PM or Snr Management site Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel interacted with during audit

1 EMERGENCY RESPONSE

• 1.1 Current Emergency Evacuation Plan & Procedure displayed in appropriate positions around site

  Yes

  No

  N/A

• 1.2 Fire Extinguishers are marked correctly on evacuation plan

  Yes

  No

  N/A

• 1.3 Emergency assembly & Muster points are highlighted on the evacuation plan

  Yes

  No

  N/A

• 1.4 Location of First Aid kits are marked on the evacuation plan

  Yes

  No

  N/A

• 1.5 Emergency Exits are marked correctly on evacuation plan

  Yes

  No

  N/A

• 1.6 Emergency Numbers displayed on evacuation plan and include

  Yes

  No

  N/A

• 1.6 Emergency Numbers displayed on evacuation plan include:

• * Local Police Station

  Yes

  No

  N/A

• * Local Fire Brigade

  Yes

  No

  N/A

• * Local Hospital

  Yes

  No

  N/A

• * Western Power or electricity source

  Yes

  No

  N/A

• * Gas

  Yes

  No

  N/A

• * Chemwatch

  Yes

  No

  N/A

• * Water & Sewerage

  Yes

  No

  N/A

• * Site Managers phone number

  Yes

  No

  N/A

• 1.7 Firefighting equipment in place and in good condition

  Yes

  No

  N/A

• 1.8 Fire extinguishers are correct type for the area

  Yes

  No

  N/A

• 1.9 Fire extinguisher signage is in place and correct

  Yes

  No

  N/A

• 1.10 Fire extinguishers are serviced every 6 months and fitted with anti-tamper tags

  Yes

  No

  N/A

• 1.11 1 metre clearance maintained around fire fighting equipment

  Yes

  No

  N/A

• 1.12 Access to fire fighting equipment is clear

  Yes

  No

  N/A

• 1.13 Fire Breaks in place and adequate if near site boundries

  Yes

  No

  N/A

• 1.14 Access to switchboards is clear and unobstructed

  Yes

  No

  N/A

• 1.15 Smoke alarms fitted in buildings as required

  Yes

  No

  N/A

• 1.16 Emergency assembly / muster area(s) sign posted

  Yes

  No

  N/A

• 1.17 Emergency assembly / muster area(s) have a clear path to them and are free of debris

  Yes

  No

  N/A

• 1.18 First Aid kits are available with correct signage displayed

  Yes

  No

  N/A

• 1.19 First Aid kits in good condition and fully stocked (contents list is located on inside of kit - check)

  Yes

  No

  N/A

• 1.20 Are names of first aiders on site located on the first aid kit

  Yes

  No

  N/A

• 1.21 Sign in sheets accurate

  Yes

  No

  N/A

• 1.23 Exits and stairs clear and unobstructed

  Yes

  No

  N/A

2 House Keeping

• 2.1 Access / Egress to work sites

  Yes

  No

  N/A

• 2.2 Caps on star pickets & rebar

  Yes

  No

  N/A

• 2.3 Rubbish bins provided and used

  Yes

  No

  N/A

• 2.4 Materials neatly stacked

  Yes

  No

  N/A

• 2.5 Work platforms clear

  Yes

  No

  N/A

• 2.6 Adequate lighting - night work

  Yes

  No

  N/A

• 2.7 All hoses off ground

  Yes

  No

  N/A

• 2.8 Correct signage in place & readable

  Yes

  No

  N/A

• 2.9 Hazardous Sub's labeling & storage

  Yes

  No

  N/A

• 2.10 Waste stored / removed correctly

  Yes

  No

  N/A

• 2.11 Recycling is occurring

  Yes

  No

  N/A

• 2.12 Do employees pick up stock / litter / spillages off floor & site area

  Yes

  No

  N/A

3 Offices and Ablutions

• 3.1 Crib room clean, tidy and hygienic

  Yes

  No

  N/A

• 3.2 Floors are clean, clear with a safe path of travel throughout area

  Yes

  No

  N/A

• 3.3 Floor coverings / surfaces in good condition

  Yes

  No

  N/A

• 3.4 Toilets clean and hygienic

  Yes

  No

  N/A

• 3.5 No evidence of sewage spills or overflows

  Yes

  No

  N/A

• 3.6 Barricading / signs in place where required

  Yes

  No

  N/A

• 3.7 Access and Egress; trip hazards, condition of flooring, anti-slip, handrails

  Yes

  No

  N/A

• 3.8 Emergency Evacuation Plan

  Yes

  No

  N/A

• 3.9 Air conditioning & Ventilation adequate and filters clean

  Yes

  No

  N/A

• 3.10 Filing Cabinets / Shelving - not overloaded

  Yes

  No

  N/A

• 3.11 Leads, Lighting, Emergency Lighting

  Yes

  No

  N/A

• 3.12 Housekeeping, cleanliness, food / rubbish disposal, hygienic

  Yes

  No

  N/A

• 3.13 Individuals Work Stations are clean and walkways not obstructed

  Yes

  No

  N/A

• 3.14 Office equipment; Shredder protected, good height, ventilation, noise

  Yes

  No

  N/A

• 3.15 Equipment such as chairs, desks, computers, etc. are in good working condition

  Yes

  No

  N/A

• 3.16 Lights are working, covers in place where required and adequate for the job

  Yes

  No

  N/A

• 3.17 Double adaptors and non RCD power boards are not being used

  Yes

  No

  N/A

• 3.18 Electrically operated machines have current testing and tagging (includes kitchen appliances older than 12 months

  Yes

  No

  N/A

• 3.19 Power points and power leads are good condition (no leads across floors or on wet surfaces)

  Yes

  No

  N/A

• 3.20 First Aid Kit available

  Yes

  No

  N/A

• 3.21 MSDS available

  Yes

  No

  N/A

4 Personal Protective Equipment (PPE)

• 4.1 PPE available at the worksite

  Yes

  No

  N/A

• 4.2 All appropriate PPE being worn

  Yes

  No

  N/A

5 Mechanical / Workshop

• 5.1 9" grinders not in use

  Yes

  No

  N/A

• 5.2 Clips fitted to all hoses

  Yes

  No

  N/A

• 5.3 Correct discs used in grinders

  Yes

  No

  N/A

• 5.4 Ladders secured and tagged

  Yes

  No

  N/A

• 5.5 guards fitted to machinery/ tools

  Yes

  No

  N/A

• 5.6 Portable electrical equipment Tagged and current

  Yes

  No

  N/A

• 5.7 Wheel chocks in use / available

  Yes

  No

  N/A

• 5.8 Hand held tools are in good condition and stored appropriately

  Yes

  No

  N/A

• 5.11 Are sufficient stocks of PPE kept?

  Yes

  No

  N/A

• 5.12 Manual handling aids available

  Yes

  No

  N/A

• 5.13 Gas bottles secured / protected from damage or falling over ( e.g strapped or chained to secured fixture)

  Yes

  No

  N/A

• 5.14 Ladders used are in good working condition and quarterly tagged

  Yes

  No

  N/A

• 5.15 Safety warning signs present:

• * Manual Handling

  Yes

  No

  N/A

• * Eye protection

  Yes

  No

  N/A

• * Keep out - Authorized Personnel only

  Yes

  No

  N/A

• * Visitors report to the Office

  Yes

  No

  N/A

• * Chemicals

  Yes

  No

  N/A

• 5.16 Employees are wearing correct PPE

  Yes

  No

  N/A

• 5.17 A register of authorized employees to operate plant / equipment is available

  Yes

  No

  N/A

• 5.18 Stacked items are safe - not overhanging or leaning

  Yes

  No

  N/A

• 5.19 Are pallets in good condition?

  Yes

  No

  N/A

6 Electrical

• 6.1 Electrical leads, plugs etc are in good condition

  Yes

  No

  N/A

• 6.2 ELCB / RCD used for portable tools

  Yes

  No

  N/A

• 6.3 All equipment tagged correctly

  Yes

  No

  N/A

• 6.4 Leads off ground not near water

  Yes

  No

  N/A

• 6.5 Isolations appropriate & completed

  Yes

  No

  N/A

• 6.6 Earth leads on welders good condition

  Yes

  No

  N/A

7 Vehicles and Mobile Equipment

• 7.1 All vehicles reverse parking or parked fundamentally stable

  Yes

  No

  N/A

• 7.2 Road rules are being followed

  Yes

  No

  N/A

• 7.3 Vehicles meet site requirements

  Yes

  No

  N/A

• 7.4 Daily Pre-start inspection completed and logged on all machinery

  Yes

  No

  N/A

• 7.5 Are equipment prestarts completed by employees

  Yes

  No

  N/A

• 7.7 Are Corrective Actions of defects completed in a timely manner

  Yes

  No

  N/A

• 7.8 Flashing lights & headlights working and being used

  Yes

  No

  N/A

• 7.9 Maintained, clean and sanitary

  Yes

  No

  N/A

• 7.10 Spotter used as required

  Yes

  No

  N/A

• 7.11 Clean / No loose debris

  Yes

  No

  N/A

• 7.12 Radio procedures being followed

  Yes

  No

  N/A

8 Traffic Management

• 8.1 Full segregation of HV - LV and pedestrians is in place

  Yes

  No

  N/A

• 8.2 Park up areas are correct

  Yes

  No

  N/A

• 8.3 Traffic management plans are in place

  Yes

  No

  N/A

• 8.4 Management plans publicised

  Yes

  No

  N/A

• 8.5 Speed limits are marked correctly

  Yes

  No

  N/A

9 Roads and Surfaces

• 9.1 Windrows correct height

  Yes

  No

  N/A

• 9.2 Surfaces firm and safe

  Yes

  No

  N/A

• 9.3 Roads adequate width

  Yes

  No

  N/A

• 9.4 Delineators in place

  Yes

  No

  N/A

10 Excavations and Mining

• 10.1 Trenches and stock piles are correctly battered back

  Yes

  No

  N/A

• 10.2 Barricaded correctly

  Yes

  No

  N/A

• 10.3 Easy entry and exit to Digger

  Yes

  No

  N/A

• 10.4 Loading of Trucks sequenced

  Yes

  No

  N/A

• 10.5 Correct method of digging is being used

  Yes

  No

  N/A

• 10.6 Park up areas are defined

  Yes

  No

  N/A

• 10.7 All signals appropriate

  Yes

  No

  N/A

11 Job Start

• 11.1 SWMS or JHA appropriate & completed

  Yes

  No

  N/A

• 11.2 SWMS or JHA on the job and understood

  Yes

  No

  N/A

• 11.3 Take 5's have been completed and sighted by the inspector

  Yes

  No

  N/A

• 11.4 Permits are appropriate & completed

  Yes

  No

  N/A

• 11.5 Isolations appropriate & completed

  Yes

  No

  N/A

• 11.6 Work area demarked and sign posted

  Yes

  No

  N/A

• 11.7 Material Safety Data Sheets (MSDS) for chemicals at the workplace

  Yes

  No

  N/A

• 11.8 Access/egress to work area is safe

  Yes

  No

  N/A

12 Occupational Health

• 12.1 Dust levels low and controlled

  Yes

  No

  N/A

• 12.2 Noise levels acceptable

  Yes

  No

  N/A

• 12.3 Fibrous Material is being controlled

  Yes

  No

  N/A

• 12.4 Vibration is being controlled

  Yes

  No

  N/A

13 Hot Work

• 13.1 Permit in place

  Yes

  No

  N/A

• 13.2 Flashback arresters on cylinders and hand pieces

  Yes

  No

  N/A

• 13.3 All equip (hoses, etc) in good condition

  Yes

  No

  N/A

• 13.4 Fire extinguishers available for all Hot Work

  Yes

  No

  N/A

• 13.5 Earth clamps in correct location

  Yes

  No

  N/A

14 Working at Heights

• 14.1 WAH is being eliminated where possible

  Yes

  No

  N/A

• 14.2 Fall arrest equipment used

  Yes

  No

  N/A

• 14.3 Permit to work at Height in place

  Yes

  No

  N/A

• 14.4 Spotters in place as required

  Yes

  No

  N/A

• 14.5 Drop zone barricading in place

  Yes

  No

  N/A

• 14.6 Dropped objects prevention is in place

  Yes

  No

  N/A

15 Craneage Operations

• 15.1 Crane log books and documentation in place in the crane

  Yes

  No

  N/A

• 15.2 Cranes set up correctly

  Yes

  No

  N/A

• 15.3 Crane operator competent

  Yes

  No

  N/A

• 15.4 Crane lift plan or risk assessment in place

  Yes

  No

  N/A

• 15.5 Crane suitable for the task

  Yes

  No

  N/A

16 Confined Space

• 16.1 Confined space permit in place

  Yes

  No

  N/A

• 16.2 Sentry space permit in place

  Yes

  No

  N/A

• 16.3 Procedure being followed

  Yes

  No

  N/A

• 16.4 Space safe

  Yes

  No

  N/A

17 Hydrocarbon Storage

• 17.1 All hydrocarbon materials inside bunds

  Yes

  No

  N/A

• 17.2 Oil spill equipment available, status

  Yes

  No

  N/A

• 17.3 No evidence of stains / spillage

  Yes

  No

  N/A

• 17.4 Bunds fully effective

  Yes

  No

  N/A

• 17.5 Fuel-containing equipment and plant in trays or provided with other bunding

  Yes

  No

  N/A

18 Flora and Fauna

• 18.1 All clearing approved

  Yes

  No

  N/A

• 18.2 VDAs in place for all activities

  Yes

  No

  N/A

• 18.3 Rehabilitation carried out correctly

  Yes

  No

  N/A

• 18.4 Priority flora is identified and fenced

  Yes

  No

  N/A

• 18.5 Topsoil stockpiled and signposted

  Yes

  No

  N/A

• 18.6 No evidence of unauthorized disturbance

  Yes

  No

  N/A

• 18.7 Easy exit for fauna from trenches & pits

  Yes

  No

  N/A

• 18.8 Bore caps in place & conduit ends taped

  Yes

  No

  N/A

• 18.9 All weed free certificates in place

  Yes

  No

  N/A

• 18.10 No weeds growing in project areas

  Yes

  No

  N/A

19 Water Management

• 19.1 Work area taps, pipes and pumps are in good condition and not leaking

  Yes

  No

  N/A

• 19.2 Water holding facilities appropriately constructed (drainage of standpipes, depth)

  Yes

  No

  N/A

20 Erosion

• 20.1 No erosion from stockpiles

  Yes

  No

  N/A

• 20.2 No erosion of gullies and streams

  Yes

  No

  N/A

22 Occupational Health and Safety Administration

• 22.1 Is there a procedure for personnel to refuse working where they feel that injury or harm could occur to themselves or to other people

  Yes

  No

  N/A

• 22.2 Danger Tags are available and being used correctly site wide

  Yes

  No

  N/A

• 22.3 Current Company HSE Policies are on display in a prominent position

  Yes

  No

  N/A

• 22.4 Is the management team (Project Manager, Supervisors etc.) actively involved in Health and Safety activities

  Yes

  No

  N/A

• 22.5 Are employees given an opportunity to provide feedback or suggestions on Health & Safety matters

  Yes

  No

  N/A

• 22.6 Have Site Specific Risk Assessments been completed on contractors

  Yes

  No

  N/A

• 22.7 Is the Site Specific Risk Assessment Current

  Yes

  No

  N/A

• 22.8 Are controls been put in place to control hazards identified (review site specific risk assessment)

  Yes

  No

  N/A

• 22.9 Has the employee completed Specific Training for their role (review on the job training records)

  Yes

  No

  N/A

• 22.10 Employees who conduct specialized tasks have received Verification of Competencies ( VOC) or appropriate training if required (check employee personnel files for record of training (Assessment Matrix)

  Yes

  No

  N/A

• 22.11 Has each crew been established with a First Aider (check training matrix)

  Yes

  No

  N/A

• 22.12 Employees who conduct specialized tasks have received appropriate training in WHS Related Matters

  Yes

  No

  N/A

23 Chemicals

• 23.1 Are only approved chemicals being used as per the Approved Chemical Register

  Yes

  No

  N/A

• 23.2 Chemicals stored on site are not expired or obsolete

  Yes

  No

  N/A

• 23.3 Chemicals are not decanted (substances must be in original containers with original labels)

  Yes

  No

  N/A

• 23.4 Are all the chemicals clearly labelled

  Yes

  No

  N/A

• 23.5 Material Safety Data Sheets present at location where Chemicals are kept and easily accessible

  Yes

  No

  N/A

• 23.6 Containers in which chemicals are stored are in good condition and are not leaking

  Yes

  No

  N/A

• 23.7 Nominated area in which chemicals are stored is locked allowing only restricted access and bundled

  Yes

  No

  N/A

• 23.8 Gas bottles secured/ protected from damage or falling over (e.g strapped or chained to secured fixture)

  Yes

  No

  N/A

• 23.9 Is there adequate ventilation where chemicals are stored?

  Yes

  No

  N/A

• 23.10 Spill kits available and fully stocked

  Yes

  No

  N/A

• 23.11 Are emergency showers or eye wash stations available & easily assessable?

  Yes

  No

  N/A

Review

• Remarks

• Person completing form

  Sign

• Witness/Participant

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