required PPE as stated in the SWMS?

  Yes

  No

  N/A

Site Office Cleanliness

• Is the level of cleanliness & tidiness in the site office and amenities acceptable?

  Yes

  No

  N/A

• Is office waste stored in the correct bins?

  Yes

  No

  N/A

First Aid & Emergency

• Is a First Aid Kit present and complete?

  Yes

  No

  N/A

• Is a qualified First Aid person on site?

  Yes

  No

  N/A

• Is the First Aid Contact and Emergency Procedures in a location for all to see?

  Yes

  No

  N/A

• Are emergency drills being conducted?

  Yes

  No

  N/A

• Have emergency drills been documented on the appropriate form?

  Yes

  No

  N/A

Hazardous Materials & Asbestos

• Are all data sheets in the MSDS folder current? (Less than 5 years old)

  Yes

  No

  N/A

• Are data sheets for all hazardous materials onsite or available onsite through electronic devices?

  Yes

  No

  N/A

• Are chemicals stored in the correct containers?

  Yes

  No

  N/A

• Are the containers in which chemicals are stored labelled correctly?

  Yes

  No

  N/A

• Is compliance to procedures apparent regarding the storage of oxy, acetylene and fuels?

  Yes

  No

  N/A

• Is the Asbestos Management Plan available onsite and being followed completely and correctly?

  Yes

  No

  N/A

• Is the Asbestos register completed?

  Yes

  No

  N/A

• Are chemicals being stored incompatible in proximity to others in the same location?

  Yes

  No

  N/A

• Is there adequate spill containment equipment or bunding in place?

  Yes

  No

  N/A

Fire fighting Equipment

• Is there at least one Fire Extinguisher in the office/lunchroom and are there Fire Extinguishers on all Plant & Vehicles?

  Yes

  No

  N/A

• Are all Fire Extinguishers on site in test date?

  Yes

  No

  N/A

• Is the Fire Extinguisher clearly signed and labelled?

  Yes

  No

  N/A

Electrical Equipment

• Is the Electrical Tagging Register being maintained?

  Yes

  No

  N/A

• Is electrical tagging up to date?

  Yes

  No

  N/A

• When is the date of next inspection?

  Date

• What is the number of untagged pieces of equipment on site?

Lifting Equipment

• Is lifting equipment gear recorded in the Lifting Gear Register?

  Yes

  No

  N/A

• Does all lifting gear have a current test certificate?

  Yes

  No

  N/A

• Prior to use, is lifting gear inspected by a competent person to check for defects?

  Yes

  No

  N/A

• Does any lifting equipment require inspection or replacement?

  Yes

  No

  N/A

• What type of lifting equipment gear needs inspection or replacement?

• Yes

  No

  N/A

• Is lifting gear stored correctly?

  Yes

  No

  N/A

• SWL information displayed as per Australian Standard?

  Yes

  No

  N/A

Working at Heights Equipment

• Fall from heights risk (including voids, pits and trenches) controlled?

  Yes

  No

  N/A

• Is there a working at heights permit for harness as the primary control in place before work commences?

  Yes

  No

  N/A

• Has the working at heights equipment been inspected by a competent person?

  Yes

  No

  N/A

• Is the working at Heights Harness tagged?

  Yes

  No

  N/A

• If working at heights on site is there a working at heights rescue plan in place?

  Yes

  No

  N/A

• Is there a VOC and formal training in place for all working at heights?

  Yes

  No

  N/A

Authorities & Permits

• Are Hot Works Permits implemented as per permit instructions?

  Yes

  No

  N/A

• Are Permit to Excavate forms implemented as per procedure?

  Yes

  No

  N/A

• Are Confined Space Permits implemented as per procedure?

  Yes

  No

  N/A

• Have works been held until relevant authorities and permits been received?

  Yes

  No

  N/A

• Are hard copies of all permits/authorities stored in the appropriate folder onsite?

  Yes

  No

  N/A

Standpipe

• Is a Standpipe being used onsite at this location?

  Yes

  No

  N/A

• Standpipe meter reading

• Please provide a picture of the standpipe reading

  Media

Sound Meter

• Has a sound meter reading been taken on site this month?

  Yes

  No

  N/A

• What is the Decibel reading on site?

Hazardous Manual Handling Tasks

• Is manual handling tasks in place?

  Yes

  No

  N/A

• Are manual handling risks identified in SWMS?

  Yes

  No

  N/A

• Are adequate manual handling controls in place?

  Yes

  No

  N/A

Site Access

• Is site access controlled?

  Yes

  No

  N/A

• Have there been any blockages or loss of time due to site access?

  Yes

  No

  N/A

• Please provide further details in regards to the blockage and/or loss of time issue due to site access.

Traffic Management Plan

• Is there a Traffic Management Plan or Vehicle Movement Plan in place for the site?

  Yes

  No

  N/A

• Is traffic control in place?

  Yes

  No

  N/A

• Are there personnel trained in traffic control?

  Yes

  No

  N/A

• What ticket/qualifications do these personnel have?

• Is there live traffic seperation in place?

  Yes

  No

  N/A

• Is pedestrian access maintained?

  Yes

  No

  N/A

• Are controls adequate and implemented as per the Traffic Management or Vehicle Movement Plan?

  Yes

  No

  N/A

Electrical Hazards

• Are there any electrical leads or tools that are damaged, out of test date or untested?

  Yes

  No

  N/A

• Please provide more information in regards to damaged, untested or out of test date leads or tools.

• Are any leads placed on the ground, on work surfaces, near sharp or metal structures or not on isolating hooks?

  Yes

  No

  N/A

• Are any ELCB, RCD's or powerboards overloading outlets?

  Yes

  No

  N/A

• Are there any leads/equipment near water, flammables, chemicals or anything that may be damaged from contact with moving machinery or plant?

  Yes

  No

  N/A

• Is there a CEMP in place for the project?

  Yes

  No

  N/A

• Are all applicable workers inducted into the CEMP?

  Yes

  No

  N/A

• Are all applicable workers inducted into the environmental requirements of the site?

  Yes

  No

  N/A

• Has the CEMP been issued to the Supervisor, Personnel on site and the Client?

  Yes

  No

  N/A

• Are activities identified in the CEMP being implemented appropriately?

  Yes

  No

  N/A

• Are silt fences and other environmental controls installed and being maintained?

  Yes

  No

  N/A

• Are safety and environmental checklists being conducted on both a daily & weekly basis?

  Yes

  No

  N/A

Environmental Controls

• Is there a system in place to prevent contaminants entering stormwater, waterways or exiting site (sediment controls)

  Yes

  No

  N/A

• Is stabilised access in place?

  Yes

  No

  N/A

• Are sediment fences in place and correct?

  Yes

  No

  N/A

• Are stockpiles covered?

  Yes

  No

  N/A

• Is dust suppression required?

  Yes

  No

  N/A

• Are we re-using stored water or other natural elements on site?

  Yes

  No

  N/A

• Has all captured sediment been removed?

  Yes

  No

  N/A

• Are excess noise controls and monitoring in place?

  Yes

  No

  N/A

• Are vibration controls and monitoring in place?

  Yes

  No

  N/A

• Have any Environmental NCR's been issued?

  Yes

  No

  N/A

• What has been the nature of these NCR's?

• Yes

  No

  N/A

• Have any EPA/DECCW/Council infringement notices been issued?

  Yes

  No

  N/A

• What was the details in regards to these infringement notices?

Waste Management

• Is waste material stored in correct containers/locations?

  Yes

  No

  N/A

• Are bins emptied on a regular basis?

  Yes

  No

  N/A

• Are waste tracking (tipping sheets) up to date?

  Yes

  No

  N/A

• Is management of special waste being conducted as per the CEMP?

  Yes

  No

  N/A

• Is lifecycle management of waste on site considered?

  Yes

  No

  N/A

• Is regulated waste transported to the correct facility?

  Yes

  No

  N/A

• Have there been any work related incidents since last PRM?

  Yes

  No

  N/A

• Please provide more details in regards to the incident.

• Are all incident reports up to date and filed?

  Yes

  No

  N/A

• Have incident investigations been carried out and corrective/preventative action implemented?

  Yes

  No

  N/A

• Have there been any new Workers Compensation claims for this project?

  Yes

  No

  N/A

• Please provide more details in regards to any Workers Compensation claims for this project.

• Project Manager

  Sign

• Supervisor

  Sign

• Director

  Sign

• WHS Coordinator

  Sign