national safety documentation - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

daily pre start checklist

• group?

• Select date

  Date

• meeting held at?

• meeting conducted by?

• Add signature

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• HSR?

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• issues to be covered?

• other issues addressed?

• action required?

• action to be taken by?

• timeframe for action to be taken?

• attendance at toolbox?

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DAILY HAZARDOUS SUBSTANCE RISK ASSESSMENT

• tasks?

• substances needed to complete tasks?

• can this substance be substituted for a less hazardous product?

  Yes

  No

  N/A

• can this substance be used with the controls outlined in the msds?

  Yes

  No

  N/A

• identify hazards from review of msds

• environmental considerations

• control measures

• review process

• further actions required

• action target date

site induction

• names of workers onsite

• sign and date if attended site induction

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• Add signature

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Hazard report form

• The following harzards have been identified to work (list details)

• Risk level

  Class 1 death permanent disability or major structure / plant damage

  Class 2 tempory disability minor structure/ plant damage

  Class 3 minor injury or incident

• Location

• Corrective Action carried out

• Corrective Action wcarried out by whom

• Corrective Action carried carried out Date and Time

• Add signature

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• Add signature

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• Add signature

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Subcontractor Register

• Contractors Name

• Work to be carried out

• Work method received

• Work method approved

Plant Register

• Owned by/hired by

• Plant type

• Make model

• Year of manufacture

• Serial/ ID

• Log book sited

  Yes

  No

  N/A

Non conformance report

• Originator

• Date

• Report no.

• Non conformance description: describe the no conformance , ensure the applicable requirements, planned activities, procedures, specifications,drawings, indicate who document

• Risk levels

• Corrective/Preventative Action describe for each cause what action (s) will be taken with the item or process, including, as applicable, the completion dates, disposition of material and responsible duty holder.Describe as applicable procedure revisions,and include responsible duty holder for each action

• Duty holder responsible for corrective action and disposition

• Name

• Date

• Independent verification required

  Yes

  No

  N/A

• Approval of corrective / preventative action and disposition

• Name

• Date

• Closing non conformance

• Action completed

• Name

• Date

• Independent verification completed( if required)

Working Around mobile plant

• Construction safety plan has been prepared and is readily available

• CSP adequately addresses relevant risks on site, including how control measures will be monitored and reviewed

  Yes

  No

  N/A

• Work method statement(WMS) has been prepared for the high risk construction activity before starting work and is readily available

  Yes

  No

  N/A

• Workers are aware of contents of the swms and the control measures to be used

  Yes

  No

  N/A

• Swms address relevant risks ie being hit crushed by plant,rollover,falling, objects, contact with energy sources both from above and below ground; and the control measures ( eg traffic barriers , traffic controll,supervision to be used.

  Yes

  No

  N/A

• Swms is current and includes monitoring and reviewing control?

  Yes

  No

  N/A

• Have permits been obtained from relevant authorities where work is taking place on or adjacent to public roads?

  Yes

  No

  N/A

• Do lane closures comply with the manual for uniform traffic control devices(MUTCD part 3)

  Yes

  No

  N/A

• Are workers aware of the contents of the swms and. The control measures to be used ( eg tool box talks safety committee)

  Yes

  No

  N/A

• Are site specific inductions provided and address mobile plant

  Yes

  No

  N/A

• Are there plans maps showing designated traffic areas?

  Yes

  No

  N/A

• Do plant operators hold the relevant licenses or certificates

  Yes

  No

  N/A

• Is there communication process in place for plant operators to communicate ( eg designated channel)

  Yes

  No

  N/A

• Are worker equipped with the relevant PPE

  Yes

  No

  N/A

• Is mobile plant being operated safely in compliance with swms

  Yes

  No

  N/A

• Is there a process in place to assess plant operators competency for licensed work and non licensed work

  Yes

  No

  N/A

• Is mobile plant inspected and maintained in good condition(eg. Logbooks reversing alarms,amber lights, brakes tyres and steering

  Yes

  No

  N/A

• Have scheduled plant services been performed in accordance with manufactures specification

• Does the plant have safe means of access egress , ladders handrails

• Are safety devices( eg. Burst protection, safety interlocks, seatbelts,emergency stops,operational ?

• Is the drivers seat in good condition and properly adjusted

• Is safe access and egress being maintained to. The work area

• Is there an exclusion zone for the work being undertaken. Is it be maintained

• Is the operating surface appropriate for the mobile plant and workers designated travel paths

• Are spotters being used where appropriate

House keeping issues

• Is house keeping covered In the CPS

  Yes

  No

  N/A

• Safety signs adequate

  Yes

  No

  N/A

• Is safe access egress being maintained

  Yes

  No

  N/A

• Are work areas tidy

  Yes

  No

  N/A

• Is there a designated area for the delivery of items

  Yes

  No

  N/A

• Are there any mechanical devices eg. Crane forklift

  Yes

  No

  N/A

• Are there waste bins/ rubbish chutes close to all work areas?

  Yes

  No

  N/A

• Is there a system in place for the disposal of waste

  Yes

  No

  N/A

• Is waste lowered not thrown from height

  Yes

  No

  N/A

• Are ther mechanical items to assist workers lifting

  Yes

  No

  N/A

• Is there a clear path provided between the storage area and work areas

  Yes

  No

  N/A

• Are there designated areas to store tools equipment and materials ect.?

  Yes

  No

  N/A

• Are these areas easily accessible and clear of debris

  Yes

  No

  N/A

• Do workers understand ergonomics(eg. Layout of work area, use of mechanical lifting devices where possible ect)

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Are surfaces even ( no unexpected level drops or potholes)

  Yes

  No

  N/A

Falls from heights

• CSP has been prepared and is readily avaliable

  Yes

  No

  N/A

• CSP adequately addresses relevant risks on site , including how control measures will be monitored and reviewed

  Yes

  No

  N/A

• Work method statements WMS has been prepared for high risk construction activity before starting and is avaliable for review

  Yes

  No

  N/A

• Workers are aware of the swms and the control measures to be used

  Yes

  No

  N/A

• Does the site specific induction include working at height issues?

  Yes

  No

  N/A

• Swms is current and includes monitoring and reviewing policies

  Yes

  No

  N/A

• Control measures are in place for workers altering or removing edge protection

  Yes

  No

  N/A

• Engineer certification and method of connection available

  Yes

  No

  N/A

• Installed in accordance with manufactures/ engineers instruction

  Yes

  No

  N/A

• Able to with stand forces of a person falling against it

  Yes

  No

  N/A

• Top rail fitted to 900 mm high

  Yes

  No

  N/A

• Lower rails and mesh fitted where required

  Yes

  No

  N/A

• Appropriate controls implemented when the slope is greater than 26 degress

  Yes

  No

  N/A

Electrical equipment register

• PPC no.

• Owned hired by

• Plant type

• Make Model

• Year of manufacture

• Serial I'd

• Specific training and plant induction completed

  Yes

  No

  N/A

• Add signature

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Vehicle register

• Select date

  Date

• Vehicle type

• Model

• Make

• Year

• 4wd/2wd

• Rego

• Detail restriction

Plant induction register

• Authorization no.

• Description of plant

• Plant owner

• Serial/Reg no.

• Date Inspected

• Inspected by

• Risk assessment

• Risk assessment date

• Emission test

• Service records

• Competency

• Comments

Concrete pump checklist

• Company Name

• Make and model

• Mobile boom , line ,or satellite

• Is there an operators manual

  Yes

  No

  N/A

• Does the pump have any current notices

  Yes

  No

  N/A

• If itis a boom pump. Does it have any current notices

  Yes

  No

  N/A

• If it is a mobile pump does it have current registration and plant certificate

  Yes

  No

  N/A

• Does the operator hold a current license for the operation of a concrete boom pump

  Yes

  No

  N/A

• Is the operator aware of the exclusion zones for electrical conductors

  Yes

  No

  N/A

• Is there appropriate pedestrian management in place

  Yes

  No

  N/A

Hazardous substance training register

• Select date

  Date

• Product names: Rugersol Concrete Concure wb30 diesel unleaded petrol multi cure r sika flex pro dy mark line marking paint

• Has msds for the product been read and understood

  Yes

  No

  N/A

• Has the appropriate training been provided for the product

  Yes

  No

  N/A

• Add signature

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• Add signature

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• Add signature

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• Add signature

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• Add signature

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• Select date

  Date

• Surname

• Given names

• Address no. Street. Suburb. Post code

• Phone no. 32934412. Mobile 0416456262

• Business trading name : National Concrete

• Accident incident / details

• Date of injury

• Time of injury

• Description of work at the time of the injury

• Location where injury occurred

• Type of injury bruise, cut, fracture

• Part of body injured

• Cause of injury , what happened

Traffic management

• Are entrances and exists on premises clearly identified on street frontages

  Yes

  No

  N/A

• Are parking areas clearly identified and marked

  Yes

  No

  N/A

• Are speed limits on premises clearly marked

  Yes

  No

  N/A

• Are pedestrian walkways and safety zones clearly identified and marked

  Yes

  No

  N/A

• Are building and entrance clearly identified for visitors to the premises

  Yes

  No

  N/A

• Yes

  No

  N/A

• Are speed controll operating effectively in monitoring speed vehicle speeds around the area

  Yes

  No

  N/A

• Are traffic routes and lanes clearly marked to allow vehicles to find there way

  Yes

  No

  N/A

• Are parking areas on site adequate to cope with deliveries

  Yes

  No

  N/A

• Are suitable signs provided to direct traffic site or public

  Yes

  No

  N/A

• Is adequate visibility avaliable around corners and internal areas

  Yes

  No

  N/A

• Are receiving and dispatch areas clearly marked out to avoid confusion

  Yes

  No

  N/A

• Are vehicles standing areas safe for use in all weather conditions

  Yes

  No

  N/A

• Are vehicles required to have lights whilst driving on site

  Yes

  No

  N/A

• Are vehicles fitted with reversing alarms

  Yes

  No

  N/A

• Are visiting drivers inducted regarding safety

  Yes

  No

  N/A

• Is there adequate clearance for trucks which may be expected on site

  Yes

  No

  N/A

• Are area of low clearance identified with height bars ect

  Yes

  No

  N/A