Information
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Document No.
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Audit Title
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Client / Site (displayed on first page)
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Conducted on
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Prepared by
More than one auditor?
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Additional auditor
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SWMS completed for the task?
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Method of hazard identification & risk assessment is suitable?
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JHA development was a group activity, completed by all persons involved in the task and approved (signature) by the Supervisor or manager (verify with workers)
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SWMS observed are within 60 day validation. All SWMS have been reviewed in the last 60 days?
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SWMS and JHA includes all step tasks involved in the activity?
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Specific controls are identified in the JHA in accordance with the hierarchy of control?
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Controls are adequate (in the view of the person conducting the inspection) to allow the task to be performed in a safe manner
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Correct tools and equipment are identified in the JSEA and are being used
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Emergency response measures are identified in the WMS and SWMS?
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SWMS / JHA is located at the work site
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SWMS / JHA identifes permit requirments (if applicable)
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All High Risk Construction Work (HRCW) controls are being followed as per BMD Core Operating procedures?
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JHA card completed for any activity on site that involves HRCW and designated hazardous activities?
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SWMS/ JHA is being followed?
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Observations indicate the SWMS / JSEA is being followed (verify/ question workers on some of the control measures listed in the JSEA/SWMS)
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Noise mitigation and attenuation measures in place for plant and equipment to limit construction noise (EMP PDS 2)
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Dust prevention is identified as a priority within pre-start meetings, JSEA's and task planning (EMP PDS 4)
Action required?
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Action
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Allocated to
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Action due
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Add location
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Signed PoMC Representative:
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Signed Principal Contractor Representative (optional):