Information

  • Site

  • Conducted on

  • Prepared by

  • Personnel

  • Location

QUALITY

  • Current drawings being used

  • Superseded drawings marked, clipped together and separate current drawings

  • Document register in file & matches documents on site

  • Inspection test plan is up to date

  • Evidence of one ITP follow through

  • Site administration SF 4.8 - 1.1a signed off

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

  • Calibration dates on equipment current

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

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

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

  • Start up risk assessment available and relevant actions signed off

  • Induction register is up to date

  • Daily sign in register being used

  • Pre shift agenda being conducted daily

  • Blood Alcohol Content (BAC) screens done daily

  • Supervisor OHS weekly checklist being used

  • Safety, Environmental & Quality policies are displayed

  • JSEAs developed as per SMP

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

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

  • Fuel truck in designated handstand area where practical

  • Dust suppression in use

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

  • Permits and licenses in place

  • Implementation on controls from two items under high risk register

EMERGENCY ( OSH Regulations 1996 3.8-3.12)

  • First aid box is on site where signs indicate

  • First aid box is fully stocked

  • Trained first aiders are on site and are identified

  • Evacuation plan is displayed

  • Assembly muster point sign is up

  • Emergency contact number is displayed

  • Fire extinguisher in compound available and in date

WORKSITE MANAGEMENT (OSH Regulations 1996 3.1)

  • Site communication methods displayed (UHF Channels)

  • Site fencing is intact (if main contractor)

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

EARTHWORKS HAULAGE

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

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

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

  • No unauthorised vehicles or subcontractors using haul route

  • Giveaway protocol followed

TRAFFIC MANAGEMENT (PUBLIC AREAS)

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

  • Traffic management on site matches TMP (if applicable)

  • 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

  • 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

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

  • Stop/go personnel ticketed

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

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

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

  • Compound signage in place

  • Compound fence in tact

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

  • Toilets facilities are clean and well maintained

  • No smoking stickers outside crib room and office

  • Designated smoking areas enforced

  • Litter is placed in bins; bins are emptied regularly

CHEMICAL AND HAZARDOUS SUBSTANCES (OSH Regulations 1996 Part V)

  • Chemicals are storied in bunded area

  • Chemicals are stored in original or clearly labeled containers

  • Spill cleanup equipments available

  • Hydrocarbons stored in areas of containment

  • MSDS are available for all chemicals

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

  • High visibility clothing worn

  • Hearing protection

  • Footwear

  • Eye protection

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

  • Sunscreen

LIGHT VEHICLES (OSH Regulations 1996 3.1)

  • Light vehicles in work area have two way communication

  • Rotating yellow/orange light working

  • Seat belts in good condition and in use

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

  • Pre starts being completed on RJV vehicle

  • First aid box required

WELDING AND CUTTING (OSH Regulations 1996 3.27)

  • Hot works permit used

  • Equipment in good operating condition

  • Work area is clear of combustible material

  • Operator using PPE

  • Correct type of fire extinguisher near by

  • Gas cylinder secure and upright

  • Gas lines protected and in good condition

  • Double flash back arrestors

  • Welding/cutting screens used

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

  • Genset for compound is earthed with copper rod

  • Permanent live boards locked

  • Covers used correctly

  • Temporary boxes numbered

  • Insulated tie bars in place

  • Electrical tools and leads tagged, RCD used

  • Electrical leads raised

OVERHEAD POWERLINES (OSH Regulations 1996 3.64)

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

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

  • Danger zone clearances measured and displayed

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

    no label
  • Excavation sides battered / benched to code of practice

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

  • Adequate access to excavation

  • Adequate barriers and signs on excavation

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

  • 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

LIFTING AND CHAINS

  • List chains serial number and last test date

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

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

  • Weight of load is evenly distributed on sling legs

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

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

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

  • Slings are not torn or defective

TAGGING PROCEDURES (OSH Regulations 1996 4.38)

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

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

PLANT EQUIPMENT (OSH Regulations 1996 Part IV)

  • Pre-start books completed on a sample of plant

  • Observation of pre-start being conducted

  • Rotating yellow/orange light working

  • Reverse beepers working

  • Fire extinguisher in date and good order

  • Seat belts in good condition and in use

  • Two way radio in working order

  • Steps and grab rails in good order

  • Hire plant in good condition

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

  • Mobile plant clearance area away from wall

  • Safety fencing if required

GENERAL

  • Add media

  • Add media

CORRECTIVE ACTION (IMMEDIATELY)

  • Supervisor items to action

  • HSEQ items to action

  • Workshop items to action

  • Subcontractor (Drainage Supervisor to sign off if available)

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

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

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

  • Corrective action 1

  • Corrective action to be actioned by

  • Corrective action 2

  • Corrective action to be actioned by

  • Corrective action 3

  • Corrective action to be actioned by

  • Corrective action 4

  • Corrective action to be actioned by

  • Corrective action 5

  • Corrective action to be actioned by

  • Corrective action 6

  • Corrective action to be actioned by

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

  • Corrective action 2

  • Corrective action to be actioned by

  • Corrective action 3

  • Corrective action to be actioned by

  • Corrective action 4

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.