Title Page
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Audit No
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PICW
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Date
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Location
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Auditor
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Work Description
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Names On Crew
Client Requirements
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Client Authorisation (PSCS appointment where acting as PSCS)
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Current Authorisation Notification (AF1/2)
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Preliminary H&S Plan
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Corporate clothing being wore on site
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Compliant with client specific requirements? (Mitigations in place)
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Client inductions carried out
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Construction stage Safety and Health Plan
Contractor Documents and Communications
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Signed up Safety Statement (All Staff)
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MSDS/COSHH held for chemicals and fuels (and staff signed on)
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Are all staff on site inducted by Parklawn
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Crew familiar with Disciplinary Procedures
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Crew know new employee procedure
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Crew know H&S reporting structure
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Who do crew consult with on H&S
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Crew familiar with Safety Rep (Role/Purpose)
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Is there a tablet on site and has it been updated to most recent update
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toolbox talk records (All staff signed on)
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Briefing records (alerts & incidents)
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Crew familiar with last TBT/briefing
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Accident/near miss know the difference
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Show accident near miss reports
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Audit deviations closed out
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PICW self audit completed
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Safe driving policy (known and implemented)
Safety Procedures
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Is there a RA for work being done (Staff signed on)
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Is there a MS for the work being done (Staff signed on)
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Is work being done per RAMS
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Roles and Responsibilities assigned and known
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Is there an SSRA completed
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Are all staff signed onto SSRA
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Are all staff conservant with contents of SSRA (List main hazards and risks)
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Have all identified controls being implemented
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Are there hazards present not recorded on the SSRA
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Is Public safety adequately managed
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Was auditor briefed on site hazards on arrival
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Is there a work pack available (Work instructions/quotation sheet)
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Were all hazards identified in PWP
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Is there safe access / safe work area
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Are measures to prevent unauthorised access in place and effective
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Noise controls in place
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Emergency Nos posted and relevant to area
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Crew know Emergency procedures
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All crew members briefed on emergency procedures
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Has an emergency drill been carried out in the last 6 months
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Can crew provide an accurate site address
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Crew know the incident reporting procedure
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Has crew signed on location via Whattsapp
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Have all crew members received fire extinguisher training
Environmental Management
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Trained on Environmental requirement
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Spill Kit available
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Environmental Policy (Signed by all crew)
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Trained on fueling of equipment
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Fuel/chemicals properly stored
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Environmental risk assessment carried out
Traffic Management
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Is vehicular traffic obstructed
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Is pedestrian obstructed
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is a traffic plan in place
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Is SLG cardholder on site
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Are advance signs in place
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is there adequate traffic width
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is there adequate work width
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are pedestrian arrangements adequate
Training
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Have all crew current safepass
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Minimum of 1 Occupational First Aid
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Have all crew CPR Training
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Have all crew Manual Handling
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Drivers licence valid for class of vehicle
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Relevant NPTC / CSCS cards held
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All staff inducted
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Is visitor induction adequate
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Training on completion of SSWP
Plant, Equipment and Vehicles
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Current GA1 Certs held
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Daily/Weekly inspections in order
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Beacon and alarms on mobile plant
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Van & Trailer in order
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Driver cab tidy
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Keys removed when not in use
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Road tax and insurance valid
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PTO cover and Cab guard on tractor
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Machine cabs tidy
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Mirrors and glass unbroken
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Chipper Stop buttons/bar PTO cover
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Equipment and fuel storage safe and tidy
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Chain brake and chain catcher in order