RJV HSEQ Inspection (SF 4.25 - 1.1) REV 15

• Site

• Conducted on

  Date

• Prepared by

• Personnel

• Location
  Address

QUALITY

• Current drawings being used

  Yes

  No

  N/A

• Superseded drawings marked, clipped together and separate current drawings

  Yes

  No

  N/A

• Document register in file & matches documents on site

  Yes

  No

  N/A

• Inspection test plan is up to date

  Yes

  No

  N/A

• Evidence of one ITP follow through

  Yes

  No

  N/A

• Site administration SF 4.8 - 1.1a signed off

  Yes

  No

  N/A

• Non-conforming items in quarantine area, tagged and recorded

  Yes

  No

  N/A

• Calibration dates on equipment current

  Yes

  No

  N/A

HSEQ CONTROL (OSH Act 1984 Section 19, OSH Regulations 1996 3.1-3.2, Environmental Protection Act 1986 Section 72)

• Current Revision of SMP/EMP/Risk Register in site file

  Yes

  No

  N/A

• HSEQ Master form SF 4.4-1.4 Operating Procedures REVs up to date

  SF 4.8-1.1B

  SF 4.4-1.4

  SMP

• Site administration documents SF 4.8-1.1B revision current and correct revisions of documents in file

  Yes

  No

  N/A

• Start up risk assessment available and relevant actions signed off

  Yes

  No

  N/A

• Induction register is up to date

  Yes

  No

  N/A

• Daily sign in register being used

  Yes

  No

  N/A

• Pre shift agenda being conducted daily

  Yes

  No

  N/A

• Blood Alcohol Content (BAC) screens done daily

  Yes

  No

  N/A

• Supervisor OHS weekly checklist being used

  Yes

  No

  N/A

• Safety, Environmental & Quality policies are displayed

  Yes

  No

  N/A

• JSEAs developed as per SMP

  Yes

  No

  N/A

• Work conducted as per JSEA and all workers signed on ( RJV & Subcontractor)

  Yes

  No

  N/A

• Safe Work Method Statement available and operators signed on (RJV & Subcontractor)

  Yes

  No

  N/A

• Fuel truck in designated handstand area where practical

  Yes

  No

  N/A

• Dust suppression in use

  Yes

  No

  N/A

• Dust is managed so that no visible dust is along the boundary

  Yes

  No

  N/A

• Permits and licenses in place

  Yes

  No

  N/A

• Implementation on controls from two items under high risk register

  Yes

  No

  N/A

EMERGENCY ( OSH Regulations 1996 3.8-3.12)

• First aid box is on site where signs indicate

  Yes

  No

  N/A

• First aid box is fully stocked

  Yes

  No

  N/A

• Trained first aiders are on site and are identified

  Yes

  No

  N/A

• Evacuation plan is displayed

  Yes

  No

  N/A

• Assembly muster point sign is up

  Yes

  No

  N/A

• Emergency contact number is displayed

  Yes

  No

  N/A

• Fire extinguisher in compound available and in date

  Yes

  No

  N/A

WORKSITE MANAGEMENT (OSH Regulations 1996 3.1)

• Site communication methods displayed (UHF Channels)

  Yes

  No

  N/A

• Site fencing is intact (if main contractor)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

EARTHWORKS HAULAGE

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Haulage route free from potholes and rocks

  Yes

  No

  N/A

• Haulage route declines and bends minimised as far as practicable

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

• No unauthorised vehicles or subcontractors using haul route

  Yes

  No

  N/A

• Giveaway protocol followed

  Yes

  No

  N/A

TRAFFIC MANAGEMENT (PUBLIC AREAS)

• Works undertaken on/or adjacent to public road has a TMP

  Yes

  No

  N/A

• Traffic management on site matches TMP (if applicable)

  Yes

  No

  N/A

• Traffic management plan is relevant to the stage of works

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Signs are legible to road users and in reasonable condition

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

• The road speed is reduced to 60km where workers on foot or plant are within 1.2m to 3m of the traffic able area with no physical barrier. Delineation is installed

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Stop/go personnel ticketed

  Yes

  No

  N/A

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

• Site entrance signage in place (if principle contractor)

  Yes

  No

  N/A

• Construction materials kept within the workplace

  Yes

  No

  N/A

• Any risk of objects falling on members of the public

  Safe

  At Risk

  N/A

• Any risk of trip hazards to the public

  Safe

  At Risk

  N/A

• Public access controlled

  Yes

  No

  N/A

• Site perimeter fencing or barricades erected

  Yes

  No

  N/A

• Warning signs in place and relevant to risk

  Yes

  No

  N/A

BARRICADES (OSH Act 1984 Section 20, OSH Regulations 1996 3.6-3.8, 3.11 & 3.17)

• Works adjacent to public thoroughfare de-marketed/ barricaded

  Yes

  No

  N/A

COMPOUND (OSH Regulations 1996 3.6-3.8, 3.11 & 3.17)

• Compound signage in place

  Yes

  No

  N/A

• Compound fence in tact

  Yes

  No

  N/A

• Site containers are neat and tidy (floors free of spills and obstruction)

  Yes

  No

  N/A

• Toilets facilities are clean and well maintained

  Yes

  No

  N/A

• No smoking stickers outside crib room and office

  Yes

  No

  N/A

• Designated smoking areas enforced

  Yes

  No

  N/A

• Litter is placed in bins; bins are emptied regularly

  Yes

  No

  N/A

CHEMICAL AND HAZARDOUS SUBSTANCES (OSH Regulations 1996 Part V)

• Chemicals are storied in bunded area

  Yes

  No

  N/A

• Chemicals are stored in original or clearly labeled containers

  Yes

  No

  N/A

• Spill cleanup equipments available

  Yes

  No

  N/A

• Hydrocarbons stored in areas of containment

  Yes

  No

  N/A

• MSDS are available for all chemicals

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT WORN (OSH Regulations 1996 3.32, 3.40-3.44)

• High visibility clothing worn

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Footwear

  Yes

  No

  N/A

• Eye protection

  Yes

  No

  N/A

• Head Protection worn where risk of being hit in the head

  Yes

  No

  N/A

• Sunscreen

  Yes

  No

  N/A

LIGHT VEHICLES (OSH Regulations 1996 3.1)

• Light vehicles in work area have two way communication

  Yes

  No

  N/A

• Rotating yellow/orange light working

  Yes

  No

  N/A

• Seat belts in good condition and in use

  Yes

  No

  N/A

• Non-work LV's parked in designated parking area and not in construction work areas

  Yes

  No

  N/A

• Pre starts being completed on RJV vehicle

  Yes

  No

  N/A

• First aid box required

  Yes

  No

  N/A

WELDING AND CUTTING (OSH Regulations 1996 3.27)

• Hot works permit used

  Yes

  No

  N/A

• Equipment in good operating condition

  Yes

  No

  N/A

• Work area is clear of combustible material

  Yes

  No

  N/A

• Operator using PPE

  Yes

  No

  N/A

• Correct type of fire extinguisher near by

  Yes

  No

  N/A

• Gas cylinder secure and upright

  Yes

  No

  N/A

• Gas lines protected and in good condition

  Yes

  No

  N/A

• Double flash back arrestors

  Yes

  No

  N/A

• Welding/cutting screens used

  Yes

  No

  N/A

ELECTRICAL (OSH Regulations 1996 3.59-3.65, 4.38 & AS/NZS 3012:2012)

• Genset for compound is earthed with copper rod

  Safe

  At Risk

  N/A

• Permanent live boards locked

  Yes

  No

  N/A

• Covers used correctly

  Yes

  No

  N/A

• Temporary boxes numbered

  Yes

  No

  N/A

• Insulated tie bars in place

  Yes

  No

  N/A

• Electrical tools and leads tagged, RCD used

  Yes

  No

  N/A

• Electrical leads raised

  Yes

  No

  N/A

OVERHEAD POWERLINES (OSH Regulations 1996 3.64)

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Danger zone clearances measured and displayed

  Yes

  No

  N/A

EXCAVATION (OSH Regulations 1996 3.109-3.113)

• Excavation code of practice information
  http://www.commerce.wa.gov.au/worksafe/PDF/Codes_of_Practice/code_excavation.pdf

• Excavation Safe slopes

  

• Excavation sides battered / benched to code of practice

  Yes

  No

  N/A

• Where batters and benching cannot meet the Excavation Code of Practice adequate shoring to be erected

  Yes

  No

  N/A

• Adequate access to excavation

  Yes

  No

  N/A

• Adequate barriers and signs on excavation

  Yes

  No

  N/A

• Spoils being used as windrow of adequate size and protects workers from driving into excavation

  Yes

  No

  N/A

• Adequate distance between passing traffic and excavation edge

  Yes

  No

  N/A

• 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.

  Safe

  At Risk

  N/A

STOCKPILES

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

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

LIFTING AND CHAINS

• List chains serial number and last test date

• Chain has identification tag and Working Load Limits (WLL)

  Yes

  No

  N/A

• Load being lifted does not exceed Working Load Limit of weakest point in lifting system

  Safe

  At Risk

  N/A

• Weight of load is evenly distributed on sling legs

  Safe

  At Risk

  N/A

• Chain is free of twists and protected from sharp corners of the load

  Safe

  At Risk

  N/A

• Worker using chains that has no engineered approved lifting points is a ticketed dogman

  Yes

  No

  N/A

• Chain links are not bent, gouged or stretched and safety latch if applicable is functional

  Yes

  No

  N/A

• Slings are not torn or defective

  Safe

  At Risk

  N/A

TAGGING PROCEDURES (OSH Regulations 1996 4.38)

• Danger tags & out of service tags available and being used

  Yes

  No

  N/A

• Out of service equipment is in quarantined area and isolated from use

  Yes

  No

  N/A

PLANT EQUIPMENT (OSH Regulations 1996 Part IV)

• Pre-start books completed on a sample of plant

  Yes

  No

  N/A

• Observation of pre-start being conducted

  Yes

  No

  N/A

• Rotating yellow/orange light working

  Yes

  No

  N/A

• Reverse beepers working

  Yes

  No

  N/A

• Fire extinguisher in date and good order

  Yes

  No

  N/A

• Seat belts in good condition and in use

  Yes

  No

  N/A

• Two way radio in working order

  Yes

  No

  N/A

• Steps and grab rails in good order

  Yes

  No

  N/A

• Hire plant in good condition

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Mobile plant clearance area away from wall

  Yes

  No

  N/A

• Safety fencing if required

  Yes

  No

  N/A

GENERAL

• Add media

  Media

• Add media

  Media

CORRECTIVE ACTION (IMMEDIATELY)

• Supervisor items to action

  Sign

• HSEQ items to action

  Sign

• Workshop items to action

  Sign

• Subcontractor (Drainage Supervisor to sign off if available)

  Sign

• Subcontractor (Wall Builder supervisor to sign off if available)

  Sign

• Subcontractor (other - list company name) Supervisor to sign off if available

  Sign

CORRECTIVE ACTIONS WITHIN 7 DAYS (That require close out confirmation by HSEQ Coordinator)

• Corrective action 1

• Corrective action to be actioned by

  Select supervisor to action project manager to action workshop to action HSEQ to action subcontractor drainer to action subcontractor wall builder to action subcontractor -other to action n/a

  • supervisor to action
  • project manager to action
  • workshop to action
  • HSEQ to action
  • subcontractor drainer to action
  • subcontractor wall builder to action
  • subcontractor -other to action
  • n/a

• Corrective action 2

• Corrective action to be actioned by

  Select supervisor to action project manager to action workshop to action HSEQ to action subcontractor drainer to action subcontractor wall builder to action subcontractor -other to action n/a

  • supervisor to action
  • project manager to action
  • workshop to action
  • HSEQ to action
  • subcontractor drainer to action
  • subcontractor wall builder to action
  • subcontractor -other to action
  • n/a

• Corrective action 3

• Corrective action to be actioned by

  Select supervisor to action project manager to action workshop to action HSEQ to action subcontractor drainer to action subcontractor wall builder to action subcontractor -other to action n/a

  • supervisor to action
  • project manager to action
  • workshop to action
  • HSEQ to action
  • subcontractor drainer to action
  • subcontractor wall builder to action
  • subcontractor -other to action
  • n/a

• Corrective action 4

• Corrective action to be actioned by

  Select supervisor to action project manager to action workshop to action HSEQ to action subcontractor drainer to action subcontractor wall builder to action subcontractor -other to action n/a

  • supervisor to action
  • project manager to action
  • workshop to action
  • HSEQ to action
  • subcontractor drainer to action
  • subcontractor wall builder to action
  • subcontractor -other to action
  • n/a

• Corrective action 5

• Corrective action to be actioned by

  Select supervisor to action project manager to action workshop to action HSEQ to action subcontractor drainer to action subcontractor wall builder to action subcontractor -other to action n/a

  • supervisor to action
  • project manager to action
  • workshop to action
  • HSEQ to action
  • subcontractor drainer to action
  • subcontractor wall builder to action
  • subcontractor -other to action
  • n/a

• Corrective action 6

• Corrective action to be actioned by

  Select supervisor to action project manager to action workshop to action HSEQ to action subcontractor drainer to action subcontractor wall builder to action subcontractor -other to action n/a

  • supervisor to action
  • project manager to action
  • workshop to action
  • HSEQ to action
  • subcontractor drainer to action
  • subcontractor wall builder to action
  • subcontractor -other to action
  • n/a

CORRECTIVE ACTIONS GREATER THAN 7 DAYS (close out to be determined by HSEQ Management on corrective actions register)

• Corrective action 1

• Corrective action to be actioned by

  Select supervisor to action project manager to action workshop to action HSEQ to action subcontractor drainer to action subcontractor wall builder to action subcontractor -other to action n/a

  • supervisor to action
  • project manager to action
  • workshop to action
  • HSEQ to action
  • subcontractor drainer to action
  • subcontractor wall builder to action
  • subcontractor -other to action
  • n/a

• Corrective action 2

• Corrective action to be actioned by

  Select supervisor to action project manager to action workshop to action HSEQ to action subcontractor drainer to action subcontractor wall builder to action subcontractor -other to action n/a

  • supervisor to action
  • project manager to action
  • workshop to action
  • HSEQ to action
  • subcontractor drainer to action
  • subcontractor wall builder to action
  • subcontractor -other to action
  • n/a

• Corrective action 3

• Corrective action to be actioned by

  Select supervisor to action project manager to action workshop to action HSEQ to action subcontractor drainer to action subcontractor wall builder to action subcontractor -other to action n/a

  • supervisor to action
  • project manager to action
  • workshop to action
  • HSEQ to action
  • subcontractor drainer to action
  • subcontractor wall builder to action
  • subcontractor -other to action
  • n/a

• Corrective action 4

SIGN OFF

• RJV On site representative

  Sign

• Auditor

  Sign