OHS MANAGERS SAFETY AUDIT CHECKLIST SF00309

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

CONTROL MEASURES

• Has a daily risk and hazard assessment (HiDra) been completed prior to starting work

  Yes

  No

  N/A

• Have all employees or visitors signed the HiDra

  Yes

  No

  N/A

• Has the HiDra been completed in full

  Yes

  No

  N/A

• Have all employees and visitors been inducted into the project/site

  Yes

  No

  N/A

• Have any overhead hazards been identified

  Yes

  No

  N/A

• Have any specific traffic hazards been identified

  Yes

  No

  N/A

• Have any other location hazards been identified (school, steep incline, etc.)

  Yes

  No

  N/A

• Are bush fire safety measures in place

  Yes

  No

  N/A

• Have any specific environmental issues relating to the site been identified

  Yes

  No

  N/A

• Is there a controlled and approved copy of the current Safety Management Plan on site

  Yes

  No

  N/A

• Is there a controlled and approved copy of current Safe Working Method Statements on site

  Yes

  No

  N/A

• Are personnel carrying identification tags that are in a reasonable condition

  Yes

  No

  N/A

BASIC SAFETY ITEMS

• Are First Aid Kits readily available and fully stocked

  Yes

  No

  N/A

• Is there a suitable fire extinguisher on site for potential fire risks

  Yes

  No

  N/A

• Is the fire extinguisher within the service tag date

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the lanyard/seal unbroken

  Yes

  No

  N/A

• Is the fire extinguisher stored safely and easily accessible from the work site

  Yes

  No

  N/A

• Is there adequate natural/artificial lighting on site

  Yes

  No

  N/A

• As there any trip hazards such as hoses or cables running across the road or pathway

  Yes

  No

  N/A

• Is there someone on site in charge of monitoring their presence in the path of vehicles or people

  Yes

  No

  N/A

• Are there any fuel containers on site

  Yes

  No

  N/A

• Are the fuel containers correctly stored to allow expansion

  Yes

  No

  N/A

• Are all chemicals stored correctly within the vehicle

  Yes

  No

  N/A

CLOTHING & PPE

• Are regulation helmets worn correctly at all times (within 3yrs of manufacturers date)

  Yes

  No

  N/A

• Are appropriate safety glasses or face shields being worn where necessary

  Yes

  No

  N/A

• Are appropriate respirators or filters being used when necessary

  Yes

  No

  N/A

• Are gloves being worn by all operators

  Yes

  No

  N/A

• Are hand washing/protection products available in the vehicle

  Yes

  No

  N/A

• Are steel toe safety boots being worn by all workers and visitors

  Yes

  No

  N/A

• Is ear protection being used where necessary

  Yes

  No

  N/A

• Are all operators wearing high visibility clothing that is in good condition

  Yes

  No

  N/A

CONFINED SPACE & ASSOCIATED HAZARDS

• Has a gas monitor been response tested and recorded on the appropriate documentation

  Yes

  No

  N/A

• What is the serial number of the gas monitor on site

  Yes

  No

  N/A

• Is the gas monitor within calibration date

  Yes

  No

  N/A

• Has the testing of the manhole/entry point been recorded on the HiDra or entry permit

  Yes

  No

  N/A

• Is are there any confined space entries on this site

  Yes

  No

  N/A

• Are all operators trained in confined space entry

  Yes

  No

  N/A

• Is the standby person suitably trained in confined space entry

  Yes

  No

  N/A

• Name of nominated person for confined space entry:

• Name of standby person for confined space entry:

• Are correct confined space procedures being followed

  Yes

  No

  N/A

• Has the confined space entry permit been filled out

  Yes

  No

  N/A

• Has the entry permit been filled out correctly and signed

  Yes

  No

  N/A

• Is there an approved tripod on site

  Yes

  No

  N/A

• Is the tripod fully extended

  Yes

  No

  N/A

• What is the tripods Serial No.

• Is there a full parachute type harness on site

  Yes

  No

  N/A

• Is the harness in good condition and within life expectancy date

  Yes

  No

  N/A

• What is the harness Serial No.

• Is there confined space entry signage on good display

  Yes

  No

  N/A

• Is there an air rescuer on site and within its 10yr life expectancy

  Yes

  No

  N/A

• Is a grate covering any unattended manhole

  Yes

  No

  N/A

CCTV & JETTING

• What SWMS are in use for this site/project

  Select CCTV CCTV & Jetter Dingo Combo Cleaning Microtraxx Patching

  • CCTV
  • CCTV & Jetter
  • Dingo
  • Combo Cleaning
  • Microtraxx
  • Patching

• Are all SWMS on site and easily accessible

  Yes

  No

  N/A

• Is the Jetter hose in good condition

  Yes

  No

  N/A

• Is access to and from the vehicle safe and acceptable

  Yes

  No

  N/A

• Is there a 110mm gap to prevent back-flow from the jetted reservoir

  Yes

  No

  N/A

• Is there a back flow prevention device on the stand pipe

  Yes

  No

  N/A

• Is there a current certificate for the back flow prevention device

  Yes

  No

  N/A

TRAFFIC CONTROL

• Is traffic control needed/ in use on this site

  Yes

  No

  N/A

• Is there an approved traffic control plan in place

  Yes

  No

  N/A

• What is the traffic control plan number

  Yes

  No

  N/A

• Are advisory signs as per the plan selected

  Yes

  No

  N/A

• Is there a requirement for traffic controllers on site

  Yes

  No

  N/A

• Is there a need for a certified traffic control agency on site

  Yes

  No

  N/A

• What is the name of the traffic controller or company

  Yes

  No

  N/A

• Does the traffic controller hold the required certificate/card

  Yes

  No

  N/A

• Does the agency have an approved plan on site (by council or RTA)

  Yes

  No

  N/A

• Are sufficient advisory signs being used and correctly placed

  Yes

  No

  N/A

• Is access around the worksite safe for the public

  Yes

  No

  N/A

• Are all traffic controllers appropriately dressed

  Yes

  No

  N/A

• Is there an approved police permit on site

  Yes

  No

  N/A

• Is there a current council permit or written authorisation on site

  Yes

  No

  N/A

• Is there a qualified relief person on site

  Yes

  No

  N/A

• Is signage in good condition

  Yes

  No

  N/A

• Do traffic controllers have escape routes away from traffic

  Yes

  No

  N/A

• If at night, are night wands being used

  Yes

  No

  N/A

• Are pedestrian managers required on site

  Yes

  No

  N/A

SIGNAGE

• As there 2x "pedestrians watch your step" signs on site/stored

  Yes

  No

  N/A

• Photo of condition

  Media

• Are there 2x "part road closure" signs on site or stored

  Yes

  No

  N/A

• Photo of condition

  Media

• Are there 4x "dig man ahead" signs on site or stored

  Yes

  No

  N/A

• Photo of condition

  Media

• Are there 2x "chevron left/right" signs on site or stored

  Yes

  No

  N/A

• Photo of condition

  Media

PLANT

• Drivers/operators name(s)

• Are all operators/drivers licensed to do so

  Yes

  No

  N/A

• What class of license does the driver hold

• Rego expiry date

  Date

• Vehicles Rego number

VISUAL INSPECTION OF

• Tyres

  pass

  fail

• Lights

  pass

  fail

• Horn

  pass

  fail

• Windscreen & windows

  pass

  fail

• Bodywork

  pass

  fail

• Hydraulics

  pass

  fail

• Towing mechanism

  pass

  fail

• Is the vehicle cabin neat and tidy

  Yes

  No

  N/A

• Is there a spare tyre and jack for this vehicle

  Yes

  No

  N/A

• Is there safe access onto or into the vehicle (steps etc.)

  Yes

  No

  N/A

• Is the work area of the vehicle tidy and is all equipment used or stored correctly

  Yes

  No

  N/A

• Does the vehicle have a towed attachment

  Yes

  No

  N/A

• Tyres

  pass

  fail

• Lights

  pass

  fail

• Towing mechanism

  pass

  fail

• What is the vehicles Rego number

• When does the Rego expire

  Date

ELECTRICAL

• Are all electrical leads and portable equipment tested and tagged

  Yes

  No

  N/A

• Are all portable generators, extension leads and power tools protected with earth leakage devices

  Yes

  No

  N/A

• Is an earth lead being used

  Yes

  No

  N/A

• Is an electrical tag and test lo book in the vehicle and completed correctly

  Yes

  No

  N/A

HOUSE KEEPING

• Is the general work area tidy and are materials stored correctly

  Yes

  No

  N/A

• Are noise requirement being adhered to

  Yes

  No

  N/A

• Are bins being used

  Yes

  No

  N/A

• On completion has the site been left as found

  Yes

  No

  N/A

• Have start times (7am earliest) been adhered to

  Yes

  No

  N/A

ADDITIONAL COMMENTS & SIGNATURE

• General comments

• Are any actions needed

  Off

  On

• Actions needed

Inspection Carried Out By

• Add signature

  Sign

• Select date

  Date

Witness

• Add signature

  Sign

• Select date

  Date