Information
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Document No.
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Location
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Contractor:
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Personnel onsite:
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Conducted on
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Prepared by:
1. Site Control - H&S Compliance
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1.1Have the pre-start risk assessments been completed?
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1.2 Have all contractors/workers/visitors signed in and out on the SSSP?
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Photo of sign in sheet for contractors/workers and/or ID cards.
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1.3 Have the contractors listed any additional hazards they bring to the site on the Hazard Register?
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1.5 Are there hazard boards displayed?
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1.6 Is the area clear of debris and tripping hazards?
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1.7 Is there an accident/incident register on site?
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Photo of site:
2.0 Personal Safety Equipment
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2.1 All personnel wearing the appropriate PPE?
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2.2 What PPE is the trade/contractor wearing?
- Boots
- Hearing Protection
- Gloves
- Eye Protection
- Respirator/Disposable Mask
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2.2 Is the PPE in good condition?
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Enter comments on non-conforming PPE
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Photos of non-conforming PPE
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2.3 Is the trades respirator in good condition? Is it stored correctly?
3.0 First Aid/Fire Prevention
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3.1 Is there a First Aid Kit onsite?
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3.1.1 is the First Aid kit fully stocked and compliant?
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Minimum requirement for First Aid Kit
- Plasters
- Gloves
- Face Shield
- Bandages
- Saline
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Comments on non-compliant First Aid Kit
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3.2 Is there a Fire Extinguisher onsite?
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3.2.1 Is the Fire Extinguisher compliant. (Serviced annually)
4.0 Electrical Equipment
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4.1 Do all electrical equipment have a current tag?
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Comments on non compliant equipment
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4.2 Are all electrical equipment plugged into RCD's?
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4.3 Are all Leads safely placed and in good condition?
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4.4 Are all power tools in good working order?
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4.5 Are all electrical leads protected in high traffic areas?
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4.6 Are all leads clear of water?
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Photo's of non-compliant equipment.
5.0 Ladders
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5.1 Are all ladders a commercial grade?
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5.2 Are the Ladders in a good condition?
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5.3 Are the ladders being used in the correct manner?
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5.4 Is the ladder set up on a firm surface?
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5.5 Are the step ladder lock bars in place?
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5.6 Is the trade working no higher than the 3rd step down?
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Photos of Ladder Usage
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5.7 Fall arrest equipment in good condition.
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5.8 Is the appropriate equipment being used for the task?
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Photo's of height work
6.0 Scaffolding/Edge Protection
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6.1 Is the scaffolding erected right for the job?
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6.2 Has the scaffolding been erected by a certified scaffolder if over 5m in height?
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6.3 Scaf tag/ scaffold register up to date?
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is the intermediate rail in place?
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6.4 Are guard rails in place?
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6.5 Is there a toe board in place?
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6.6 Are the platforms adequate, 3 planks minimum. Are the platforms secured?
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6.7 Are the base plates and sole plates adequate for the job?
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6.8 Have any electrical mains cables been sheathed/covered? Have there been gates installed either side to isolate cables?
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Photos of scaffolding
7.0 Environmental
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Has any environmental testing been done eg. Lead Paint Testing, Asbestos Testing?
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If yes what testing was done?
- Asbestos
- Lead Based Paint
- Cable Location
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Has this information been added to the SSSP?
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7.1 Is all waste been disposed of correctly?
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7.2 Are the correct environmental procedures in place?
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7.3 Details of environmental non-compliance.
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Photo's of environmental issues.
8.0 Corrective Actions
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Enter any corrective actions that need to be undertaken.
9.0 Sign Off
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On site representative signature
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Auditor's signature