OH & S ENVIRONMENTAL HAZARD INSPECTION REPORT FOR WORK SITES

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Hazard classification key
  (A) Serious rectify immediately
  (B) Hazardous program rectification
  (C) Satisfactory as it is
  N/A Not Applicable

  

GENERAL

• Subcontractors Inducted

  A

  B

  C

  N/A

• New Employees Inducted

  A

  B

  C

  N/A

• PMP/Standard Drawings on site

  A

  B

  C

  N/A

• Emergency Numbers Displayed

  A

  B

  C

  N/A

• Safe Work Procedures Followed

  A

  B

  C

  N/A

• Day Sheets Filled Out

  A

  B

  C

  N/A

AMENITIES

• Compound safe and secure

  A

  B

  C

  N/A

• Good house keeping - compound and site

  A

  B

  C

  N/A

• Toilet clean and in good condition

  A

  B

  C

  N/A

• Amenities adequate for project

  A

  B

  C

  N/A

• Container & tool store satisfactory

  A

  B

  C

  N/A

FIRST AID

• First aid kit & facilities on site

  A

  B

  C

  N/A

• First aid officer nominated

  A

  B

  C

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Hearing protection available

  A

  B

  C

  N/A

• Safety footwear being worn

  A

  B

  C

  N/A

• Hard hats worn where required

  A

  B

  C

  N/A

• Safety vests worn if required

  A

  B

  C

  N/A

• Eye and sun protection available

  A

  B

  C

  N/A

EXCAVATION/PIPE LAYING

• Trenching/pipe laying practice ok

  A

  B

  C

  N/A

• Ground support trench > 1.5m details

  A

  B

  C

  N/A

• Mine manager on site & nominated

  A

  B

  C

  N/A

• Lookout on top all times > 1.5m

  A

  B

  C

  N/A

• Barricade in place for open trench

  A

  B

  C

  N/A

• Materials stored correctly

  A

  B

  C

  N/A

• Defect materials isolated

  A

  B

  C

  N/A

• Material record sheet filled out

  A

  B

  C

  N/A

PLANT & EQUIPMENT

• Waste oil & other waste collected

  A

  B

  C

  N/A

• Daily plant inspections and fault reports completed for all plant

  A

  B

  C

  N/A

• Subcontractors plant in good condition and inspected daily

  A

  B

  C

  N/A

• Operators have tickets of competency

  A

  B

  C

  N/A

• Vehicles parked to reduce impact on road users and pedestrians

  A

  B

  C

  N/A

• Electric leads inspected and tagged

  A

  B

  C

  N/A

• Power and hand tools in good condition

  A

  B

  C

  N/A

• Lifting equipment in good condition

  A

  B

  C

  N/A

SITE SAFETY

• SWMS in PMP used

  A

  B

  C

  N/A

• Warning signs, traffic and public in place as per TMP

  A

  B

  C

  N/A

• Toolbox meeting minutes kept on site

  A

  B

  C

  N/A

• Inspect for dangerous goods

  A

  B

  C

  N/A

• MSDS sheets on site if needed

  A

  B

  C

  N/A

• Work practices inspected for any other potential hazards on site

  A

  B

  C

  N/A

• Potential for confined space hazard

  A

  B

  C

  N/A

• Warning signs stacked and clean

  A

  B

  C

  N/A

• SWMS have been checked and are relevant to work being undertaken

  A

  B

  C

  N/A

• Existing services located

  A

  B

  C

  N/A

• Appropriate lighting for night work

  A

  B

  C

  N/A

ENVIRONMENT MANAGEMENT

• Environmental analysis in PMP being used

  A

  B

  C

  N/A

• Inspect for extra environmental hazards

  A

  B

  C

  N/A

• Erosion control arranged

  A

  B

  C

  N/A

• Sedimentation control arranged

  A

  B

  C

  N/A

• Clearing works limited to site only

  A

  B

  C

  N/A

• Control measures monitored

  A

  B

  C

  N/A

• General comments:

• Non-conformance/suggestion report form and copy of report given to safety co-ordinator?

  Yes

  No

• Signature:

  Sign