OHSE 14 - BMD - Training

• Document No.

• Audit Title

• Client / Site (displayed on front page)

• Conducted on

  Date

• Prepared by

More than one auditor?

• Additional auditors

• Number of facilities observed:

• Mobile Plant (e.g. Wheel loader, excavator, skid steer, backhoe, dump truck, grader, rolling compactor);

• Crane operators

• Backhoe/ Grab dredge operators

• Forklift operators

• Riggers and dogman

• Energy isolation/ Lock out Tag out (LoTo);

• Selected power tools

• Fixed piling activities

• Operators of the above equipment/ machinery as a minimum have completed a VOC and hold a valid Certificate of Competency/Accreditation?

  Yes

  No

  N/A

• Personnel on site have completed a Site Specific induction?

  Yes

  No

  N/A

• Workers hold a current General Construction Induction Card (excluding short term occasional visitors)?

  Yes

  No

  N/A

• Induction/ Site access card available upon request?

  Yes

  No

  N/A

• Visitors have read the visitor induction and have signed the visitors register?

  Yes

  No

  N/A

• Short term workers have completed a short term induction e.g. One off minor induction for deliveries etc where the risk has been assessed as low?

  Yes

  No

  N/A

• Onsite UHF frequencies used when deliveries are scheduled to come on site?

  Yes

  No

  N/A
Action required?

• Action

• Action due

  Date

• Allocated to

• Add location
  Address

• Signed PoMC Representative:

  Sign

• Signed Principal Contractor Representative (optional):

  Sign