Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Administrative Procedures
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Has appropriate contractor book been signed?
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Are they wearing correct ID tag ?
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Lack of/or inadequate work report/ job spec filled out?
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Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?
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Lack of workers signed SWMS appropriate to task?
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Lack of/or inadequate system to review SWMS as needed?
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Lack of/or inadequate toolbox talks ?
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Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)
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Lack of/or inadequate, induction for workers, contractors, visitors?
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Lack of/or inadequate, supervisory arrangements?
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Lack of/or inadequate training, licenses, skills, experience?
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Lack of/or inadequate incident notification procedures?
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Lack of/or inadequate, routine inspections, monitoring, audits?
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Lack of/or inadequate Site Safety Plan?
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Lack of evidence supporting WHS consultation
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Lack of evidence of adequate qualifications / licenses
1. Working at Heights
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1.1. Fall risks of 2m or more? (including voids, pits, and trenches)
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1.2. Lack of edge protection?
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1.3. Unsafe or incomplete edge protection?
2. Plant and Equipment
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2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)
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2.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)
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2.3. Competent persons operating plant/equipment?
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2.4. Has daily log been filled out?
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2.5. Are maintenance records up to date?
3. Scaffolds
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3.1. Unlicensed persons erecting scaffold above 4m?
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3.2. Unsafe or incomplete scaffold?
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3.3. Lack of inspection protocol for scaffold?
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3.4. Incompatible scaffold components? Unlabelled or do not meet AS?
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3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)
4. Lifting Equipment
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4.1. Unsafe or damaged plant?
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4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?
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4.3. Lack of maintenance, testing and inspection?
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4.4. Lack of SWL information displayed?
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4.5. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?
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4.6. Lifting equipment unlabelled, does not meet AS, no SWL displayed?
5. Harness and Equipment
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5.1. Unsafe or damaged harness or equipment?
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5.2. Incompatible hooks/equipment?
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5.3. Unlabelled or does not meet AS?
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5.4. Unsafe or uncertified anchor points?
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5.5. Lack of or inadequate formal training for operators?
6. Ladders
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6.1. Unsafe or damaged ladders?
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6.2. Unsafe positioning of ladders?
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6.3. Ladder not properly secured?
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6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
8. Hazardous Chemical (including fuel and oil)
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8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)
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8.2. Incompatible chemicals stored near each other?
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8.3. Inadequate spill containment equipment?
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8.4. Safety Data Sheets not accessible on site?
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8.5. Lack of up to date Safety Data Sheet?
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8.6. Insufficient, or incorrect, PPE?
10. Traffic Management
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10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?
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10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)
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10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
13. Electrical Hazards
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13.1. Unsafe electrical leads? (damaged, out of test date or untested)
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13.2. Lack of RCD protection?
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13.3. Contact with underground assets?
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13.4. Contact with overhead electrical lines?
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13.5. Overloading outlets?
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13.6. Leads placed on ground or on metal structures?
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13.7. Electrical equipment near water?
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13.8. Electrical equipment near flammables?
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13.9. Electrical equipment near chemicals that could cause damage?
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13.10. Electrical leads that may be damaged from contact with moving machinery parts?
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13.11. Electrical leads on work surfaces?
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13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?
Comments
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Enter any comments
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature
Sign and date when corrective actions are complete
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Add signature