NAUTICAL SAFETY 2016 INSPECTION dv

• Job name and number

• Conducted on

  Date

• Client

• Supervisor

• Prepared by

• Subcontractor/Employees

• Work being performed at time on inspection

  Select installing safety wire roof load roof lay walls flashings rainwater goods and accessories other gutters

  • installing safety wire
  • roof load
  • roof lay
  • walls
  • flashings
  • rainwater goods and accessories
  • other
  • gutters

General

• Swms onsite and adequate for purpose?

  Yes

  No

  Not that I can see

• Swms signed by all workers and safety plan filed in correctly including writing of their ticket numbers

  Yes

  No

  N/A

• There are no incidents or notes from last week to focus on?

  Yes

  No

  N/A

• Pre start and toolbox up to date? Done daily

  Yes

  No

  N/A

• Guardrail handover certificate complete?

  Yes

  No

  N/A

• Safety mesh handover complete?

  Yes

  No

  N/A

• Exclusion zones, visual warning and or signage around work area where practicable

  Yes

  No

  N/A

• Photos of exclusion zones, visual warning and or signage around work area where possible.

  Media

• Are materials onsite stacked neatly and bunted to prevent materials being run over or someone injuring themselves.

  Yes

  No

  N/A

• Hard Hats worn at all times even on roof?

  Yes

  No

  N/A

• Suitable steel cap shoes/boots worn by all workers?<br>Boots only on ground?

  Yes

  No

  N/A

• Gloves suitable for the task being worn?

  Yes

  No

  N/A

• Safety glasses being worn?

  Yes

  No

  N/A

• Hearing protection being worn?

  Yes

  No

  N/A

• Hi Vis being worn by all workers?

  Yes

  No

  N/A

• Is the electrical register up to date?

  Yes

  No

  N/A

• All electrical items tagged and in date - must be within 3 month period

  Yes

  No

  N/A

• Works, materials and plant outside electrical exclusion zones - 3m low voltage and 6m for high voltage?

  Yes

  No

  N/A

• Is the harness register onsite and in date? (within 6 monthly check period)

  Yes

  No

  N/A

• Check harness tags. Are there harnesses out of date on site? Must be within 6 month check period.

  Yes

  No

  N/A

• Do all workers have a working at heights ticket? (Check the ticket section of the safety plan)

  Yes

  No

  N/A

• Are suitable anchor plates / static lines in use?

  Yes

  No

  N/A

• Is the system suitable for intended use (considering pendulum effect and minimum fall heights)?

  Yes

  No

  N/A

• What rescue equipment is available?

  Select scissor (basket to fit stretcher) boom (basket to fit stretcher) scaffold stairs (stretcher stairs) gotcha kit dog man basket access stair other

  • scissor (basket to fit stretcher)
  • boom (basket to fit stretcher)
  • scaffold stairs (stretcher stairs)
  • gotcha kit
  • dog man basket
  • access stair
  • other

• Are workers trained in rescue equipment?

  Yes

  No

  N/A

• Is an industrial extension ladder is use for access only?

  Yes

  No

  N/A

• 3 points of contact at all times on ladders, extended 1m past landing and fixed at top and or bottom?

  Yes

  No

  N/A

• Mobile scaffold is set up as per manufactures instructions (up to 4m high)

  Yes

  No

  N/A

• Suitable for the task?

  Yes

  No

  N/A

• Industrial ladder secured at top and or bottom, extended 1m past roof (less than 7.5m)

  Yes

  No

  N/A

• Suitable scaffold stairs?

  Yes

  No

  N/A

• Scaffold system is complete - no missing parts, correct rail heights?

  Yes

  No

  N/A

• Guard rail is complete with access point?

  Yes

  No

  N/A

• Workers are not climbing over handrails?

  They are not climbing over rail

  They are climbing over rail?

• Is there a suitable visual barrier in place?

  Yes

  No

  N/A

• Is the access positioned at least 3m from lower voltage power lines?

  Yes

  No

  N/A

• Only licensed operators are operating the EWP?

  Yes

  No

  N/A

• Log book and safety check is completed daily?

  Yes

  No

  N/A

• Correct PPE worn for EWP and attached to the correct designated position?

  Yes

  No

  N/A

• EWP is being used within the SWL limit?

  Yes

  No

  N/A

• EWP is adequate for the job?

  Yes

  No

  N/A

• Positioned at least 3m from low voltage power lines?

  Yes

  No

  N/A

• EWP exclusion zone, visual warning and or signage around area where reasonably practicable?

  Yes

  No

  N/A

• Photo of EWP work area

  Media

• Are materials on roof and ground secured with strapping?

  Yes

  No

  N/A

• Photo of materials

  Media

• Is cleaning being done progressively?

  Yes

  No

  N/A

• Incidents/notes:

• Add media

  Media

• Add drawing

  Drawing