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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1.2 Have all contractors/workers/visitors signed in and out on the SSSP?
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Photo of inducted contractors:
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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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1.4 Have the pre-start risk assessments been completed?
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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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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 Is the PPE in good condition?
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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 First Aid kits onsite?
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3.1.1 First Aid kit fully stocked.
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3.2 Fire Extinguisher onsite?
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3.2.1 Fire Extinguisher compliant.
4.0 Electrical Equipment
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4.1 All electrical equipment has a current tag?
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Details of non compliant equipment
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4.2 All electrical equipment plugged into RCD's.
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4.3 Leads safely placed & in good condition.
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4.4 All power tools in good working order.
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Photo's of non-compliant equipment.
5.0 Working At Heights
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5.1 Are all ladders a commercial grade?
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5.2 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 appropriate equipment being used for the task?
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5.5 Has the appropriate documentation been completed (JSA, T/A etc.)
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5.6 Is the ladder set up at correct angle - For every 4m up ladder is 1m out
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5.7 Fall arrest equipment in good condition.
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Photo's of heights work
6.0 Scaffolding
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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?
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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 cabling been sheathed/covered? Have there been gates installed either side to isolate cables?
7.0 Environmental
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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
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Auditor's signature