PF12 - OHS Surveillance checklist

• Surveillance Report No.

• Areas inspected

• Persons undertaking inspection

• Date and time of inspection

  Date
• Location
  Address

Communication

• Contractor providing SWMS

  Yes

  No

  N/A

• Discussions documented

  Yes

  No

  N/A

• Add media

  Media

Electrical

• Work around overhead wires satisfactory

  Yes

  No

  N/A

• Are electrical items in use

  Yes

  No

• Leads tagged monthly

  Yes

  No

  N/A

• General condition of tools is satisfactory

  Yes

  No

  N/A

• Leads are elevated and protected

  Yes

  No

  N/A

• Switchboards locked

  Yes

  No

  N/A

• Residual current

  Yes

  No

  N/A

Site Traffic

• Vehicles securing their load

  Yes

  No

  N/A

• Only approved vehicles on site (I.e. no public)

  Yes

  No

  N/A

• Signage for blind spots/interfaces

  Yes

  No

  N/A

Permits

• Ground disturbance permit in place

  Yes

  No

  N/A

• Road occupancy licence

  Yes

  No

  N/A

• Hot work permit

  Yes

  No

  N/A

Hot work - welding

• PPE, spark arrester, hose condition satisfactory

  Yes

  No

  N/A

• Signs/screens/fire protection provided (no fire ban)

  Yes

  No

  N/A

Hazardous substances

• Has building demolition been undertaken or in progress

  Yes

  No

• Building demolition

  satisfactory

  un-satisfactory

• Are there large quantities of flammables. If yes report

  No

  Yes

• Are there suspected hazardous substances e.g. Asbestos? If yes report

  No

  Yes

Personal Protective Equipment (PPE)

• Minimum PPE in use (hard hats, glasses, hi vis vest, steel capped boots)<br>Other activities may require dust mask, gloves etc.

  Yes

  No

  N/A

Excavations

• Barricades around excavations

  Yes

  No

  N/A

• Use of ladders to gain access

  Yes

  No

  N/A

• Is appropriate shoring/benching in place

  Yes

  No

  N/A

• Add media

  Media

Fixed and Mobile plant

• Are fixed and mobile plant in use

  Yes

  No

• Condition of the plant

  satisfactory

  un-satisfactory

• Plant fitted with reversing sqwaker

  Yes

  No

  N/A

• Seatbelts in use

  Yes

  No

  N/A

• Flashing light fitted and on

  Yes

  No

  N/A

• Speed limits obeyed

  Yes

  No

  N/A

• Vehicles registered

  Yes

  No

  N/A

Manual Handling

• Slings & chains rated, not frayed

  Yes

  No

  N/A

• Swinging loads, second person directing

  Yes

  No

  N/A

• Load sharing, carried by 2 people minimum

  Yes

  No

  N/A

Confined Spaces - PV not to enter confined space

• Obtain client requirements

  Yes

  No

• Document reference for confined space entry

• Access/egress/barriers in place

  Yes

  No

  N/A

Working at Heights

• Working at heights being undertaken

  Yes

  No

• Scaffolding tagged and date certified

  Yes

  No

  N/A

• Secure, legs and connections locked

  Yes

  No

  N/A

• Barrier around scaffolding

  Yes

  No

  N/A

• Toe boards on scaffolding

  Yes

  No

  N/A

• Fall protection / harnessing on bridges

  Yes

  No

  N/A

• Barrier around cranes

  Yes

  No

  N/A

• Stable position of crane feet

  Yes

  No

  N/A

• Action to be taken/Further comment

• Signed

  Sign