OH&S Audit

• Document No:

• Project Number - Estate Name/Address:

• Audit Category

  Select Civil Works / Set Out As-Constructed Sewer As-Constructed Water Boundary Marking Feature and Level Boundary Re-Establishment Aerial Mapping Control Errands (Driving) Building Inspection Monitoring

  • Civil Works / Set Out
  • As-Constructed Sewer
  • As-Constructed Water
  • Boundary Marking
  • Feature and Level
  • Boundary Re-Establishment
  • Aerial Mapping
  • Control
  • Errands (Driving)
  • Building Inspection
  • Monitoring

• Conducted on:

  Date

• Weather Conditions:

  Select Fine Hot (extreme) Overcast Rain Showers Wet Windy Other (Specify)

  • Fine
  • Hot (extreme)
  • Overcast
  • Rain
  • Showers
  • Wet
  • Windy
  • Other (Specify)

• Other: (Specify):

• Prepared by:

• Form: Site Hazard & Risk Inspection & Action

Covid Safe

• Have you been diagnosed with Coronavirus or directed to quarantine by DHHS?

  No

  Yes

• Do not attend the site work and leave immediately.

• Are you experiencing any of the COVID-19 symptoms? (fever, chills, cough, sore throat, shortness of breath, runny nose, lose of sense of smell)

  Yes

  No

• Do not attend the site work, get a COVID-19 test and inform your manager or HR manager.

• Please confirm all safety measures are adhered to (as set by government requirements):

  No

  Yes

• Is work being undertaken on site?

  Yes

  No

• Reason:

  Wet Day

  Other

• Comments:

• Has the site been made safe?

  Yes

  No

• Comments:

• Site PPE Requirements

  Select Safety Vest Helmets Eye Protection Hearing Protection Boots Gloves Hat Sunscreen Falls Protection Grate Other

  • Safety Vest
  • Helmets
  • Eye Protection
  • Hearing Protection
  • Boots
  • Gloves
  • Hat
  • Sunscreen
  • Falls Protection Grate
  • Other

• Other: (Specify):

• Live Entry Required?

  Yes

  No

  N/A

• What is the permit number?

Occupational Health and Safety

• Is there trenching?

  Yes

  No

  N/A

• What is the contractor doing to make it safe?

  Select Benching of Trench Shields/Timbers Fencing/Para-Web Around Trenching Other

  • Benching of Trench
  • Shields/Timbers
  • Fencing/Para-Web Around Trenching
  • Other

• Other: (Please Specify)

• Is Traffic Management required and/or in place?

  Yes

  No

  N/A

• Is it safe and in accordance with the approved Traffic Management Plan?

  Yes

  No

  N/A

• Comments

• Is there a water course?

  Yes

  No

• Are you equipped to safely conduct work? Waders, gumboots etc

  Yes

  No

• Seek instruction from the Project Manager or Survey Co-Ordinator

• Is a site-specific induction required?

  Yes

  Previously Inducted

  No

  N/A

ASSESS THE RISKS TO YOU

Possible Hazards/Risks & Work Instructions

• Risk Matrix

  

• Please choose which Hazard / Risk is appropriate to your situation:

  Select Ultra Violet Rays / Extreme Weather Traffic movement / Control Emergency Procedures, First Aid, Fire, Evacuation Construction vehicles / Equipment / Machinery Working in or near excavations Remote Work Confined spaces Working near Railway Wet / Slippery conditions Objects falling from above Needles / Syringes, Broken Glass Working with Lasers Heights / Falls Manual Handling Noise Snakes / Spiders / Insects / Dogs and other dangerous animals Fencing High grass / Overhanging trees Watercourses / Lakes / Open drains Overhead cables / Power Lines Contaminated soil Hazardous atmosphere / Materials / Chemicals

  • Ultra Violet Rays / Extreme Weather
  • Traffic movement / Control
  • Emergency Procedures, First Aid, Fire, Evacuation
  • Construction vehicles / Equipment / Machinery
  • Working in or near excavations
  • Remote Work
  • Confined spaces
  • Working near Railway
  • Wet / Slippery conditions
  • Objects falling from above
  • Needles / Syringes, Broken Glass
  • Working with Lasers
  • Heights / Falls
  • Manual Handling
  • Noise
  • Snakes / Spiders / Insects / Dogs and other dangerous animals
  • Fencing
  • High grass / Overhanging trees
  • Watercourses / Lakes / Open drains
  • Overhead cables / Power Lines
  • Contaminated soil
  • Hazardous atmosphere / Materials / Chemicals

• Ultra Violet Rays / Extreme Weather (refer to: WI/4.22/01) - Score the risk and consequence

• Traffic movement / Control (refer to: WI/4.9/049, SWMS Form 4.09-008) - Score the risk and consequence

• Emergency Procedures, First Aid, Fire, Evacuation (refer to: WI/4.22/001 (Site Specific Induction) - Score the risk and consequence

• Construction vehicles / Equipment / Machinery (refer to : WI/4.22/004, WI/4.22/007, WI/4.22/008, WI/4.22/012) - Score the risk and consequence

• Working in or near excavations (refer to: WI/4.22/004) - Score the risk and consequence

• Remote Work (refer to: WI/4.22/015) - Score the risk and consequence

• Confined spaces (refer to: NO ENTRY PERMITTED Work Permit required) - Score the risk and consequence

• Wet / Slippery conditions (refer to: ) - Score the risk and consequence

• Working near Rail (refer to: WI/4.22/018) - Score the risk and consequence

• Objects falling (refer to: WI/4.22/013) - Score the risk and consequence

• Needles / Syringes, Broken Glass (refer to: WI/4.22/022) - Score the risk and consequence

• Working with Lasers (refer to: WI/4.22/005) - Score the risk and consequence

• Heights / Falls (refer to: WI/4.22/003, WI/4.22/007, WI/4.22/013) - Score the risk and consequence

• Manual Handling (refer to: WI/4.22/009) - Score the risk and consequence

• Noise (refer to: WI/4.22/010) - Score the risk and consequence

• Snakes / Spiders / Insects / Dogs and other dangerous animals (refer to: WI/4.22/019) - Score the risk and consequence

• Fencing (refer to: ) - Score the risk and consequence

• High grass / Overhanging trees (refer to: WI/4.22/019) - Score the risk and consequence

• Watercourses / Lakes / Open drains (refer to: ) - Score the risk and consequence

• Overhead cables / Power Lines (refer to: WI/4.22/006) - Score the risk and consequence

• Contaminated soil (refer to: ) - Score the risk and consequence

• Hazardous atmosphere / Materials / Chemicals (refer to: ) - Score the risk and consequence

• I/We confirm that prior to commencement of work on site I/We have conducted a hazard/risk assessment and will follow all procedures and will take all appropriate action to ensure SAFE WORK PRACTICES.

• Person(s) on Site

Person

• Signature:

  Sign

• DO NOT PLACE YOURSELF OR OTHERS IN A DANGEROUS SITUATION

• Upload Photos Here:

  Media