Information

  • Auditing Officer

  • Contract Coordinator

  • Service Provider

  • Conducted on

  • Location

AUDIT TYPE

  • Are you completing a Safety or a Quality audit?

SAFETY

  • Be sure to take photos during the audit.
    To take a photo simply tap the top of the question and a comment box and + symbol will appear. Tap the + symbol and use the camera.

  • Is there an SMP available on site?

  • Is it up to date and signed off?

  • Insert the date for this to be corrected by

  • Select date

  • Why not?

  • Is DBYD information for all utilities available on-site?

  • Why not?

  • Is there high voltage electricity or high pressure gas present

  • Ensure qualified utility company spotter present when excavating within WorkCover distances from high pressure or high voltage services.
    Follow the link below for WorkCover guidelines involving working near underground assets.


  • http://www.workcover.nsw.gov.au/formspublications/publications/documents/work_near_underground_assets_1419.pdf

  • Have all personnel been toolboxed on the location of services in and around the worksite?

  • Is there evidence of this in the site folder?

  • The contractor is to submit the toolbox sign-on sheet to the relevant City coordinator in SharePoint WMP by the date shown below.

  • Select date

  • Staff are to be toolboxed and evidence provided to relevant City Coordinator in SharePoint WMP by the date shown below.

  • Select date

  • Is there a TCP available on-site?

  • Has the TCP been signed off by the holder of a RMS Red or Orange card?

  • Insert a date below for when the contractor must have this rectified by.

  • Select date

  • Does the TCP cater for pedestrians and cyclists?

  • Why not?

  • Does the site set-up match what is shown on the TCP?

  • Should the TCP or the site be changed and when will this be completed by?

  • Select date

  • Are the current drawings available on-site?

  • Why not?

  • Does the contractor have The required permits?

  • Is the contractor working to the parameters of the permit, eg work hours?

  • How can this be rectified?

  • Why not?

  • The contractor should not be working without a Road Opening Permit and Road Occupancy Licence (if required). The work may need to be Re-Scheduled for a time when the permits will be available.

  • Does the contractor have a one, two or four week letter along with a two day letter?

  • Has the auditing officer been inducted onto site or escorted by a contractors representative the entire time?

  • Please see the site supervisor before continuing and ask them to induct you OR conduct the rest of the audit from off site.

  • Did the induction include the location of site amenities and any emergency procedures along with required PPE?

  • The contractors induction is inadequate, these are basic things you should know for your own protection before entering site.

  • Does the contractor have a site safety information board?

  • Do the boards show a contact name and phone number along with required PPE?

  • These are not up to City standard, answer no for the question above because without these things they do NOT have a site safety information board.

  • Are boards placed so that community members will see them when approaching the site?

  • Have contractor rectify on-site or insert date below when this should be done by.

  • Select date

  • Provide date that this will be rectified.

  • Select date

  • Is there an emergency evacuation plan and muster point?

  • This needs to be rectified immediately.

  • Can a randomly selected employee tell you where the muster point is?

  • The contractor needs to hold a toolbox talk to inform all workers know the emergency procedures. Insert due date below for evidence of this to be in WMP.

  • Select date

  • Have all workers been inducted onto site and is there evidence?<br>Select random worker and find his/her induction.

  • Have the site supervisor induct them now.

  • Is there evidence of licences, general inductions and any traffic control qualifications required?

  • Choose a traffic controller and ask to see their qualifications, did they have it with them?

  • Give a no for the entire question, they must have qualifications with them on-site.

  • Due date for this to be rectified.

  • Is there a SWMS for the current activity on-site?

  • Is the SWMS approved and signed off?

  • Date required to be rectified by

  • Is the SWMS relevant and being followed?

  • If it is not relevant and being followed it is useless and needs to be reviewed by the contractor.
    Insert date for this to be complete below.

  • Select date

  • Can a worker identify one hazard from the SWMS and tell you the control measure?

  • If workers cannot identify the hazards then they are at risk. The SWMS should be reviewed by the contractor to ensure it is able to be understood by the workers.

  • Is there a hazardous substances register available on site and is it up to date?

  • Select a substances that you can see, is it on the register?

  • Date to be rectified

  • SSSMP available and up-to-date - works greater than $250k?

  • Has there been weekly site inspections

  • Contractor must rectify before.

  • Has the daily pre start inspection been filled out for any plant on-site?

  • This should be filled in every day before starting work, make sure the inspection is done before work continues.

  • Is the excavator safety pin in?

  • Why not?

  • The safety pin is a WorkCover requirement for all excavators that have it.

  • Is there fencing and barricades to separate the site from the public?

  • Is there a Minimum 1m pedestrian thoroughfare maintained?

  • Are temporary access ramps provided on site?

  • Is there traffic controllers directing the public around the site safely?

  • You should take a photo of this site. Something needs to be done ASAP to separate the public from the work area.

  • Is dust and sediment control in place?

  • Is it effective and has it been cleaned out recently?

  • Take a photo and make the site supervisor aware of the issue.

  • Date to be fixed by?

  • Is there clear access for all properties?

  • This needs to be fixed as it could be the reason for a community complaint.
    Insert date to be fixed below.

  • Select date

  • Are Street signs installed 2.1m above the ground?

  • They need to be moved, this height is for pedestrian safety.

  • Any other WHS issues identified?

  • Please list the issues and take some photos.

  • Where would you rate the site in terms of safety

QUALITY - REFER TO TECHNICAL SPECIFICATIONS

  • All quality refers to the City Technical Specification.
    Please see link below.


  • http://www.cityofsydney.nsw.gov.au/__data/assets/pdf_file/0009/142569/Sydney-Street-Technical-Specifications.pdf

  • What type of work is being done?

  • Audit coming soon. Please use general for now.

  • Construction complies with the City's Specification?

  • Comment (if "No" is selected for above option)

  • Construction complies with the City's Drawings?

  • Comment (if "No" is selected for above option)

  • Design notes complies with construction?

  • Any construction issues identified?

  • Comment if "Yes" is selected for above

  • Construction grade?

  • Construction dimensions?

  • Construction materials?

  • Audit coming soon. Please use general for now.

  • Iraj to build this audit.

  • Is the footpath asphalt or concrete?

  • Is there 100mm of DGB20 base material?

  • What material is under the footpath?

  • Is the material fit for purpose and does the site folder contain proof of the City coordinators approval?

  • Anything that does not comply with the Technical Specification needs to be approved by the City coordinator. The base must be fixed before the footpath is poured.

  • Does the material appear to be adequately compacted? (Use of vibe plates or whacker packer along with water)

  • It is important that the base is compacted properly. Poor compaction could lead to cracking in the footpath.

  • Is footpath 110mm thick?

  • Why not?

  • Is the footpath constructed from 32 MPa 80mm slump concrete?

  • Does footpath contain SL72 mesh?

  • Is there a minimum of 40mm cover from the top of concrete to the mesh?

AUTHORISATION

  • City Representative

  • Service Provider Representative

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.