Information
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Project Name
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Project Number.
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Contractor Name
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Region
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Review No.
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Prepared by
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Conducted on
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Location
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Personnel
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Risk Rating
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Risk Rating Score Legend 0 = Very Low Risk - 1desktop audit on WHS Management Plan prior to commencement of work. No auditing conducted by Audit & Risk Senior WHS Advisor 1to 3 = Low Risk - 1 desktop audit on WHS Management Plan prior to commencement of work and 1 project site visit to conduct safety interaction every 12 months or as required. 4 to 6 = Medium Risk - 1 desktop audit on WHS Management Plan prior to commencement of work, 1 Safety Assurance Audit within first 2 months of project start. 1 site audit/safety interaction every 6 months or as required. 7 to 10 = High Risk - 1 desktop audit on WHS Management Plan prior to commencement of work, 1 Safety Assurance Audit within first 2 months of project start.and 1 site visit to conduct site audit/safety interaction every 4 months or as required. Note - Site visits may also be aligned to specific high risk activities e.g. Placement of bridge decks, concrete pours, working at heights.
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Other Information - Contract Administrator, Project start/finish date, Federally Funded, etc
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Add signature
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Does the contractor have any outstanding or previous WH&S performance issues?
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Does the contractor have recurring or unresolved WH&S incidents?
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Is there significant work over or near water? e.g. river, ocean other (define if other)
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Is there significant work on or near roads? e.g. rural, urban or highway.
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Is there significant work at heights? e.g. batters or bridges.
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Is there significant work in or near constrained or densely populated areas? e.g. CBD, provincial centres or freeways .
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Are there significant vehicular movements on or nearby? e.g. Highways, main roads, on-site.
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Is there significant work on or near rail lines?
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Is there significant work in or near an approved high speed environment? multi-lane highways, freeways.
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Any other significant risks or hazards? Working near energised power lines, working at night, security, other.
