NCIG - PTO - Formwork

• Audit Title/Client/Date (reverse order)

• Prepared by

• Location
  Address

• Personnel

EVALUATION

• Are all activities performed in compliance with an accepted JSEA that is still adequate for the current tasks & conditions?

  Yes

  No

  N/A

• Do all persons appear to understand the requirements of the JSEA & have signed off?

  Yes

  No

  N/A

• Was the formwork design certified by a competent person?

  Yes

  No

  N/A

• Is the sequence of & the assembly/dismantling approved by an engineer or competent person?

  Yes

  No

  N/A

• Are exclusion zones established to prevent unauthorised access & to prevent mobile plant interaction with the structure?

  Yes

  No

  N/A

• Is stripping undertaken in a methodical sequence? e.g. dropping stripping is not tolerated

  Yes

  No

  N/A

• Is there a JSEA detailing measures to control risks associated with the following hazards (were applicable):

• Working at height?

  Yes

  No

  N/A

• Falling objects?

  Yes

  No

  N/A

• Manual handling?

  Yes

  No

  N/A

• Walking on steel 'reo'?

  Yes

  No

  N/A

• Protruding objects?

  Yes

  No

  N/A

• Compressed air nail tools?

  Yes

  No

  N/A

• Erection & dismantling of scaffolding?

  Yes

  No

  N/A

• Use of concrete pumps?

  Yes

  No

  N/A

• Noise?

  Yes

  No

  N/A

• Dust?

  Yes

  No

  N/A

• Use of cranes & lifting gear?

  Yes

  No

  N/A

• Use of other mobile plant?

  Yes

  No

  N/A

• Are there any other risks or issues associated with the activities observed?

  Yes

  No

  N/A

• If yes, provide details

• Location of Observation

• COMMENTS & RECOMMENDATIONS

• Comments & recommendations to be actioned by

• Signature of observer

  Sign