Information

  • Document No.

  • Audit Title

  • Client / Site (displayed on first page)

  • Conducted on

  • Prepared by

More than one auditor?

  • Additional auditors

Weather Conditions

  • Has it rained over previous 24 hours?

  • Is runoff being managed appropriately?

  • Wind direction?

Dust and Air Quality Management

  • Is any dust being generated from works?

  • Are adequate dust management measures in place?

  • Are any odours noticeable?

  • Describe odour

Soil Management

  • Are soils being handled on site?

  • State activity

  • Are soils/materials being adequately segregated during excavation? This includes stained or odorous material and material containing more than 10% waste.

  • Are soils free of inert waste/stains/odours being transported and placed in designated areas?

  • Has any stained, odorous or material containing inert waste been uncovered?

  • Have these been segregated and stockpile in storage pad with adequate controls in place?

  • Is soil tracking documentation being maintained?

  • When was the soil tracking register last updated?

  • Has it been over three days since BMD updated soil tracking?

  • Are there any visible signs of contaminated soil on the excavation walls or floor?

  • Describe and report to BMD for further investigation

Temporary Stockpile Storage Pad

  • Are appropriate stockpile controls in place?

  • Are any cracks or staining observed on the pad?

  • Provide detail including location and size of area stained or cracked

Groundwater spear installation

  • Is groundwater spear installation occurring?

  • Is the installation being undertaken as per the WMS?

  • Is there any odour or anything visible in the water/spill?

Groundwater Management

  • Is groundwater dewatering occurring?

  • Confirm if groundwater, groundwater/stormwater or just stormwater s being pumped

  • Are daily field checks being undertaken? Observe records.

  • Is daily salt load criteria being met?

  • Are any sheens visible or odours noticeable or have they been recorded?

  • Is there capacity in the settlement tanks and is dewatering working effectively?

  • Is the flow meter working?

  • Were the results within acceptable limits?

  • Has the initial sampling been undertaken?

  • We're the results within the acceptable limits?

  • Are volumes released within allowable limits (xx)? Record

  • Is equipment, connections and discharge system in good working order?

  • Are any leaks visible from the tanks pumps or lines?

  • Are daily field checks being undertaken? Observe records

  • Are results compliant with the TWA?

Coating Removal Works

  • Have any removal works commenced? (State activity)

  • Are dangerous goods adequately bundled and segregated?

  • Are SDS available?

  • Are signs of excessive overspray visible?

  • Are there noticeable odours?

General Observations

  • Have concrete works commenced?

  • Is a concrete washout facility in place with capacity?

  • Are any other activities occurring? For example NDD

  • Are dangerous goods stored in the work zone?

  • Are SDS available?

  • Waste facilities in place with capacity?

  • Spill kits available and stocked?

  • ECP displayed and controls implemented as per plan?

  • Are any out of hours occurring/planned?

  • Is Desktop Noise Assessment in place?

  • Are works compliant with this plan?

  • Action required?
  • Action

  • Allocated to

  • Action due

  • 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.