PGSR Safety Walk Checklist

• Site conducted

  Select

• PGSR Job Number & Project Name

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Project Details

• Place a short description of the project and works being conducted

• Project Description

• Use this audit to assess the following aspects of this site as Safe, At Risk or Not Applicable. Unsafe response indicate that attention is required to bring items to a satisfactory standard. Notes and photos should be attached where appropriate, particularly to At Risk items.

Work Areas

• Do you wish to examine work areas on this safety walk?

  Yes

  No

  N/A

• General Housekeeping (neat, tidy, dust free)

  Safe

  At Risk

  N/A

• Walkways (free of debris and obstructions)

  Safe

  At Risk

  N/A

• Work Surfaces (clear of clutter and dust)

  Safe

  At Risk

  N/A

• Sides or Holes (safety guards or covered)

  Safe

  At Risk

  N/A

• Impalement Hazards (none present, or adequately marked)

  Safe

  At Risk

  N/A

• Material Storage/Lay Down (neat and tidy)

  Safe

  At Risk

  N/A

Crib Rooms & Workforce Facilities

• Do you wish to examine the Crib Rooms & Workforce Facilities provided

  Yes

  No

  N/A

• Are the Crib Rooms, Toilet, Change and Shower Facilities in close proximity to the main working environment

  Yes

  No

  N/A

• Do the crib rooms provide adequate seating and tables for the workforce

  Yes

  No

  N/A

• Do the crib rooms provide meal heating appliances, refrigerator, a boiling water appliance and rubbish bins.

  Yes

  No

  N/A

• Are all 240Vac appliance Test and Tagged in date

  Yes

  No

  N/A

• Is there a supply or facilities to provide drinking water below 24 degree Celsius separate from toilet facilities

  Yes

  No

  N/A

• Are adequate toilet facilities provided Male & Female (Unisex if less than 10 people)

  Yes

  No

  N/A

• Are hand washing facilities provided

  Yes

  No

  N/A

• Are there mixable Hot & Cold taps on a Sink to provide warm water with washing utensils for washing up (zippo is not acceptable for warm water)

  Yes

  No

  N/A

• Is there dirty work being conducted; if so are there Shower & Change room facilities provided (Male & Female)

  Yes

  No

  N/A

• Are PGSR Contact numbers present in Crib Rooms

  Yes

  No

  N/A

• Are Employee Assistance Program posters present in Crib Rooms

  Yes

  No

  N/A

• Are "If you get injured at work" posters present in Crib Rooms with RTW coordinator and employer’s workers compensation insurer annotated on the poster.

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Do you wish to examine PPE on this safety walk?

  Yes

  No

  N/A

• Hard Hats (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Safety Glasses with Side Shields (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Face Shield / Goggles (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Respiratory Protection (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Hearing Protection (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Appropriate Clothing (in safe condition)

  Safe

  At Risk

  N/A

• Gloves (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Foot Protection (fit for task, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

Fall Protection Equipment

• Do you wish to examine fall protection equipment on this safety walk?

  Yes

  No

  N/A

• Fall protection equipment inspected regularly and before use

  Safe

  At Risk

  N/A

• Is there a Lift Equipment Register up to date on site

  Yes

  No

  N/A

• Lifting Equipment Register

  Media

• Appropriate for task and used properly by crew where applicable

  Safe

  At Risk

  N/A

• Example of a lifting task being conducted

  Media

• Suitable Anchorage Points

  Safe

  At Risk

  N/A

Ladders

• Do you wish to examine ladders on this safety walk?

  Yes

  No

  N/A

• Ladders are well maintained and in satisfactory condition

  Safe

  At Risk

  N/A

• Ladder base, footing and set up is to standard

  Safe

  At Risk

  N/A

• Proper Ladder for Task

  Safe

  At Risk

  N/A

Tools and Equipment

• Do you wish to examine tools and equipment on this safety walk?

  Yes

  No

  N/A

• General condition of tools

  Safe

  At Risk

  N/A

• Tools and Equipment inspections take place and are recorded

  Safe

  At Risk

  N/A

• Right tools are being used for tasks

  Safe

  At Risk

  N/A

• Crew members are trained to be competent in the tools appropriate for their work tasks

  Safe

  At Risk

  N/A

Electrical Safety

• Do you wish to examine electrical safety on this safety walk?

  Yes

  No

  N/A

• Ground fault circuit interrupters in use

  Safe

  At Risk

  N/A

• Extension Cords are not causing trip hazards or used inappropriately

  Safe

  At Risk

  N/A

• Power Tools are undamaged and being used fit for purpose

  Safe

  At Risk

  N/A

• Are Electrical appliances Test and Tag in date

  Yes

  No

  N/A

• Test and Tag Label

  Media

• Is there an Electrical Test and Tag Register on site

  Yes

  No

  N/A

• Electrical Test and Tag Register.

  Media

Personnel

• Do you wish to check personnel and this safety walk?

  Yes

  No

  N/A

• Behavior is orderly and professional

  Safe

  At Risk

  N/A

• Clear communication is possible without needing to shout

  Safe

  At Risk

  N/A

• Proper manual handling / lifting technique demonstrated

  Safe

  At Risk

  N/A

People Safety

• Do you wish to check work crew safety knowledge at this inspection?

  Yes

  No

  N/A

• Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.

Team Member

• Has the team member attended a pre-start meeting or toolbox talk within the last week?

  Yes

  No

  N/A

• Is the team member able to describe the correct process to follow in an emergency situation?

  Yes

  No

  N/A

• Is the worker able to identify three hazards they may encounter in their tasks today?

  Yes

  No

  N/A

• Team member signature (to verify this interview took place NOT to assess their safety knowledge)

  Sign

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

Corrective Actions

• Please add any corrective actions to the appropriate questions above before completing this report

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

Sign Off

• Name & Signature of Inspector

  Sign

• Name & Signature of Site Supervisor / Foreman

  Sign