Programmed Site Inspection Checklist

• Project:

• Location
  Address

• Inspection Date:

  Date

• Inspected By:

• Workers/subcontractors Inspected:

SECTION 1: SAFETY

1.0 GENERAL

• 1.1 For any task being carried out has the JSA, Traffic Management Plan, SWMS, and required permits been conducted, filled out correctly and sighted by all on site?

  Yes

  No

  N/A

• Please enter action:

• 1.2 Workers are wearing the appropriate Personal Protective Equipment (PPE) including but limited to steel cap boots, high-vis vest / clothing, safety glasses and hard hat?

  Yes

  No

  N/A

• Please enter action:

• 1.3 Specialist PPE is being used appropriately and according to hazardous task and SWMS (ie: Exposure to Asbestos, dust, chemicals etc.)?

  Yes

  No

  N/A

• Please enter action:

• 1.4 PPE is fit for purpose and in good condition?

  Yes

  No

  N/A

• Please enter action:

• 1.5 All workers are trained on how to use PPE?

  Yes

  No

  N/A

• Please enter action:

• 1.6 Materials in vehicles are stored adequately?

  Yes

  No

  N/A

• Please enter action:

• 1.7 Site and/or pathways clear of slip / trip hazards?

  Yes

  No

  N/A

• Please enter action:

2.0 HAZARDOUS SUBSTANCES

• 2.1 Is storage for hazardous substances secure and in accordance with the appropriate Material Safety Data Sheets (MSDS)?

  Yes

  No

  N/A

• Please enter action:

• 2.2 Is there a hazardous substance register on site and does this reflect the substances being used and stored?

  Yes

  No

  N/A

• Please enter action:

• 2.3 Is the MSDS available and readily accessible on site for each substance in use?

  Yes

  No

  N/A

• Please enter action:

• 2.4 Are all containers labelled clearly?

  Yes

  No

  N/A

• Please enter action:

• 2.5 are storage containers adequately ventilated?

  Yes

  No

  N/A

• Please enter action:

• 2.6 are gas bottles stored upright and secured?

  Yes

  No

  N/A

• Please enter action:

3.0 INDUCTION TRAINING / CERTIFICATES

• 3.1 Have all persons on site undertaken the appropriate induction training?

  Yes

  No

  N/A

• Please enter action:

• 3.2 Are personnel appropriately licensed / certified to undertake work where applicable? ( E.G. Excavators, Riggers, Crane drivers, etc)

  Yes

  No

  N/A

• Please enter action:

4.0 ELECTRICAL WORKS / EQUIPMENT

• 4.1 No live work is being completed (or if there is live work it has been approved in writing by a General Manager?

  Yes

  No

  N/A

• Please enter action:

• 4.2 Electrical work is only being completed by certified and competent personnel?

  Yes

  No

  N/A

• Please enter action:

• 4.3 A test for positive isolation is being completed where required?

  Yes

  No

  N/A

• Please enter action:

• 4.4 Isolation tags along with both master and individual locks are provided and used for all electrical Isolations?

  Yes

  No

  N/A

• Please enter action:

• 4.5 Electrical leads are kept off ground surface and are supported on portable stands?

  Yes

  No

  N/A

• Please enter action:

• 4.6 Are electrical plant, tools, equipment, and electrical cords inspected, in good condition, tagged and within test dates, including Residual Current Devices (RCD's)?

  Yes

  No

  N/A

• Please enter action:

• 4.7 Is there a completed register for electrical equipment?

  Yes

  No

  N/A

• Please enter action:

• 4.8 Portable Generators on sites are fully serviceable and properly maintained?

  Yes

  No

  N/A

• Please enter action:

• 4.9 Are temporary supply switchboards locked, secured and each supply out put clearly marked?

  Yes

  No

  N/A

• Please enter action:

• 4.10 Earth Leakage Protection (ELP) is fitted to all tools and equipment?

  Yes

  No

  N/A

• Please enter action:

5.0 TOOLS / PLANT

• 5.1 Are tools / plant being used in a safe manner with the required guarding on- site?

  Yes

  No

  N/A

• Please enter action:

• 5.2 Is there a completed register for plant and equipment

  Yes

  No

  N/A

• Please enter action:

• 5.3 Are tools & plant stored securely?

  Yes

  No

  N/A

• Please enter action:

• 5.4 Are rotating amber beacons fitted and operational on plant?

  Yes

  No

  N/A

• Please enter action:

• 5.5 Are reversing alarms fitted and operational on all mobile plant?

  Yes

  No

  N/A

• Please enter action:

• 5.6 Are certified ROPS / FOPs fitted to plant?

  Yes

  No

  N/A

• Please enter action:

• 5.7 Are the operators completing daily pre- start checklists?

  Yes

  No

  N/A

• Please enter action:

• 5.8 Are operators wearing seat belts?

  Yes

  No

  N/A

• Please enter action:

• 5.9 Are spotters authorised to enter no go zones?

  Yes

  No

  N/A

• Please enter action:

• 5.10 Are persons working with plant appropriately trained and certified?

  Yes

  No

  N/A

• Please enter action:

• 5.11 Are logbooks and inspection check sheets containing full service and repair history of plant available?

  Yes

  No

  N/A

• Please enter action:

• 5.12 Is the correct PPE provided and worn by those in and around plant?

  Yes

  No

  N/A

• Please enter action:

6.0 SITE SECURITY & PUBLIC PROTECTION

• 6.1 Is the site secure from entry by unauthorised persons, particularly after hours? (Consider both safety and security, remembering that children may try to enter to the site.)

  Yes

  No

  N/A

• Please enter action:

• 6.2 Are movements of people on and off site controlled?

  Yes

  No

  N/A

• Please enter action:

• 6.3 Is night lighting sufficient?

  Yes

  No

  N/A

• Please enter action:

• 6.4 Do pedestrians have safe passage?

  Yes

  No

  N/A

• Please enter action:

7.0 WORKING AT HEIGHTS

• 7.1 Are all fall hazards identified and controls in place?

  Yes

  No

  N/A

• Please enter action:

• 7.2 Is there an up to date working at height permit for any work over 5 metres?

  Yes

  No

  N/A

• Please enter action:

• 7.3 Is there an up to date working at height permit for any work over 5 metres?

  Yes

  No

  N/A

• Please enter action:

• 7.4 Are guard rails / barriers in place?

  Yes

  No

  N/A

• Please enter action:

• 7.5 Are all personnel required to work at heights trained and competent to do so?

  Yes

  No

  N/A

• Please enter action:

• 7.6 Is there a rescue plan in place and adequate rescue equipment (height or tower rescue kit) readily accessible on site?

  Yes

  No

  N/A

• Please enter action:

• 7.7 Are there exclusion zones established around any work at height?

  Yes

  No

  N/A

• Please enter action:

• 7.8 For pole work, has the pole been tested?

  Yes

  No

  N/A

• Please enter action:

• 7.9 Harnesses, lanyards and other fall arrest equipment have been inspected prior to use in accordance with AS1891.4?

  Yes

  No

  N/A

• Please enter action:

8.0 LADDERS

• 8.1 Ladders inspected and in good condition?

  Yes

  No

  N/A

• Please enter action:

• 8.2 Ladders properly secured top and bottom?

  Yes

  No

  N/A

• Please enter action:

• 8.3 Side rails on fixed ladders extend above top landing?

  Yes

  No

  N/A

• Please enter action:

• 8.4 Step ladders fully open when in use?

  Yes

  No

  N/A

• Please enter action:

• 8.5 Built up ladders extend above top landing?

  Yes

  No

  N/A

• Please enter action:

• 8.6 No portable metal ladders in use?

  Yes

  No

  N/A

• Please enter action:

9.0 TRENCHING, EXCAVATION AND DRILLING

• 9.1 Is there an Excavation / Drill Permit completed and available on site for any drilling or excavation works?

  Yes

  No

  N/A

• Please enter action:

• 9.2 Are there overlay plans available on site?

  Yes

  No

  N/A

• Please enter action:

• 9.3 Have all utility services been located using a locating device as per plans?

  Yes

  No

  N/A

• Please enter action:

• 9.4 Have all utility services been marked up and positively identified via non- destructive means as per permit?

  Yes

  No

  N/A

• Please enter action:

• 9.5 There are appropriate forms of access and egress (E.g. ramps, ladders, etc.) in trenches deeper than one metre?

  Yes

  No

  N/A

• Please enter action:

• 9.6 Has a daily pre-start inspection been completed on any operating plant or equipment?

  Yes

  No

  N/A

• Please enter action:

• 9.7 Are the appropriate physical barricades and signage in place for trenches or excavations deeper than 2m?

  Yes

  No

  N/A

• Please enter action:

• 9.8 Are the appropriate barricades, shoring, and screens in place?

  Yes

  No

  N/A

• Please enter action:

• 9.9 Is the appropriate signage in place?

  Yes

  No

  N/A

• Please enter action:

• 9.10 Is spoil being kept a minimum of 1.5 m from edge of trench / excavation?

  Yes

  No

  N/A

• Please enter action:

• 9.11 Are ladders founded on a firm footing and are they tied off at the top?

  Yes

  No

  N/A

• Please enter action:

• 9.12 Are holes filled at end of shift or adequately covered / protected?

  Yes

  No

  N/A

• Please enter action:

10. EMERGENCY MANAGEMENT

• 10.1 Telephone numbers and locations of nearby physicians / hospitals are available and known?

  Yes

  No

  N/A

• Please enter action:

• 10.2 Evacuation point is established, in a safe location and known to workers?

  Yes

  No

  N/A

• Please enter action:

• 10.3 Are there a sufficient number of trained first-aid staff on-site?

  Yes

  No

  N/A

• Please enter action:

• 10.4 Are a sufficient number of first aid kits available and are they properly stocked?

  Yes

  No

  N/A

• Please enter action:

11. HOISTS, CRANES AND DERRICKS

• 11.1 Cables and sheaves regularly inspected?

  Yes

  No

  N/A

• Please enter action:

• 11.2 Slings, chains, hooks, and eyes are certified and regularly inspected?

  Yes

  No

  N/A

• Please enter action:

• 11.3 All heavy lifts (all lifts above 75 per cent SWL) and all multiple crane lifts are risk assessed via a SHEWMS and a documented lift plan is available and completed by a competent person?

  Yes

  No

  N/A

• Please enter action:

• 11.4. All outriggers are packed / supported as per manufacturers’ and/ or engineer’s recommendations and are protected from traffic / disturbance by<br>physical barriers?

  Yes

  No

  N/A

• Please enter action:

• 11.5 Power lines de-activated, removed or at a safe distance?

  Yes

  No

  N/A

• Please enter action:

• 11.6 Is there proper loading for capacity at lifting radius?

  Yes

  No

  N/A

• Please enter action:

• 11.7 Load charts fitted and correctly used?

  Yes

  No

  N/A

• Please enter action:

• 11.8 All equipment properly lubricated and maintained?

  Yes

  No

  N/A

• Please enter action:

• 11.9 Signalmen used where required?

  Yes

  No

  N/A

• Please enter action:

• 11.10 Signals understood and observed?

  Yes

  No

  N/A

• Please enter action:

• 11.11 Inspection maintenance logs maintained?

  Yes

  No

  N/A

• Please enter action:

• 11.12 Backup signals provided?

  Yes

  No

  N/A

• Please enter action:

12. STORAGE AND HANDLING OF MATERIALS

• 12.1 Neat storage area, clear passage ways observed?

  Yes

  No

  N/A

• Please enter action:

• 12.2 Materials neatly stacked?

  Yes

  No

  N/A

• Please enter action:

• 12.3 Stacks on firm footings and not too high?

  Yes

  No

  N/A

• Please enter action:

• 12.4 Appropriate materials protected from heat and moisture?

  Yes

  No

  N/A

• Please enter action:

• 12.5 Dust protection observed?

  Yes

  No

  N/A

• Please enter action:

• 12.6 Traffic routing and control in place?

  Yes

  No

  N/A

• Please enter action:

• 12.7 Equipment handling equipment available?

  Yes

  No

  N/A

• Please enter action:

• 12.8 Employees are lifting loads correctly?

  Yes

  No

  N/A

• Please enter action:

• 12.9 Licensed drivers and dogmen are available to operate lifting equipment?

  Yes

  No

  N/A

• Please enter action:

13. FIRE PREVENTION

• 13.1 Portable Fire Fighting Equipment in offices or site sheds? Are they the correct type for purpose and are then in date for the checks?

  Yes

  No

  N/A

• Please enter action:

• 13.2 Vehicles fitted with fire extinguishers?

  Yes

  No

  N/A

• Please enter action:

• 13.3 Training in Fire Fighting procedures?

  Yes

  No

  N/A

• Please enter action:

• 13.4 If required are the CFA or Fire Department permits carried and current? Is the task being carried out in accordance with the permits?

  Yes

  No

  N/A

• Please enter action:

14. MOTOR VEHICLES

• 14.1 Regular inspections and maintenance carried out?

  Yes

  No

  N/A

• Please enter action:

• 14.2 All personnel are appropriately licensed?

  Yes

  No

  N/A

• Please enter action:

• 14.3 Brakes, lights and warning devices operative?

  Yes

  No

  N/A

• Please enter action:

• 14.4 Tyres are inflated correctly and in a Roadworthy condition?

  Yes

  No

  N/A

• 14.5 Weight limits and load sizes controlled?

  Yes

  No

  N/A

• Please enter action:

• 14.6 Glass in good condition?

  Yes

  No

  N/A

• Please enter action:

• 14.7 Parking of vehicles observed correctly?

  Yes

  No

  N/A

• Please enter action:

15. ASBESTOS MANAGEMENT

• 15.1 For the task being carried out is the operator/contractor duly licensed, and is it being carried?

  Yes

  No

  N/A

• Please enter action:

• 15.2 Workers conducting asbestos related works have completed approved asbestos awareness training?

  Yes

  No

  N/A

• Please enter action:

• 15.3 There is respiratory protection equipment (RPE), gloves and coveralls available and being used for any suspected asbestos related works?

  Yes

  No

  N/A

• Please enter action:

• 15.4 Are the correct boots being worn and not lace-up boots?

  Yes

  No

  N/A

• Please enter action:

• 15.5 Scoring and breaking of pits or pipes and removal process is being wetted down at all times to suppress dust?

  Yes

  No

  N/A

• Please enter action:

• 15.6 Heavy duty asbestos disposal bags are being used and all asbestos pieces/debris removed from site?

  Yes

  No

  N/A

• Please enter action:

• 15.7 No compressed air or high pressure water is being used on suspected asbestos containing materials?

  Yes

  No

  N/A

• Please enter action:

• 15.8 Workers conducting asbestos related works have completed approved asbestos awareness training?

  Yes

  No

  N/A

• Please enter action:

• 15.9 Contractors are appropriately licensed if they are conducting any asbestos removal work?

  Yes

  No

  N/A

• Please enter action:

• 15.10 Asbestos disposal bags are being stored in lockable and labelled bins and not stockpiled?

  Yes

  No

  N/A

• Please enter action:

• 15.11 There is appropriate warning signage displayed around worksite and barriers up to prevent unauthorised entry to worksite when asbestos-related work is taking place, if required by the AC Licence?

  Yes

  No

  N/A

• Please enter action:

• 15.12 When removing pits suspected of containing asbestos, 25mm of soil around the pit is also removed and bagged with the asbestos waste?

  Yes

  No

  N/A

• Please enter action:

• 15.13 Asbestos removal checklist has been completed?

  Yes

  No

  N/A

• Please enter action:

16. TRAFFIC MANAGEMENT

• 16.1 Traffic management signs, including speed restriction and advanced warning signage is legible and positioned in accordance with plans and Regulations?

  Yes

  No

  N/A

• Please enter action:

• 16.2 Are traffic control measures maintained by an accredited traffic controller when necessary?

  Yes

  No

  N/A

• Please enter action:

• 16.3 Are spotters / safety observers present to control traffic movement with the correct equipment?

  Yes

  No

  N/A

• Please enter action:

• 16.4 Traffic management company is accredited with the relevant authority?

  Yes

  No

  N/A

• Please enter action:

• 16.5 Traffic management measures comply with plans and traffic management handbook?

  Yes

  No

  N/A

• Please enter action:

• 16.6 Traffic management controls offer adequate protection to workers and the public?

  Yes

  No

  N/A

• Please enter action:

17. MANUAL HANDLING

• 17.1 Manual handling risk has been identified, assessed and managed using an established risk assessment tool (SHEWMS, JSA, Take 5)?

  Yes

  No

  N/A

• Please enter action:

• 17.2 Manhole key in use?

  Yes

  No

  N/A

• Please enter action:

• 17.3 Mechanical aids are used where available?

  Yes

  No

  N/A

• Please enter action:

• 17.4 Workers are not in awkward postures for long periods?

  Yes

  No

  N/A

• Please enter action:

• 17.5 Workers are not lifting heavy items frequently?

  Yes

  No

  N/A

• Please enter action:

18. WORKING IN THE HEAT

• 18.1 There are adequate amounts of water on site to drink?

  Yes

  No

  N/A

• Please enter action:

• 18.2 WorkershavetheappropriatePPE including sun visor, sunscreen, loose fitting long sleeved shirt, long pants, and shaded safety glasses?

  Yes

  No

  N/A

• Please enter action:

• 18.3 There is adequate shade available?

  Yes

  No

  N/A

• Please enter action:

• 18.4 Work / rest ratios are adequate to allow workers to recuperate in extreme heat?

  Yes

  No

  N/A

• Please enter action:

19. WORKING IN THE COLD

• 19.1 There is adequate clothing available for the conditions?

  Yes

  No

  N/A

• Please enter action:

• 19.2 There is the availability of shelter with adequate heating?

  Yes

  No

  N/A

• Please enter action:

20. GAS DETECTION / CONFINED SPACE

• 20.1 There is an available type 4 gas detector on site?

  Yes

  No

  N/A

• Please enter action:

• 20.2 The gas detector is calibrated, charged and working properly?

  Yes

  No

  N/A

• Please enter action:

• 20.3 The gas detector is on the up to date calibration register?

  Yes

  No

  N/A

• Please enter action:

• 20.4 The gas detector is being used in manholes or confined spaces?

  Yes

  No

  N/A

• Please enter action:

• 20.5 Workers are trained and competent in the use of the gas detector?

  Yes

  No

  N/A

• Please enter action:

• 20.6 Workers are trained and competent to enter confined spaces?

  Yes

  No

  N/A

• Please enter action:

• 20.7 A permit has been issued for any confined space entry?

  Yes

  No

  N/A

• Please enter action:

21. RADIO FREQUENCY (RF) RADIATION

• 21.1 The radiation risk is identified, assessed and controlled via an established risk assessment tool (SHEWMS, JSA)?

  Yes

  No

  N/A

• Please enter action:

• 21.2 Workers exposed to RF radiation are appropriately trained?

  Yes

  No

  N/A

• Please enter action:

• 21.3 All workers working in the vicinity of RF radiation have a monitor on (RadHaz Badges, RF dose meters) or there is an RF Hazard Monitor in the designated RF area?

  Yes

  No

  N/A

• Please enter action:

• 21.4 Workers on site have been authorised to work in the vicinity of RF radiation sources?

  Yes

  No

  N/A

• Please enter action:

• 21.5 Danger tags have been used to isolate de-energised plant?

  Yes

  No

  N/A

• Please enter action:

• 21.6 Power is switched off and securely isolated for any un-terminated<br>transmitters?

  Yes

  No

  N/A

• Please enter action:

• 21.7 There is appropriate Client-supplied information and site specific<br>documentation on site to identify RF hazards exist?

  Yes

  No

  N/A

• Please enter action:

22. ISOLATED LOCATIONS

• 22.1 There is adequate communication available on site (E.g. satellite phone)?

  Yes

  No

  N/A

• Please enter action:

• 22.2 Remote first aid kit on site and adequately stocked?

  Yes

  No

  N/A

• Please enter action:

• 22.3 EPIRB on site?

  Yes

  No

  N/A

• Please enter action:

• 22.4 There is five litres of water per person available?

  Yes

  No

  N/A

• Please enter action:

• 22.5 A call in / call out procedure is in place?

  Yes

  No

  N/A

• Please enter action:

SECTION 2: ENVIRONMENTAL

23. NOISE AND DUST

• 23.1 Dust suppression techniques are effective at reducing dust generation to a minimum?

  Yes

  No

  N/A

• Please enter action:

• 23.2 Working hour restrictions are in place and being adhered to in residential areas?

  Yes

  No

  N/A

• Please enter action:

• 23.3 Noise levels are kept to acceptable levels?

  Yes

  No

  N/A

• Please enter action:

• 23.4 Workers are using adequate hearing protection around noisy operations?

  Yes

  No

  N/A

• Please enter action:

24. WATER POLLUTION AND SEDIMENT CONTROL

• 24.1 Vegetation clearance is kept to a minimum near waterways?

  Yes

  No

  N/A

• Please enter action:

• 24.2 Directional boring near waterways, wetlands and tidal areas is in accordance with construction<br>drawings?

  Yes

  No

  N/A

• Please enter action:

• 24.3 Soil materials from drilling operations are not being discharged into<br>waterways or stormwater drains?

  Yes

  No

  N/A

• Please enter action:

• 24.4 There is no refuelling or maintenance of vehicles within 80m of the top bank of the watercourse?

  Yes

  No

  N/A

• Please enter action:

• 24.5 Approval has been given by the relevant authorities to discharge to waterways?

  Yes

  No

  N/A

• Please enter action:

• 24.6 There has been no significant disturbance of marine vegetation?

  Yes

  No

  N/A

• Please enter action:

• 24.7 There is spill kit on site appropriate for the type and amount of chemicals being stored and used?

  Yes

  No

  N/A

• Please enter action:

25. FLORA AND FAUNA

• 25.1 No disturbance of vegetation off the approved cable alignment observed?

  Yes

  No

  N/A

• Please enter action:

• 25.2 Identified species or habitats of conservation significance have not been disturbed as stated on construction drawings?

  Yes

  No

  N/A

• Please enter action:

• 25.3 No new access tracks have been created through remnant vegetation?

  Yes

  No

  N/A

• Please enter action:

• 25.4 Vegetation clearance has been kept to a minimum and where unavoidable, the root system has been kept intact?

  Yes

  No

  N/A

• Please enter action:

• 25.5 Isolated trees or clumps of trees have been avoided through slight deviations in cable alignment?

  Yes

  No

  N/A

• Please enter action:

• 25.6 There has been no clearance of trees with hollows, trees with a trunk diameter of greater than 20cm, dead trees standing greater than 3m in height and trees with birds nests?

  Yes

  No

  N/A

• Please enter action:

26. CULTURAL & HERITAGE

• 26.1 Construction activities have remained at least 2m away from identified heritage buildings and culturally significant sites?

  Yes

  No

  N/A

• Please enter action:

• 26.2 Heritage buildings and cultural significant sites are clearly demarcated and known to all on site?

  Yes

  No

  N/A

• Please enter action:

27. WASTE MANAGEMENT

• 27.1 Bins are available for work site waste, recycled material, scrap, etc.?

  Yes

  No

  N/A

• Please enter action:

• 27.2 Drop sheets are being used in jointing operations, to minimise site contamination?

  Yes

  No

  N/A

• Please enter action:

• 27.3 All site areas are kept tidy with litter removed from site and disposed of appropriately?

  Yes

  No

  N/A

• Please enter action:

• 27.4 Prescribed waste (asbestos, contaminated water/soil, sharps), oils and greases and associated containers are being disposed of appropriately?

  Yes

  No

  N/A

• Please enter action:

28. WEED MANAGEMENT

• 28.1 All equipment & machinery cleaned before entering sites?

  Yes

  No

  N/A

• Please enter action:

• 28.2 All vehicles enter, move & exit on defined tracks?

  Yes

  No

  N/A

• Please enter action:

• 28.3 Signs posted on entry & exit to infested areas?

  Yes

  No

  N/A

• Please enter action:

• 28.4 There is designated wash down points for vehicles and water is contained within this area?

  Yes

  No

  N/A

• Please enter action:

29. Opportunity for improvement

• Is there an opportunity from this audit?

  Yes

  No

  N/A

• Please enter action:

30. Sign off

• Auditor signature

  Sign

• Additional Auditor signature

  Sign

• Audited / Crew member signature

  Sign

• Audited / Crew member signature

  Sign