Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. General Requirement
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1.1 Is the SSSP and documents up to date
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1.2 Have sub-contractors safety plans been approved
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1.3 Is there a site layout diagram, showing the location of safety equipment, emergency assembly points, fire extinguishers and first aid kits.
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1.4 Have notifiable works been notified to WorkSafe NZ ie Fall greater than 5 meters, working on a ladder only, excavations shafts trenches more than 1.5 meters deep, lifts more than 500kg vertical 5 meters or more, scaffold higher than 5 meters and a excavation face has vertical height more than 5 meters.
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1.5 Records of regular toolbox talks
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1.6 Is there evidence that weekly inspection checks are done
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1.7 is there a trained safety supervisor
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1.8 All persons inducted
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1.9 Are all persons competent / trained for their role ie heights, confined space, PATools
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1.10 Current Site Safe cards or equivalent
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1.11 SSSP wall chart signed by management
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1.12 Evidence of hazard ID and controls in place
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1.13 Task Analysis being carried out for tasks
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1.14 Have the necessary permits been issued by the appropriate authority
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1.15 Have site services been identified in safety plan ie underground and over ground
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1.16 Services company notified before work start
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1.17 Evidence that accident, incidents and near misses are reported and investigated
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1.18 Adequate site amenities for staff numbers
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1.19 Lunch room, toilets cleaned regularly
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1.20 Fresh and clean water available on site
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1.21 Is there enough signage on site and are they easy to see and read
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1.22 Are personnel wearing the correct PPE
2. Access and Egress (Pedestrian Safety)
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2.1 Are there safe alternative routes around site for pedestrians and vehicles
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2.2 Are pedestrian access ways clear
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2.3 Is there visible safety signage on all approach to the work site
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2.4 Have affected neighbours been notified
3. Hazardous Substances
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3.1 Is the hazardous substance register up to date
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3.2 Are Safety Date Sheets maintained and available
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3.3 Are hazardous substances properly disposed off
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3.4 Are personnel trained in the use of hazardous substances
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3.5 Are hazardous substances stored in a safe manner
4. Site Area
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4.1 Site is enclosed with hoarding and prominent marked access gate
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4.2 Defined work area and works contained within hoarded site
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4.3 Is material stored securely and tidy
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4.4 Is fencing or barriers in place appropriate to the hazard
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4.5 Access not obstructed, level walk ways, no slips trips and hazards
5. Working at Heights - Harness
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5.1 Personnel trained in harness use and working at height
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5.2 Harness, lanyard and lines certified
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5.3 Anchor points secured/tested by certified person
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5.4 Lines and lanyards secured correctly
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5.5 Written rescue/emergency plan for working at height using harnesses
6. Tube and Clip Scaffold
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6.1 Scaffold tagged and signed off in 7 days
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6.2 Top hand rail, mid rail and kick-boards installed
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6.3 Sole boards, base jacks, ties, bracing and rakers fitted
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6.4 Decking planks fitted and tied down
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6.5 Stop Ends fitted
7. Aluminium Scaffold
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7.1 Wheels locked and turned out
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7.2 Braces correctly fitted
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7.3 Outriggers fitted when scaffold is higher than 3X width. 2 x outriggers when against wall and 4 x when free standing
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7.4 Decking/ Handrails/ Kick boards and access ladders fitted
8. Electrical Equipment
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8.1 Is electrical equipment tested and tagged
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8.2 Is electrical equipment in good condition
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8.3 Are multi plugs/adaptors industrial rated
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8.4 Where required are leads off the floor ie water
9. Emergency Equipment
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9.1 Fire extinguishers charged and current (Serviced in the last 12 months)
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9.2 Correct number of extinguishers for the size of site
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9.3 Is there a First Aid kit available on site (Up to date)
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9.4 Trained first aider on site
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9.5 Emergency procedures on site
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9.6 Has there been emergency evacuation drills carried out
10 Environmental
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10.1 Environmental protection plan in place
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10.2 Spill kit on site and training received
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10.3 Silt ponds fenced and notices displayed
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10.4 Bunds and decants in place
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10.5 Spill control for refuelling operations in place
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10.6 Construction waste being controlled
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10.7 Dust control in place
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10.8 Are public roads and footpaths free from mud, concrete or debris
11. Housekeeping
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11.1 Work area clean and tidy
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11.2 Slip Trip and Fall hazards controlled
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11.3 Are materials stored safely
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11.4 Adequate bins and skips on site
12. Confined Space
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12.1 is access to work area restricted
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12.2 Staff trained and competent - Certified
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12.3 Emergency procedure in place and practised
13. EWP - Elevated Work Platform
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13.1 Six monthly inspections
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13.2 Operator trained / competent to use
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13.3 Area around EWP clear of staff
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13.4 Staff working inside cage / not standing on rails
14. Plant and Tools
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14.1 Used correctly and safely
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14.2 Role over protection structure fitted on plant
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14.3 Amber beacon operating as per TMP or site requirement
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14.4 Operator wearing seat belts
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14.5 Certificate of fitness /WOF / Inspection certificate
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14.6 Plant/Tools in good working condition
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14.7 Gears/Chains/Moving parts guarded
15. Traffic Management
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15.1 Is there an approved Traffic Management Plan (TMP) in place
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13.2 Is the TMP approved by Auckland Transport
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15.3 Does the traffic management conform with the TMP
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15.4 Is a STMS available
16. Excavations and Trenches - deeper than 1.5meters
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16.1 Access in to excavation safe
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16.2 Battered sides/ trench shield certified/ shoring safe
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16.3 Excavations /holes covered or fenced off
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16.4 Is access to the area restricted
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16.5 Discharge silt free
17. PAT Tools (Powder Actuated)
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17.1 Tool certified every 6 months
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17.2 Operator trained and and certified
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17.3 Signs displayed
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17.4 Correct PPE worn ie ear and eye
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17.5 Safe storage for cartridges
18. Ladders
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18.1 Lock bars in place
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18.2 Secure top and bottom / Extended 1meter past access point
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18.3 Work from 3rd step down
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18.4 Structurally sound
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18.5 Is only light work done from a ladder
19. Noise
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19.1 Correct ear protection used
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19.2 All are working in accordance with their safe system of work
20. Safety Supervision
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20.1 Non conformance notice Actions completed?
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20.1.1Company name and description of non conformance
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20.2 Action points from previous audit rectified
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Respond back to the Auditor when recommendations are completed
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Corrective actions need to be addressed in 7 days from the last audit
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Name: Date: