Safety Assessment

• Audit Title

• Client / Site

• Job No.

• Building Number

• Building Name

• UQ Contract Supervisor

• Contractor Name

• Prepared by

• Conducted on

  Date

• Site or building picture

  Media

• Work Location

• Trade Type

  Select Electrician Carpenter Air Conditioning Lift Services Horticulture Works Plumber

  • Electrician
  • Carpenter
  • Air Conditioning
  • Lift Services
  • Horticulture Works
  • Plumber

• Foreman/Workers Name

• Contact Telephone

1. Working at Heights

• 1.1. Fall risks of 2m or more? (including voids, pits, and trenches)

  Safe

  At Risk

  N/A

• 1.2. Lack of edge protection?

  Safe

  At Risk

  N/A

• 1.3. Unsafe or incomplete edge protection?

  Safe

  At Risk

  N/A

• 1.4. Two persons conducting works

  Safe

  At Risk

  N/A

• 1.5. Contractor consulted the UQ Roof Safety Management Plan

  Safe

  At Risk

  N/A

• 1.6. Elevated work platforms are competently operated with licenced operators if required?

  Yes

  No

  N/A

2. Plant and Equipment

• 2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)

  Safe

  At Risk

  N/A

• 2.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)

  Safe

  At Risk

  N/A

• 2.3. Unsafe or incompatible attachments used with plant/equipment?

  Safe

  At Risk

  N/A

• 2.4. Unlicensed operators?

  Safe

  At Risk

  N/A

• 2.5. Lack of safe work instructions?

  Safe

  At Risk

  N/A

• 2.6. Lack of training in safe operation, clean-up and maintenance?

  Safe

  At Risk

  N/A

• 2.7. Lack of LOTO procedures for cleaning, servicing and maintenance?

  Safe

  At Risk

  N/A

• 2.8. Lack of pre-operational checks?

  Safe

  At Risk

  N/A

• 2.9. Plant warning devices operable?

  Safe

  At Risk

  N/A

3. Scaffolds

• 3.1. Unlicensed persons erecting scaffold above 4m?

  Safe

  At Risk

  N/A

• 3.2. Unsafe or incomplete scaffold?

  Safe

  At Risk

  N/A

• 3.3. Lack of inspection protocol for scaffold?

  Safe

  At Risk

  N/A

• 3.4. Incompatible scaffold components? Unlabelled or do not meet AS?

  Safe

  At Risk

  N/A

• 3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

  Safe

  At Risk

  N/A

4. Handling & Lifting Equipment

• 4.1. Unsafe or damaged plant?

  Safe

  At Risk

  N/A

• 4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  Safe

  At Risk

  N/A

• 4.3. Lack of maintenance, testing and inspection?

  Safe

  At Risk

  N/A

• 4.4. Lack of SWL information displayed?

  Safe

  At Risk

  N/A

• 4.5. Lack of daily inspection protocol?

  Safe

  At Risk

  N/A

• 4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  Safe

  At Risk

  N/A

• 4.7. Lifting equipment unlabelled, does not meet AS, no SWL displayed?

  Safe

  At Risk

  N/A

• 4.8. Unlicensed operators?

  Safe

  At Risk

  N/A

• 4.9. Lack of LOTO procedures for cleaning, servicing and maintenance?

  Safe

  At Risk

  N/A

• 4.10. SWL of plant or any lifting equipment exceeded?

  Safe

  At Risk

  N/A

5. Harness, Equipment & Anchor Points

• 5.1. Unsafe or damaged harness or equipment?

  Safe

  At Risk

  N/A

• 5.2. Incompatible hooks/equipment?

  Safe

  At Risk

  N/A

• 5.3. Unlabelled or does not meet standards, is it in date?

  Safe

  At Risk

  N/A

• 5.4. Unsafe or uncertified anchor points?

  Safe

  At Risk

  N/A

• 5.5. Lack of inspection protocol for equipment?

  Safe

  At Risk

  N/A

• 5.6. Lack of or inadequate formal training for operators?

  Safe

  At Risk

  N/A

6. Ladders

• 6.1. Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• 6.2. Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• 6.3. Ladder not properly secured?

  Safe

  At Risk

  N/A

• 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

7. Hazardous Manual Tasks

• 7.1. Lack of identification hazardous manual tasks?

  Safe

  At Risk

  N/A

• 7.2. Lack of assessment of hazardous manual tasks?

  Safe

  At Risk

  N/A

• 7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  Safe

  At Risk

  N/A

• 7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

  Safe

  At Risk

  N/A

8. Hazardous Chemicals (including fuel and oil)

• 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  Safe

  At Risk

  N/A

• 8.2. Incompatible chemicals stored near each other?

  Safe

  At Risk

  N/A

• 8.3. Inadequate spill containment equipment?

  Safe

  At Risk

  N/A

• 8.4. Safety Data Sheets not accessible on site?

  Safe

  At Risk

  N/A

• 8.5. Lack of emergency procedures for injury/spills/fire etc?

  Safe

  At Risk

  N/A

• 8.6. Excessive quantities stored on site or in vehicles?

  Safe

  At Risk

  N/A

• 8.7. Insufficient ventilation?

  Safe

  At Risk

  N/A

• 8.8. Insufficient, or incorrect, PPE?

  Safe

  At Risk

  N/A

• 8.9. Unsuitable storage containers? (unlabeled or stored in food containers)

  Safe

  At Risk

  N/A

9. Emergency Response & First Aid

• 9.1. Lack of, or no emergency or evacuation plans for site?

  Safe

  At Risk

  N/A

• 9.2. Emergency procedures not displayed at site?

  Safe

  At Risk

  N/A

• 9.3. UQ Emergency Number Knowledge

  Safe

  At Risk

  N/A

• 9.4. Lack of, or inadequate first aid kits aid equipment for site?

  Safe

  At Risk

  N/A

• 9.5. Any recent incidents? Expand.

• 9.6. Unsuitable or inadequate communication equipment?

  Safe

  At Risk

  N/A

• 9.7. Fire extinguisher available if required?

  Safe

  At Risk

  N/A

10. Traffic Management & Road Works

• 10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  Safe

  At Risk

  N/A

• 10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  Safe

  At Risk

  N/A

• 10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

  Safe

  At Risk

  N/A

• 10.4. Lack of signage in place?

  Safe

  At Risk

  N/A

11. Personal Protective Equipment (PPE)

• 11.1. Lack of, or inadequate PPE (including sun protection)

  Safe

  At Risk

  N/A

• 11.2. Lack of system to issue, inspect, replace and monitor PPE?

  Safe

  At Risk

  N/A

• 11.3. Lack of training in safe use, clean-up and inspection of PPE?

  Safe

  At Risk

  N/A

12. Site Condition, Amenities & Work Environment

• 12.1. Management of, Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• 12.2. Insufficient lighting?

  Safe

  At Risk

  N/A

• 12.3. Inadequate housekeeping?

  Safe

  At Risk

  N/A

• 12.4. Lack of, or inadequate noise/ vibration control?

  Safe

  At Risk

  N/A

• 12.5. Work areas are barricaded to prevent non-authorised access?

  Yes

  No

  N/A

• 12.6. Free access/egress is available for staff/students around work area?

  Safe

  At Risk

  N/A

• 12.7. Site/Work area is free from rubbish and obstructions?

  Safe

  At Risk

  N/A

• 12.8. Building materials are stored within the confines of the work area?

  Yes

  No

  N/A

13. Electrical Hazards

• 13.1. Unsafe electrical leads? (damaged, out of test date or untested)

  Safe

  At Risk

  N/A

• 13.2. Lack of RCD protection?

  Safe

  At Risk

  N/A

• 13.3. Contact with underground assets?

  Safe

  At Risk

  N/A

• 13.4. Contact with overhead electrical lines?

  Safe

  At Risk

  N/A

• 13.5. Overloading outlets?

  Safe

  At Risk

  N/A

• 13.6. Leads placed on ground or on metal structures?

  Safe

  At Risk

  N/A

• 13.7. Electrical equipment near water?

  Safe

  At Risk

  N/A

• 13.8. Electrical equipment near flammables?

  Safe

  At Risk

  N/A

• 13.9. Electrical equipment near chemicals that could cause damage?

  Safe

  At Risk

  N/A

• 13.10. Electrical leads that may be damaged from contact with moving machinery parts?

  Safe

  At Risk

  N/A

• 13.11. Electrical leads on work surfaces?

  Safe

  At Risk

  N/A

• 13.12. Isolation: Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

  Safe

  At Risk

  N/A

• 13.13. Trade Licence Observed

  Yes

  No

  N/A

• 13.14. Live Work, Low Voltage, Rubber Mats?

  Yes

  No

  N/A

• 13.15. LCD Rescue Kit and observer?

  Safe

  At Risk

  N/A

• 13.16. Workers LVR trained, Resus.?

  Safe

  At Risk

  N/A

• 13.17. Tools, leads, plugs, sockets and switches appear to be in good condition.

  Yes

  No

  N/A

14. Environmental Hazards & Waste Management

• 14.1. Lack of/or inadequate Environmental Management plan (EMP)?

  Safe

  At Risk

  N/A

• 14.2. Lack of/or inadequate, dust suppression system?

  Safe

  At Risk

  N/A

• 14.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  Safe

  At Risk

  N/A

• 14.4. Lack of water re-use systems?

  Safe

  At Risk

  N/A

• 14.5. If waste removed by skip bin located on site, is it compliant?

  Safe

  At Risk

  N/A

15. Administrative Procedures

• 15.1. Lack of/or inadequate Site Safety Plan?

  Safe

  At Risk

  N/A

• 15.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  Safe

  At Risk

  N/A

• 15.3. Lack of, or inadequate site induction for workers, contractors, visitors?

  Safe

  At Risk

  N/A

• 15.4. Lack or, or inadequate, supervisory arrangements?

  Safe

  At Risk

  N/A

• 15.5. Lack of/or inadequate training, licenses, general induction, skills, experience?

  Safe

  At Risk

  N/A

• 15.6. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  Safe

  At Risk

  N/A

• 15.7. Lack of, or inadequate system to review SWMS as needed?

  Safe

  At Risk

  N/A

• 15.8. Lack of/or inadequate incident notification procedures?

  Safe

  At Risk

  N/A

• 15.9. Lack of, or inadequate, routine inspections, monitoring, audits?

  Safe

  At Risk

  N/A

• 15.10. Lack of/or inadequate consultative arrangements?

  Safe

  At Risk

  N/A

• 15.11. Lack of Hazard Identification Process, Risk Assessment, Took Box Talks & Start up discussions?

  Safe

  At Risk

  N/A

• 15.12. Workers on site have UQ Induction

  Safe

  At Risk

  N/A

• 15.13. Correct UQ work order on site?

  Safe

  At Risk

  N/A

16. Confined Spaces

• 16.1. Contractor consulted UQ Confined Space Safety Management Plan?

  Safe

  At Risk

  N/A

• 16.2. Confined space permit completed?

  Safe

  At Risk

  N/A

• 16.3. Rescue procedures developed and all persons trained.

  Yes

  No

  N/A

• 16.4. Two persons conducting works

  Safe

  At Risk

  N/A

17. Other Controls & Methods

• 17.1 Work area fire isolated if welding /brazing /grinding?

  Safe

  At Risk

  N/A

• 17.2. Flashbacks in place?

  Yes

  No

  N/A

• 17.3. Apprentice is under supervision?

  Safe

  At Risk

  N/A

18. Comments

• 18.1. Additional Observations

• 18.2. Additional Media

  Media

20. Corrective Actions

• 20.1. Enter any corrective actions that will be undertaken

• 1. If person/s being audit has no UQ ID or is not inducted, they must stop works and either sign in to obtain UQ ID or complete induction. This would constitute a Non Conformance on the contractor.
  2. Plant pre-operational checks – these are documented checks / inspections on any mobile plant, such as bobcat, forklift etc
  3. LOTO – this stands for Lock Out/ Tag Out of electrical supplies of the item or plant being working on.
  4. Welding zone isolation – the fire zone  where welding or oxy sets are being used must be isolated to ensure fire detection system does not go into alarm where work is being carried out.
  5. MDSD’s – Safety Data Sheet – this must be kept in a folder with works and each MSDS must be within 5 years.

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign