Information
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Audit Title
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Document No.
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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
Section A - Client General Safety Systems
General Information
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Number of personnel on site
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How many years has the company been operating?
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Is there an organisational chart available
Emergency Response
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Does the client have a formal emergency response procedure?
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Does the client conduct emergency drills at least annually?
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Does the client have the following treatment facilities on site:
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Dedicated first aid room?
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On site nurse/paramedic?
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First aid boxes available?
Safety Management System
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Does the client have a safety management system? (If YES complete Section B)
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Does the client monitor it's safety performance (safety statistics)
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Section A Total YES answers
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Company LTIFR?
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Total number of workers compensation claims in past 12 months?
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Total number of LTI days in past 12 months?
Section B - Client Safety Management System
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Does the client have current OHS Policies
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Are they signed by the CEO or Managing Director?
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Does the client have an Injury Management System?
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Would alternative duties be made available?
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Does the client have a Drug and Alcohol Policy
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Does the client conduct random testing of employees?
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Are pre-employment medicals performed on all employees?
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Name of company preferred medical provider?
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Does the client have a dedicated OSH Officer
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Does the client hold regular safety meetings/toolbox meetings?
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Have the client's supervisors received training in OSH?
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Have the clients supervisors been trained in incident investigations?
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Does the client conduct safety inductions for all staff (including RecruitWest)?
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Name of person that runs the induction and approximate length
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Does the client have a formal Safety Management Plan document?
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Does the client provide OSH training to it's employees?
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Is there a training register to monitor OSH training completed?
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Are all operators required to be authorised prior to using plant and machinery?
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Does the client monitor the correct use of PPE?
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Are workplace inspections carried out?
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Does management get involved in the inspections?
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Is there a safety issue resolution procedure?
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Does the client have a hazard reporting procedure?
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Is this explained in the induction?
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Does the client carry out risk assessments of the workplace?
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Does the client have safe work procedures documented for all tasks?
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Does the client carry out Job Safety Analyses (JSA)
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Does the client have job/position descriptions for all employees?
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Does the client identify health hazards to employees?
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Section B Total YES answers
Section C - Workplace Hazards
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Will our employees be exposed to working in hazardous processes such as: noise, fumes, working at heights, radiation?
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Please state hazard/s
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What controls are in place?
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Will our employees be exposed to hazards associated with plant and equipment? (eg OHT Cranes, forklifts, earthmoving equipment)
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Please state hazard
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What controls are in place?
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Will our employees be performing manual handling tasks?
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Please state nature of tasks
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What controls are in place?
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Will our employees be exposed to hazardous environments? (eg heat, cold, inclement weather, dust, night shift)
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Please state environment
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What controls are in place?
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Will our employees be required to undertake confined space work?
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If YES what controls are in place?
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Will our employees be required to work with or handle hazardous materials such as asbestos or synthetic mineral fibres?
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If YES what controls are in place?
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Will our employees be required to handle chemicals or other hazardous substances?
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If YES please state identified chemicals
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What controls are in place?
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Does the client carry current MSDS?
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Section C Total YES answers
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Section A + B + C total YES answers
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RISK SCORE: 0-10 (very high); 11-20 (caution); 21-32 (adequate); 33-43 (low)
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Client Representative Sign
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OSH Manager Sign