Information

  • Site

  • Conducted on

  • Prepared by

  • Personnel

  • Location

1.0 HIGH RISK WORKS CONDUCTED ON SITE

  • Earthworks Stockpiles Excavation and trenching Earthworks haulage Export material on public roads Traffic management Public safety Overhead powerlines Excavation in front of retaining walls Subcontractor management

2.0 EARTHWORKS

  • Excavator setup on bench that it is positioned to slew towards dump trucks on its non- blind side where practicable

  • Loading machines not slewing over cabs

  • Excavation floors kept clean <br>

  • Borrow pits edges wind rowed adequately

  • Ramp declines / inclines adequate

  • Fill areas, rollers are facing towards incoming machines (scrapers / dump trucks etc)

  • Exclusion zones maintained by dump trucks or semi trucks until loading machine (excavator / loader) calls them in

  • Machines on same uhf radio channel

  • Call up points in place? Operators following call up protocol?

2.1 STOCKPILES

  • Stockpiles are at the correct height ratio for soil types / sheer faces knocked down at end of the day

  • Stockpiles are not creating blind spots or hazards to traffic on site

  • Stockpiles to be kept below 2m where possible

  • If the stockpile is over 2m they will be stabilises by hydromulch or other method.

  • If stockpile over 2m where plant is required to travel over or work on top windrows will be built up on outer extremities

  • Where multiple mobile plant and or trucks intersect around stockpiles, directional traffic management has been established

  • Plant movement is uncontested around screens and stockpile locations

2.2 EXCAVATION AND TRENCHING(OSH Regulations 1996 3.109-3.113)

  • Permit to dig in place for area of works

  • Workers signed onto permit to dig

  • Services identified within brownfield permit to dig have been physically identified by pothole methodology or ground penetrating radar

  • External asset authority permits in place

  • Where batter and benching cannot meet the excavation code of practice adequate shoring to be installed

  • Excavation sides battered / benched (horizontal to vertical ratio)dys

  • Trench excavations exceeding a depth of 1m, ladders, ramps or other forms of access and egress are provided at intervals of not more than 30m. Distances of travel for a worker to access / egress is not more than 15m

  • Windrow of adequate size around excavation. The windrow will be at least equal to the axel height of the largest unit.

  • Adequate barriers and deep excavation signs around excavation

  • Adequate distance between passing traffic and excavation edge

  • No excavated material or other loads are placed near the excavated area where there is risk that the sides of an excavation may collapse or plant/load may fall into excavated area. Stockpiles at least 600mm away from edge of the excavation

  • Hard hats worn in excavation greater than 1.5m regardless of benching

  • Hard hats worn in any trench at any trench where there is risk of objects falling onto someone in a trench

  • Hardhats worn where there is risk of objects falling onto someone in a trench

  • For excavations greater than 6m the deep excavation checklist is in use (SF 4.25-1.10)

  • Excavations of 1.5m deep there is at least one other person in the vicinity unless the sides of the excavation have been assessed as self supporting

2.3 EARTHWORKS HAULAGE

  • Internal traffic management in place, signage to match risk

  • Traffic management plan adhered to by operators

  • Haulage route width ample for two way haulage (approx 15m)

  • Haulage route segregated from other works eg) away from workers on the ground and other machines

  • Haulage route free from potholes and rocks

  • Haulage route declines and bends minimised as far as practicable

  • Haulage route two way traffic are adequately separated by windrows where practicable

  • Haulage route edges adjacent excavations are built up and windrows sufficient to axel height

  • No unauthorised vehicles or subcontractors using haul route

  • Giveaway protocol followed

2.4 EXPORT MATERIAL ONTO PUBLIC ROADS

  • Large export jobs have machine with loadrite

  • Verification of load rite data to ensure legal compliance - trucks are not overloaded

  • Export material without load rite - calculation has been conducted for truck configurations and bucket size. Reference export SWMS.

3.0 TRAFFIC MANAGEMENT (PUBLIC AREAS)

  • Works conducted within road reserve or on adjacent public road has an approved TMP?

  • Reference TMP document and TCD

  • Traffic management on site matches TCD

  • Photograph signage and tick off TCD

  • Photograph marked up TCD

  • Traffic management plan is relevant to the stage of works

  • A daily inspection log is conducted by a BWTM (minimum 3 times a day)

  • Signs are legible to road users and in reasonable condition

  • The road speed is reduced to 40km where workers on foot are within 1.2m to the traffic and delineation installed

  • Excavation near public road adequately protected for workers and public vehicles

4.0 PUBLIC SAFETY ( OSH Act 1984 Section 20-22, OSH Regulations 3.17)

  • Site entrance signage in place (if principle contractor)

  • Construction materials kept within the workplace

  • Any risk of objects falling on members of the public

  • Any risk of trip hazards to the public

  • Public access controlled

  • Site perimeter fencing or barricades erected

  • Warning signs in place and relevant to risk

  • Construction signage at interfaces between works and public roads / access

  • Works adjacent public thoroughfare demarcated / barricaded

5.0 OVERHEAD POWERLINES (OSH Regulations 1996 3.64)

  • Electrical clearances over main access roads to job e-mailed to sub contractors

  • Permit to work (RJV)under lines available and implemented. JSA in place

  • Danger zones clearances measured and displayed on signage in the vicinity of powerlines

6.0 RETAINING WALLS

  • Excavations in front of retaining walls are risk assessed and authorised by Project Manager/Structural Engineer (OP 4.18-3.23A)<br>Controls from Engineer/PM are reflected in JSEA.<br>Workers are signed onto JSEA

  • Controls from engineer / PM are in place on ground that is documented in JSA

  • Workers signed into JSEA

  • Fall prevention in place

  • Hard hats worn where any task of wall builders are in line of fire (block delivery or swinging grab)

7.0 SUBCONTRACT MANAGEMENT

  • Are JSA / SWMS in place for the task being conducted

  • Is the JSA/ SWMS specific to the site and stage ?

  • Have all personnel working under the JSA / SWMS signed onto the document

GENERAL

  • Add media

SIGN OFF

  • RJV On site representative

  • Auditor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.