Information

  • Document No.

  • Audit Title

  • Client / Site (displayed on first page)

  • Conducted on

  • Prepared by

More than one auditor?

  • Additional auditor

  • S.T.A.R.T Card completed (shall be used at the beginning of every shift and prior to starting any new task in the course of a shift)

  • Person conducting this inspection has signed on to the individuals/ work groups' S.T.A.R.T Card

  • Members of the McConnell Dowell management teams have been performing task safety observations - "Safe talks"

  • Person conducting this inspection has conducted a "Safe Talk" during this inspection (or at the end)

  • Method of hazard identification & risk assessment is suitable (S.T.A.R.T Card, JSEA/SWMS)

  • JSEA/SWMS development was a group activity, completed by all persons involved in the task and approved (signature) by the Supervisor (verify with workers)

  • The work team carrying out the work have been informed of the requirements of the JSEA/SWMS prior to starting work (verify with workers)

  • JSEA reviewed daily and signed on to by all persons invovled in the task

  • JSEA / SWMS includes all step tasks involved in the activity

  • Controls are adequate (in the view of the person conducting the inspection) to allow the task to be performed in a safe manner

  • Correct tools and equipment are identified in the JSEA and are being used

  • Identified hazards have been clearly expressed/defined in the JSEA/SWMS

  • Risk assessments appear consistent with the hazards in the JSEA/SWMS

  • Control measures are consistent with the hierarchy of controls philosophy in the JSEA / SWMS

  • Appropriate contingency plans exist in the event of an emergency

  • The JSEA/SWMS includes environmental hazard identification, risk assessment and control measures

  • SWMS / JSEA is located at the work site

  • Any changes in the work method have been documented on the JSEA/SWMS and each team member signed the JSEA/SWMS Confirming their acknowledgement of the change

  • SWMS / JSEA identifes permit requirments (if applicable)

  • Observations indicate the SWMS / JSEA is being followed (verify/ question workers on some of the control measures listed in the JSEA/SWMS)

  • McConnell Dowell 'See, Say, Do' report forms are being utilised by workers for the reporting of hazards

  • All hazards noted on Hazard Report forms are recorded in the site action Commitment Register to ensure close-out of any further actions identified

  • Noise mitigation and attenuation measures in place for plant and equipment to limit construction noise (EMP PDS 2)

  • Dust prevention is identified as a priority within pre-start meetings, JSEA's and task planning (EMP PDS 4)

  • Action required?
  • Action

  • Allocated to

  • Action due

  • Add location
  • Signed PoMC Representative:

  • Signed Principal Contractor Representative (optional):

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.