RTC Site Safety Survey

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Site Induction

• 1.1 - Were you inducted onto site?

  Yes

  No

  N/A

• 1.2 - Are appropriate SWMS filled out and correctly signed?

  Yes

  No

  N/A

• 1.3 - Are appropriate toolboxes filled out correctly and signed daily?

  Yes

  No

  N/A

• 1.4 - Are site specific inductions required and has everyone being inducted?

  Yes

  No

  N/A

• 1.5 - Has an environmental risk assessment being complete?

  Yes

  No

  N/A

• 1.6 - Has an emergency response plan being complete?

  Yes

  No

  N/A

• 1.7 - Have necessary permits being approved, filled in and signed ?

  Yes

  No

  N/A

• 1.8 - have other contractors on site being inducted and signed on?

  Yes

  No

  N/A

• 1.9 - Is there an RTC Field Binder on site?

  Yes

  No

  N/A

• 1.10 - Are MOPs and ITPs available on site?

  Yes

  No

  N/A

• 1.11 - Do RTC staff look presentable and part of a professional company?

  Yes

  No

  N/A

• 1.12 - Are RTC vehicles clean inside and out?

  Yes

  No

  N/A

2.0 - Access and Egress

• 2.1 - Is the site boundary clearly defined?

  Yes

  No

  N/A

• 2.2 - Is there a designated work area assigned?

  Yes

  No

  N/A

• 2.3 - Is the correct signage displayed?

  Yes

  No

  N/A

• 2.4 - Are vehicles parked safety and adequately? Has a VMP being developed?

  Yes

  No

  N/A

• 2.5 - Are all pathways, doorways, stairs clear?

  Yes

  No

  N/A

• 2.6 - Is the site presented well, rubbish, materials and equipment neatly arranged?

  Yes

  No

  N/A

• 2.7 - is traffic management required?

  Yes

  No

  N/A

3.0 - First Aid and Emergencies

• 3.1 - First aid kits on site, fully stocked and in date?<br>

  Yes

  No

  N/A

• 3.2 - First aid personnel identified?

  Yes

  No

  N/A

• 3.3 - Fire extinguishers on site and tagged?

  Yes

  No

  N/A

• 3.4 - MSDS available on site and staff know where to access them?

  Yes

  No

  N/A

• 3.5 - Evacuation point designated?

  Yes

  No

  N/A

4.0 - PPE

• 4.1 - Appropriate PPE being worn for the work task?<br>

  Yes

  No

  N/A

• 4.2 - Staff trained in the use of PPE?

  Yes

  No

  N/A

• 4.3 - Customer required PPE being worn?

  Yes

  No

  N/A

5.0 - Electrical

• 5.1 - All electrical tools and equipment have being tested and tagged?

  Yes

  No

  N/A

• 5.2 - Electrical registers on site?

  Yes

  No

  N/A

• 5.3 - RCD's being used?

  Yes

  No

  N/A

• 5.4 - Leads and equipment protected from damage?

  Yes

  No

  N/A

• 5.5 - All AC works being completed by a licensed electrical?

  Yes

  No

  N/A

• 5.6 - CB's and equipment isolated when necessary?

  Yes

  No

  N/A

6.0 - Environmental Hazards

• 6.1 - Environmental management plan available?

  Yes

  No

  N/A

• 6.2 - Environmental risk assessment filled in?

  Yes

  No

  N/A

• 6.3 - Site specific environmental controls being implemented?

  Yes

  No

  N/A

7.0 - Hazardous Materials

• 7.1 - Hazard management plan available?<br>

  Yes

  No

  N/A

• 7.2 - MSDS available?<br>

  Yes

  No

  N/A

• 7.3 - Spill kit available?

  Yes

  No

  N/A

• 7.4 - Access to asbestos register available?

  Yes

  No

  N/A

8.0 - Cable Chambers

• 8.1 - Adequate ventilation?

  Yes

  No

  N/A

• 8.2 - Gas detectors available?

  Yes

  No

  N/A

• 8.3 - Hard hats being worn when working in cable chambers?

  Yes

  No

  N/A

• 8.4 - Workers have confined space tickets?

  Yes

  No

  N/A

• 8.9 - Noise levels controlled?

  Yes

  No

  N/A

• 8.10 - No bending or stooping required?

  Yes

  No

  N/A

9.0 - Civil Works

• 9.1 - Work area is barricaded. Signage erected, no unauthorised access permitted?

  Yes

  No

  N/A

• 9.2 - Excavations, foundations back filled or covered?

  Yes

  No

  N/A

• 9.3 - Appropriate PPE being worn for the task?

  Yes

  No

  N/A

• 9.4 - All plant and equipment checks have being completed?

  Yes

  No

  N/A

• 9.5 - Sediment controls are in place?

  Yes

  No

  N/A

• 9.6 - All environmental controls in place?

  Yes

  No

  N/A

10.0 - Chemical Safety

• 10.1 - Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• 10.2 - Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• 10.3 - Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• 10.4 - All containers labelled correctly?

  Yes

  No

  N/A

• 10.5 - Unused substances disposed of?

  Yes

  No

  N/A

• 10.6 - Do special storage conditions apply?

  Yes

  No

  N/A

• 10.7 - If applicable are special storage conditions followed?

  Yes

  No

  N/A

• 10.8 - Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• 10.9 - If required is PPE available?

  Yes

  No

  N/A

• 10.10 - Is adequate ventilation provided?

  Yes

  No

  N/A

• 10.11 - Are eye washes and showers easily accessed?

  Yes

  No

  N/A

11.0 Ladders

• 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• 11.2 - Are ladders in good condition?

  Yes

  No

  N/A

• 11.3 - Are fibreglass ladders being used in exchanges?

  Yes

  No

  N/A

• 11.4 - Used according to instructions?

  Yes

  No

  N/A

• 11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

12.0 - Working At Heights

• 12.1 - Fall arrest / restraint systems are in date?

  Yes

  No

  N/A

• 12.2 - Harnesses, lanyards, pole straps, climbing helmets are in date, good condition and being worn?

  Yes

  No

  N/A

• 12.3 - EWP checklist complete?

  Yes

  No

  N/A

• 12.4 - Staff have appropriate tickets and qualifications?

  Yes

  No

  N/A

• 12.5 - Plant is safe to use, barricaded from public, on a safe surface?

  Yes

  No

  N/A

• 12.6 - Tower rescue kit on site?

  Yes

  No

  N/A

• 12.7 - Tools and equipment secured with lanyards?

  Yes

  No

  N/A

• 12.8 - RF detectors on site?

  Yes

  No

  N/A

• 12.9 - Suitable communication equipment available?

  Yes

  No

  N/A

• 12.10 - Weather conditions suitable?

  Yes

  No

  N/A

13.0 - Mobile Plant

• 13.1 - All pre-start checks have being completed?

  Yes

  No

  N/A

• 13.2 - Plant is in safe location, no public access, appropriately barricaded?

  Yes

  No

  N/A

• 13.3 - Operators have appropriate tickets to use machinery?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign