Title Page
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Document Number - MWP000-MD-HS-CKL-0001 Rev A
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Record Number
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Project Area.
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Location
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Subcontractor.
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Conducted on
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Inspected by.
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Supervisor.
HEALTH & SAFETY DOCUMENTATION
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PW1. Location and details of the nearest medical centre and hospital is displayed?
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PW2. Health and Safety Representative, including name and photograph displayed?
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PW3. OH&S, Rehab, Enviro, Quality, Fitness for Work policies displayed?
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PW4. "If you are injured" poster displayed?
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PW5. Emergency Response Procedure & contact list displayed?
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PW6. Location of muster points displayed?
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PW7. Daily pre-start conducted and signed?
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PW8. Daily pre-start filed in Project Pack Web (PPW)
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PW9. TRA completed, workforce have signed-on, and is available at work location?
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PW10. Completed TRAs filed in PPW?
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PW11. GMR Posters displayed?
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PW12. GMR Assessments are being completed, and cover extent of risks applicable to site?
SITE AMENITIES
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SA1. First Aid kits available and adequate?
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SA2. First Aid treatment records available in the First Aid Room?
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SA3. First Aid Attendants displayed?
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SA4. Toilets (male & female) are available?
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SA5. Amenities clean and maintained?
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SA6. Spill kit present and easily accessible?
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SA7. Fire fighting equipment tagged & current (within 6 months)?
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SA8. Fire fighting equipment register in PPW?
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SA9. Waste disposal facilities available?
PERSONNEL
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P1. Personnel on site have completed the project induction?
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P2. PPE requirements being met?
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P3. Current induction sticker visible (if applicable)?
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P4. First aider(s) on site?
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P5. Any other PPE required (site/task specific)?
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P6. START CARDS completed?
HOUSE KEEPING & ENVIRONMENTAL MANAGEMENT
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H&E1. Site clean and tidy?
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H&E2. Waste disposal with bins and recyclables separated?
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H&E3. Site environmental plan (SEP) displayed?
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H&E4. Heritage sites barricaded and signage in place?
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H&E5. Sensitive vegetation barricaded and signage in place?
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H&E6. Erosion / Sediment control in place, adequate and maintained?
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H&E7. Soil stockpiles > 10m from watercourses?
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H&E8. Refuelling > 20m from watercourses?
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H&E9. Dust suppression adequate?
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H&E10. Noise / vibration / odour controls adequate?
EXCAVATION AND TRENCHING
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E1. Excavation and trenching permit in place & current?
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E2. Excavation and trenching secured / falls into trench prevented?
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E3. Trench benched, battered, shored or shields are adequately?
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E4. Safe means of entry and exit?
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E5. Barrier and signage to protect workers and public?
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E6. Spoil or materials not placed within 1m of excavation edge?
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E7. Daily trench inspection documented?
MOBILE PLANT
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M1. Daily plant prestart check completed?
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M2. Plant prestart records completed?
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M3. Fixed fire extinguisher charged and tagged (within 6 months)
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M4. Operable flashing beacon, reverse alarm, UHF radio?
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M5. Risk assessment, operator manual & service records available & current?
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M6. Operator competent / licensed / VOC'd?
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M7. Plant authorisation sticker valid?
WORKING AT HEIGHT
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H1. Ladders secure and only only used for access/egress (unless platform ladder)?
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H2. Scaffolds tagged and inspected (monthly)?
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H3. All floor penetrations covered or barricaded?
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H4. All work platforms have secure handrails, toe boards, guarding or fence panels?
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H5. Protection of workers below/falling objects?
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H6. Harness and lanyard provided, tested / tagged?
CONFINED SPACES
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C1. Confined space entry permit?
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C2. Rescue Retrieval Plan in place?
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C3. Gas testing and ventilation conducted?
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C4. Six Gas testing setting as per MW Procedure (sewer access only)?
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C5. Spotter / standby present and trained / certified?
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C6. Emergency procedures in place?
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C7. Emergency rescue equipment readily accessible?
SMALL TOOLS & EQUIPMENT
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ST1. Electrical tools and leads tested and tagged (3 monthly)
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ST2. Electrical leads elevated and insulated from metal objects?
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ST3. Extension leads single length only?
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ST4. RCDs fitted and tested Monthly (check site sheds)?
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ST5. Portable tools in good condition & OK for use (no 9 inch grinders)?
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ST6. Leads, plugs, sockets, and switches in good condition?
LIFTING AND RIGGING
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L1. Crane Safe green striker (current 12 months)
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L2. Lift study completed for critical/medium lifts?
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L3. Rigging gear in good condition. SWL marked?
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L4. Rigger/dog man certified & used for slinging loads?
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L5. Lift areas delineated and clear of persons?
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L6. Rigging equipment tested and tagged and stored correctly?
WELDING AND HOT WORKS
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W1. Hot work permit available (if required)?
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W2. Flash back arresters, flash protection & weld curtains?
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W3. Fire extinguisher / fire blankets near work area?
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W4. Gas bottles secured and stored separately?
TRAFFIC MANAGEMENT
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TM1. Traffic management plan (TMP) displayed?
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TM2. Are safety barrier units connected. And filled with water where required?
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TM3. Is the 2/6/12m (40/60/80km) rule being applied?
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TM4. Traffic management controls in place as per TMP?
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TM5. Condition of road (potholes / water pooling > 500mm deep, oil, mud, debris)?
HAZARDOUS SUBSTANCE & DANGEROUS GOODS
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HD1. SDS available and up to date (< 5 years)?
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HD2. Product being used in accordance with SDS?
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HD3. Appropriate type, location and quantity of spill containment available?
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HD4. Containers labelled correctly?
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HD5. Stored appropriately (classes, ventilation, etc)?
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HD6. Appropriate emergency / first aid equipment - shower, eye bath extinguishers available?
LASER EQUIPMENT
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LE1. Class 1 Laser Equipment (covered in TRA)?
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LE2. Class 2 Laser Equipment (Covered in TRA)?
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LE3. Class 3 R Laser Equipment (requires specific TRA & Laser Safety Officer)?
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LE4. Class 3 B Laser Equipment (banned on MWCD sites)?
QUALITY ASSURANCE
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Q1. ITP available for the work and is being completed progressively?
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Q2. Equipment used for inspection & test is calibrated?
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Q3. Design documentation and specifications in use are the latest version, compare to Aconex?
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Q4. Materials are labeled, and are traceable to a purchase order?
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Q5. Material and finished product is adequately protected from damage?
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Q6. Sampled completed Work Lots contain all required quality supporting documentation required by the ITP?
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Q7. Structural welding activities are being performed by a qualified welder, to a qualified procedure, and inspected by a qualified welding inspector. NDT is being performed in line with the weld procedure?