MWS - Work Site Safety Inspection - 0311 Hazell Bros

• MWS - Work Site Safety Inspection - 0311 Hazell Bros

• Document No.

• Contractor / Work Site

• Pipe Line:

• Conducted on

  Date

• Prepared by

1.0 - General Safety Administration

• 1.1 - Are site inductions been performed with all site personnel prior to entering the works site?

  Yes

  No

  N/A

• 1.2 - Are monthly toolbox meetings been regularly completed and signed onto?

  Yes

  No

  N/A

• 1.2.a - If yes - are any identified safety concerns / actions been actively followed up and closed?

• 1.3 - Are weekly safety / environment inspections been performed?

  Yes

  No

  N/A

• 1.3.a - If yes - are any identified safety concerns / actions been actively followed up and closed?

• 1.4 - Comments and Observations:

2.0 - Critical Incident Management

• 2.1 - Have there been any critical incident(s) which occurred within the last two (2) months?

  Yes

  No

  N/A

• 2.1.a - If yes - list critical incident(s) and if possible provide a severity rating for each incident.

• 2.1.b - Has incident(s) been reported to Workplace Standards Tasmania (WST)?

  Yes

  No

  N/A

• 2.1.c - Was an investigation completed to determine "root cause"?

  Yes

  No

  N/A

• 2.1.d - What control measures were implemented to reduce the likelihood of re-occurrence? Consider "Hierarchy of Control" = (PPE - Admin - Isolation - Engineering - Elimination - Substitution)

• 2.2 - Are control measures adequate to prevent re-occurrence?

  Yes

  No

  N/A

• 2.3 - Comments and Observations:

• Add media

  Media

3.0 - General Works Site

• 3.1 - Has construction site signage been displayed at the entrance of the site?

  Yes

  No

  N/A

• 3.2 - Has the name and contact details (eg Foreman) of company representative been clearly displayed?

  Yes

  No

  N/A

• 3.3 - Has site entry conditions for visitor(s) been clearly displayed at entrance to the work site?

  Yes

  No

  N/A

• 3.4 - Has radio communication frequency number been clearly displayed?

  Yes

  No

  N/A

• 3.5 - Are all Emergency Procedures displayed at site?

  Yes

  No

  N/A

• 3.6 - Is there a First Aid facility available at the works site?

  Yes

  No

  N/A

• 3.7 - Is vehicle reverse parking been done where applicable?

  Yes

  No

  N/A

• 3.8 - Are all work site personnel including visitors wearing mandatory PPE equipment appropriate for either work site or task?

  Yes

  No

  N/A

• 3.9 - Are all site vehicles and transport machinery fitted with and operating flashing lights as well as adhering to nominated speed limits when working within the works site?

  Yes

  No

  N/A

• 3.10 - Comments and Observations:

• Add media

  Media

4.0 - Traffic Management Plan

• 4.1 - Is the an approved traffic management plan in place for controlling works and task?

  Yes

  No

  N/A

• 4.1.a - If yes - is traffic been controlled in accordance with an approved Traffic Management Plan?

• 4.1.b - If yes - are daily Traffic Management Checklist been completed?

  Yes

  No

  N/A

• 4.2 - Comments and Observations:

• Add media

  Media

5.0 - Daily Pre-Start Team Meeting

• 5.1 - Are daily Pre start team meetings being held and documented?

  Yes

  No

  N/A

• 5.2 - Are all personnel on site signed onto the daily Pre- start Team meeting.<br><br>Check to include visitors and & sub-contractors, (eg truck operators)?

  Yes

  No

  N/A

• 5.3 - Have all tasks for the days work/shift been identified?

  Yes

  No

  N/A

• 5.4 - Are there any safe to work permits required for days tasks and are they current?

  Yes

  No

  N/A

• 5.5 - Have all known safety hazards been identified where the days tasks are occurring?

  Yes

  No

  N/A

• 6.5 - Comments and Observations:

• Add media

  Media

6.0 - Safe Work Method Statement (SWMS)

• 6.1 - Are all Safe Work Method Statements (SWMS) for high risk work available on-site?

  Yes

  No

  N/A

• 6.2 - Have all work crew personnel been consulted during the development and review of relevant SWMS?

  Yes

  No

  N/A

• 6.3 - Are the control measures in the SWMS been complied with? <br><br>(Note:Randomly choose a SWMS and check conformance)

  Yes

  No

  N/A

• 6.3.a - List sample of SWMS checked:

• 6.4 - Comments and Observations:

7.0 - Safe to Work Excavation Permit

• 7.1 - Have all under and above ground services / utilities been identified prior works commencing?

  Yes

  No

  N/A

• 7.1.a - List services / utilities identified:

• 7.1.b - If yes - have services / utility locations and easements been identified and marked?

• 7.1.c - If yes - have control measures been implemented?

• Add media

  Media

• 7.2 - Are all operators / site personnel working within a service / utility easement appropriately qualified to do so?

  Yes

  No

  N/A

• 7.3 - Have all operators / site personnel signed onto a completed Excavaton Permit prior to beginning any new excavations?

  Yes

  No

  N/A

• 7.4 - Have Foreman walked through site with appropriate operators / site personnel to identify services?

  Yes

  No

  N/A

• 7.5 - Comments and Observations:

• Add media

  Media

8.0 - Machine Operation Safety

• 8.1 - Have machine operators completed a machinery pre-start inspection prior to starting daily task?

  Yes

  No

  N/A

• 8.2 - Are machine faults reported and rectified?<br><br>Inspect fault reports and Pre-start checklists of the plant equipment sampled to check faults being reported are closed).

  Yes

  No

  N/A

• 8.3 - Are machine warning devices (eg flashing warning lights & reverse beepers) been used and operational?

  Yes

  No

  N/A

• 8.4 - Have all attachments been lowered to the ground and brakes applied when machine is shut down or the operator leaves the cab?

  Yes

  No

  N/A

• 8.5 - Are fitted seat belts been worn?

  Yes

  No

  N/A

• 8.6 - Are doors closed during machine operation?

  Yes

  No

  N/A

• 8.7 - Comments and Observations:

• Add media

  Media

9.0 - Trench Safety

• 9.1 - Have trench excavations 1.5m or deeper been battered or benched?

  Yes

  No

  N/A

• 9.2 - Has spoil and loose rock been placed at least 1 metres back from top of trench?

  Yes

  No

  N/A

• 9.3 - Are ground conditions been monitored in order to modify trench benching as required to ensure a safe working area?

  Yes

  No

  N/A

• 9.4 - Is there a safe means of escape from trench provided? ( eg end of trench sloped)

  Yes

  No

  N/A

• 9.5 - Has barricade tape been installed around open trench?

  Yes

  No

  N/A

• 9.6 - Comments and Observations:

• Add media

  Media

10.0 - Pipe Handling Safety

• 10.1 - Is there traffic management in place prior to unloading on or near public roads?

  Yes

  No

  N/A

• 10.2 - Does the equipment used for lifting pipe have "safety cutout valves" fitted?

  Yes

  No

  N/A

• 10.3 - Have lifting slings, which are in use, been tested and tagged?

  Yes

  No

  N/A

• 10.4 - Are pipes adequately secured prior to being carried to stringing or jointing position?

  Yes

  No

  N/A

• 10.5 - Where appropriate are pipes chocked to prevent pipes from moving?

  Yes

  No

  N/A

11.0 - Summary of observations and findings:

Sign Off

• Contractor Representative Signature

  Sign

• Tasmanian Irrigation Representative Signature

  Sign