Safe Tasks Aust Confined Space Audit

• Document No.

• Audit Title Confined space audit

• Client /Site

• Address
  Address

• Conducted on

  Date

• Prepared by

• Location /Floor/Space and/or Door No

• Standby Person Working At The Space

• Manager/Supervisor on shift at the time of the audit

• Work Permit No or Work Order Number

Instructions/Comments

• 1. Completed audits are to be emailed to Diane Littlewood diane@safetasks.com.au and Jeff Alcott jeff@safetasks.com.au 2. Audits are to be carried out a minimum of one per shift during shut downs. 3. Type obervations and necessary actions in the text box provided at the end of each section. 4. Use the action plan text boxes at the end of the audit tool to record significant items requiring promt action by the relevant supervisor or manager. 5. Ensure all questions are answered with Yes, No or N/A 6. Media boxes have been provided throughout the audit tool to provide photo evidence of specific items. 7. Do not edit or change the audit tool without the permission of the Managing Director or the Safety & Training Manager.

Confined Space General

• Is all safety equipment required in good condition and within inspection dates

  Yes

  No

  N/A

• Is all scaffold within the confined space tagged with a relevant scaf tag and is within date

  Yes

  No

  N/A

• Is there an adequate means for entry and exit

  Yes

  No

  N/A

• Gas cylinders are positioned outside the confined space

  Yes

  No

  N/A

• Has a risk assessment been completed for the confined space

  Yes

  No

  N/A

• Is there an adequate means of communication with the persons inside the confined space

  Yes

  No

  N/A

• Where applicable have all persons signed onto the Work Permit, Work Party or other relevant document

  Yes

  No

  N/A

• Add additional information here

Standby Person General

• Is the standby person outside and in close proximity to the confined space

  Yes

  No

  N/A

• Does the standby person know how to raise an alarm in an emergency

  Yes

  No

  N/A

• Does the standby person have a means to raise an alarm with the persons inside the space with those that may not have direct communication with the standby person outside e.g. horns, whistles, bells etc

  Yes

  No

  N/A

• Add additional information here

Entry Permits

• Have all person exiting the confined space signed off the entry permit

  Yes

  No

  N/A

• Has the standby person signed onto the entry permit proir to any person entering

  Yes

  No

  N/A

• Has the entry permit been revalidated for the shift

  Yes

  No

  N/A

• Add additional information here

Hot Work

• Is hot work being carried out in the confined space and are there fire extinguishers and/or hose reels close to the work area

  Yes

  No

  N/A

• Are electrical tools connected to RCD transformer

  Yes

  No

  N/A

• Is hot work being carried out in the space and has a hot work permit been issued or revalidated for that shift

  Yes

  No

  N/A

• Add additional information here

Gas Detection

• Has the gas detector been calibrated within the last 6 months

  Yes

  No

  N/A

• Has gas detection been completed prior to persons entering the confined space

  Yes

  No

  N/A

• Have the gas test recorded any readings above the exposure standard TWA during the shift

  Yes

  No

  N/A

• Has the gas detector been bump tested within the last 24 hours

  Yes

  No

  N/A

• Has the gas detection been carried out in intervals as per the risk assessment requirements

  Yes

  No

  N/A

• Add additional information here

Working At Heights

• Is the standby person required to work at heights

  Yes

  No

  N/A

• Is the standby person required to wear a harness when working at height

  Yes

  No

  N/A

• Tap to enter information

• If yes give a reason

• Is there a possibility of items being dropped to the floor below due to working on grid mesh or open grating or gaps in boarding

  Yes

  No

  N/A

• Is there sufficent guard railing in place to protect the standby person from an unprotected edge

  Yes

  No

  N/A

• Are harnesses required to be used and are they attached to a secure anchor point

  Yes

  No

  N/A

• Fall arrest systems have current inspection tags

  Yes

  No

  N/A

• Tap to enter information

Personal Protective Equipment - PPE

• Is hearing protection required to be worn

  Yes

  No

  N/A

• Are all workers wearing the correct PPE

  Yes

  No

  N/A

• All PPE is well maintained and in good condition

  Yes

  No

  N/A

• Hat hats are within date

  Yes

  No

  N/A

• Tap to enter information

Barricading

• Barricade tape is in place at the entry point to the confined space

  Yes

  No

  N/A

• Barricade tag is in place with all required information

  Yes

  No

  N/A

• Correct colour barricade tape is being used as per the site requirements

  Yes

  No

  N/A

• Tap to enter information

Risk Assessment

• Has a rescue plan been developed for the confined space

  Yes

  No

  N/A

• Has a JSEA, SWMS,JHA or JSA been devoloped for the work required to be carried out in the space

  Yes

  No

  N/A

• Have all persons working in or on the confined space signed onto the JSEA

  Yes

  No

  N/A

• Has the standby person signed onto the Safe Tasks JSEA.

  Yes

  No

  N/A

• Tap to enter information

Action Plan

• Action plan ( Action, Resonsibility, due date) All actions resulting from the audit are to be listed below. Where required a incident report maybe required to be developed and forwarded to the relevant site supervisor.

• Tap to enter information

• Tap to enter information

Media

• Tap to enter information

  Media

• Tap to enter information

  Media

• Tap to enter information

  Media

• Tap to enter information

  Media

Sign off from those conducting audit

• Tap to enter information

  Sign

• Tap to enter information

  Sign

• Tap to enter information

  Sign