Information

  • Contractor/Region

  • Company Name

  • Contractor ID

  • Conducted on

  • Prepared by

1. WHS Management System Questionnaire

  • 1.1 Has company returned the WHS Management System Questionnaire?

  • 1.1.1 Is all relevant information provided?

  • 1.1.2 Is all necessary supporting documentation provided

  • 1.1.3 Has the respondent provided contact details?

  • 1.2 Have relevant operational activities been identified?

  • CHECK WHICH APPLICABLE

  • Electrical Work

  • Plumbing Work

  • Use of plant/equipment

  • Working at Heights

  • Minor earth works

  • Handling/storage of chemicals or substances

  • Other

  • 1.3 Has it been adequately explained how WHS Hazards as indicated above are managed?

  • 1.3.1 Is supporting documentation provided?

  • 1.4 Does the organisation have a WHS Manual or Plan?

  • 1.4.1 Is supporting documentation provided?

  • 1.5 Is the correct WHS legislation indicated?

  • 1.6 Has a risk management approach to controlling WHS risks been indicated?

  • 1.6.1 Is supporting documentation provided?

  • 1.7 Are high risk construction work activities identified?

  • Indicate which high risk activities are identified

  • Work above two metres

  • Are relevant HRCW SWMS provided?

  • Disturbance of asbestos

  • Are relevant HRCW SWMS provided?

  • Working on or near energised electrical installations

  • Are relevant HRCW SWMS provided?

  • Temporary support of structures

  • Are relevant HRCW SWMS provided?

  • Involving powered mobile plant

  • Are relevant HRCW SWMS provided?

  • Confined spaces

  • Are relevant HRCW SWMS provided?

  • Excavations deeper than 1.5 metres

  • Are relevant HRCW SWMS provided?

  • On or adjacent to roadways

  • Are relevant HRCW SWMS provided?

  • Work on refrigerant or chemical lines

  • Are relevant HRCW SWMS provided?

  • Involves the risk of drowning

  • Are relevant HRCW SWMS provided?

  • 1.8 Has an incident investigation process been indicated?

  • 1.8.1 Is supporting documentation provided?

  • 1.9 Does the organisation have a process for inspecting and maintaining plant and equipment?

  • 1.9.1 Is supporting documentation provided?

  • 1.10 Does the organisation have a process for managing chemicals?

  • 1.10.1 Is supporting documentation provided?

  • 1.11 Does the organisation engage sub contractors?

  • 1.11.1 Does the organisation provide induction training for subcontractors?

  • 1.11.1.1 Is supporting documentation provided?

  • 1.11.2 Does the organisation have a process for reviewing SWMS for subcontractors?

  • 1.11.2.1 Is supporting documentation provided?

  • 1.11.3 Does the organisation have a process for providing WHS information to subcontractors?

  • 1.11.3.1 Is supporting documentation provided?

  • 1.11.4 Does the organisation have a process for ensuring subcontractors inspect and maintain plant and equipment used on site?

  • 1.11.4.1 Is supporting documentation provided?

  • 1.11.5 Does the organisation have a process for ensuring subcontractors report hazards and incidents or other WHS issues?

  • 1.11.5.1 Is supporting documentation provided?

  • 1.11.6 Does the organisation have a process for reviewing subcontractors work and work practices?

  • 1.11.6.1 Is supporting documentation provided?

  • 1.11.7 Does the organisation have a process for advising subcontractors of identified hazards or non-conformances?

  • 1.11.7.1 Is supporting documentation provided?

  • 1.12 Has the respondent indicated if workers participate in WHS training?

  • 1.12.1 Is supporting documentation provided?

  • 1.13 Does the organisation have a process for monitoring certifications, HRW and Occupational licensing requirements?

  • 1.13.1 Is supporting documentation provided?

  • 1.14 Does the organisation have a process for carrying out workplace WHS inspections?

  • 1.14.1 Is supporting documentation provided?

  • 1.15 Has a process for consulting with workers on WHS matters been demonstrated

  • 1.15.1 Is supporting documentation provided?

  • 1.16 Has the organisation been convicted of an offence under WHS or environmental laws in the last 5 years?

  • Enter details and NOTIFY WHS TEAM IMMEDIATELY

  • 1.17 Has the organisation been issued enforcement notices under WHS or environmental laws in the last 12 months?

  • Enter details and NOTIFY WHS TEAM IMMEDIATELY

2. Supporting Documentation Validation

  • 2.1 WHS Management Plan/Manual

  • 2.1.1 Is the management plan/manual signed and dated by Director/Manager

  • 2.1.2 Are WHS roles and responsibilities outlined?

  • 2.1.3 Is there a risk management procedure outlined?

  • 2.1.4 Is there a procedure for reporting incidents and hazards?

  • 2.1.5 Is there a process for managing high risk activities i.e. SWMS?

  • 2.1.6 Are consultative methods outlined?

  • 2.1.7 Are procedures for managing plant and equipment outlined?

  • 2.1.8 Are procedures for managing hazardous chemicals outlined?

  • 2.1.9 Are procedures for injury management outlined?

  • 2.1.10 Is there a procedure for dealing with emergencies?

  • 2.2 SWMS

  • REQUEST DOCUMENT RETURN FROM RESPONDENT

  • Generic SWMS format

  • 2.2.1 Are the correct company details included? (company name, address etc.)

  • 2.2.2 Does it indicate who participated in the development of the SWMS?

  • 2.2.3 Is there evidence that workers have been inducted into the SWMS?

  • 2.2.4 Are High Risk Construction Work activities identified (where relevant)?

  • 2.2.5 Are activities broken into steps sufficiently to detail how the work will be done safely?

  • 2.2.6 Are correct WHS laws, standards or codes detailed?

  • 2.2.7 Are hazards associated with the activity identified?

  • 2.2.8 Are the risks assessed for each hazard identified?

  • 2.2.9 Are control measures identified for each of the hazards?

  • 2.2.10 Are minimum PPE requirements associated with the activity identified?

  • 2.2.11 If applicable are any chemicals associated with the activity identified?

  • 2.2.12 Are items of plant and equipment associated with the activity identified?

  • 2.2.13 Are relevant competencies and licenses associated with the activity identified?

  • 2.2.14 Are any emergency management procedures associated with the activity identified?

  • 2.2.15 Are supervisory arrangements associated with the activity identified?

  • Blank Template SWMS format

  • 2.3.1 Are the correct company details included? (company name, address etc.)

  • 2.3.2 Are correct WHS laws, standards or codes detailed?

  • 2.3.3 Are High Risk Construction Work activities identified (where relevant)?

  • 2.3.4 Has the respondent provided examples of template SWMS completed against a work activity?

  • CEASE SWMS AUDIT AND REQUEST CONTRACTOR TO RESUBMIT

  • 2.3.5 Does it indicate who participated in the development of the SWMS?

  • 2.3.6 Is there evidence that workers have been inducted into the SWMS?

  • 2.3.7 Are activities broken into steps sufficiently to detail how the work will be done safely?

  • 2.3.8 Are hazards associated with the activity identified?

  • 2.3.9 Are the risks assessed for each hazard identified?

  • 2.3.10 Are control measures identified for each of the hazards?

  • 2.3.11 Are minimum PPE requirements associated with the activity identified?

  • 2.3.12 If applicable are any chemicals associated with the activity identified?

  • 2.3.13 Are items of plant and equipment associated with the activity identified?

  • 2.3.14 Are any emergency management procedures associated with the activity identified?

  • 2.3.15 Are supervisory arrangements associated with the activity identified?

  • 2.4 INCIDENT RESPONSE & INVESTIGATION

  • REQUEST DOCUMENT RETURN FROM RESPONDENT

  • 2.4.1 Has the respondent provided evidence of an incident report form?

  • 2.4.2 Has the respondent provided evidence of an incident investigation form?

  • 2.4.3 Has the respondent provided evidence of a notifiable incident reporting procedure?

  • 2.4.4 Has the respondent provided evidence of how corrective actions are addressed and communicated?

  • 2.5 PLANT & EQUIPMENT

  • REQUEST DOCUMENT RETURN FROM RESPONDENT

  • 2.5.1 Has the respondent provided evidence of a register for plant and equipment?

  • 2.5.2 Has the respondent provided evidence of how plant is inspected prior to use? (daily check sheets)

  • 2.5.3 Has the respondent provided evidence that portable electrical equipment is regularly inspected and tested?

  • 2.5.4 Has the respondent provided evidence of how unsafe or not in use items of plant are managed? ( i.e. lock out tag out)

  • 2.6 HAZARDOUS SUBSTANCE & CHEMICALS

  • REQUEST DOCUMENT RETURN FROM RESPONDENT

  • 2.6.1 Has the respondent provided evidence of a register for hazardous substances or chemicals?

  • 2.6.2 Has the respondent provided evidence of a an SDS register?

  • 2.6.3 Has the respondent provided evidence of an SDS from the register?

  • 2.6.4 Has the respondent provided evidence of how chemical spills are managed?

  • 2.6.5 Has the respondent provided evidence of how chemicals are stored and handled?

  • 2.7 SUBCONTRACTOR MANAGEMENT (IF APPLICABLE)

  • 2.7.1 Has the respondent provided satisfactory evidence of subcontractor induction process?

  • 2.7.2 Has the respondent provided satisfactory evidence of subcontractor SWMS review process?

  • 2.7.3 Has the respondent provided satisfactory evidence of how WHS information is provided to subcontractors?

  • 2.7.4 Has the respondent provided satisfactory evidence of how subcontractors are managed when onsite?

  • 2.8 WHS TRAINING, CERTIFICATIONS & LICENSING

  • REQUEST DOCUMENT RETURN FROM RESPONDENT

  • 2.8.1 Has the respondent provided satisfactory evidence of worker WHS training register?

  • 2.8.2 Has the respondent provided satisfactory evidence of HRW licenses? (if applicable)

  • 2.8.3 Has the respondent provided satisfactory evidence of permit to work procedures? (hot works, confined spaces etc)

  • 2.8.4 Has the respondent provided satisfactory evidence of construction induction training? (if applicable)

  • 2.9 WHS CONSULTATION

  • REQUEST DOCUMENT RETURN FROM RESPONDENT

  • 2.9.1 Has the respondent provided satisfactory evidence of a WHS consultative process?

  • 2.9.2 Does the organisation have elected HSR's incorporated in the consultative process?

  • 2.9.3 Does the organisation conduct regular toolbox meetings, and is the process documented?

  • 2.10.2 ELECTRICAL WORK

  • 2.10.2.1 Does the organisation have an effective electrical isolation procedure?

  • 2.10.2.2 Does the organisation have an effective electrical emergency rescue procedure?

  • 2.10.2.3 Does the organisation have a "No Live Work" policy?

  • 2.10.1 WORKING AT HEIGHTS

  • 2.10.1.1 Is there a satisfactory procedure for working above 2 metres?

  • 2.10.1.2 Is there a satisfactory procedure for use of ladders?

  • 2.10.1.3 Is there a satisfactory procedure for use of fall arrest devices, and are workers trained in FAD's?

Document Review Outcome

  • Comments and Corrective Actions Required

  • Result of Audit

  • Signature of Reviewer

  • Date & Time

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.