QHSE Managers Site Visit Checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Project Details

• Contractor

• Task

• Guidance: Review the JSA before having the conversation, Comment on good HSE performance, Follow up major concerns with site staff, Stop dangerous work practices immediately, Avoid blame (look at systems of work), Offer advise to resolve HSE issues you understand, Ask site staff to join you, Ask the workers what the JSA says to do and for their suggestions, Point out any areas needing improvement.

Personal Protection Equipment

• Is a Hard Hat Required and if so are they wearing it?

  Safe

  At Risk

  N/A

• Is Hearing Protection Required and if so are they wearing it?

  Safe

  At Risk

  N/A

• Are Steel Cap Boots Required and if so are they wearing it?

  Safe

  At Risk

  N/A

• Is Fall Prevention Equipment Required and if so are they wearing it?

  Safe

  At Risk

  N/A

• Is Eye or Face Protection Required and if so are they wearing it?

  Safe

  At Risk

  N/A

• Are Gloves Required and if so are they wearing it?

  Safe

  At Risk

  N/A

• Is a High Visibility Vest Required and if so are they wearing it?

  Safe

  At Risk

  N/A

• Is breathing Protection Required and if so are they wearing it?

  Safe

  At Risk

  N/A

Procedures and Actions

• Is a JSA and MSDS available and are they following it?

  Safe

  At Risk

  N/A

• Are Scaffolding or Cranes being used and if so are they Safe?

  Safe

  At Risk

  N/A

• Is Mobile Plant being used around people and if so is there separation of people and plant?

  Safe

  At Risk

  N/A

• Is Bending or Lifting required and if so is it being done Safely?

  Safe

  At Risk

  N/A

• A Signs or Barriers required and if so are they being used?

  Safe

  At Risk

  N/A

• Is Plant and Equipment in use and if so is it Maintained?

  Safe

  At Risk

  N/A

• Are Environmental Protection Controls required (to protect stormwater) and if so are they being used?

  Safe

  At Risk

  N/A

• Is Housekeeping being kept up to date (a tidy site is a safe site)?

  Safe

  At Risk

  N/A

• Any further comments?

• Follow up: On return to the office the completed form should be emailed to the HSE Manager, the site visit recorded in the database,filed in the project and emailed to the site staff for review at the next daily prestart meeting.

Quality

• Are the Quality, Safety and Environment Policies Displayed, are they current and are they signed by the MD?

  Yes

  No

  N/A

• Are all the Project folders available and filed correctly in sections?

  Yes

  No

  N/A

• Is the site diary available and completed daily as required?

  Yes

  No

  N/A

• Is the Document register on site and current?

  Yes

  No

  N/A

• Are the drawings and specifications stamped "for construction" and "site copy"?

  Yes

  No

  N/A

• Is the current Program displayed and are 2/4 week programs prepared?

  Yes

  No

  N/A

• Are variation instructions and a variations register available on site?

  Yes

  No

  N/A

• Is the RFI register available and is it current?

  Yes

  No

  N/A

• Is the Purchase order book entered correctly (cost codes and amounts)?

  Yes

  No

  N/A

• Is there a Project Plan and HSE Plan on site?

  Yes

  No

  N/A

HR

• How is staff welfare on site, how are they going?

  Yes

  No

  N/A

• What is the Culture and Morale on site like?

  Yes

  No

  N/A

• Are there any training needs that you have identified?

  Yes

  No

  N/A

• Are there any other issues on site?

  Yes

  No

  N/A

Brand and Marketing

• Is the site office, equipment, staff uniform, site in general well presented?

  Yes

  No

  N/A

• Is site signage displayed well to promote the company image and brand on site?

  Yes

  No

  N/A

Signatures

• Site Representative

  Sign

• Auditor

  Sign

• Revision 2 10/04/2012