Information
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Audit Type (safety, quality, environment)
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Client / Site
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Conducted on
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Conducted by
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Location on site/ task being performed XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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Other personnel involved
Site Details
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Location on site/ task being performed
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Notes and photos should be attached where appropriate.
Work Areas
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Do you wish to examine work areas on this walk?
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Start card (Present, in date, all operators & visitors signed on)
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General Housekeeping (neat, tidy, clutter free)
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Walkways (free of debris and obstructions)
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Barricades and signage (in place and appropriate)
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Fire extinguisher (present if required and in date - within 6 months from last stamp)
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Are emergency exits and 1st Aid locations known
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MSDS (present - task depndent)
Personal Protective Equipment (PPE)
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Do you wish to examine PPE on this walk?
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Hard Hats (available, worn by crew and in safe condition)
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Safety Glasses with Side Shields (available, worn by crew and in safe condition)
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Face Shield / Goggles (available, worn by crew and in safe condition)
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Respiratory Protection (available, worn by crew and in safe condition)
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Hearing Protection (available, worn by crew and in safe condition)
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Appropriate Clothing (in safe condition)
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Gloves (available, worn by crew and in safe condition)
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Sunscreen (available)
Tools and Equipment
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Do you wish to examine tools and equipment on this walk?
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General condition of tools
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Electrical equipment (tag test and in date)
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Electrical Cables (in good condition, elevated from ground wherever possible)
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Guards, shields, and dust extraction (in place and effective)
Environmental
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Do you wish to examine environmental measure and impacts on this walk?
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Employees are aware of site environmental sensitivities
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Copy of Environmental Permits /approvals are available on site
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Approved construction footprint has been clearly defined and communicated<br>
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“NO GO ZONES” have been clearly identified and delineated
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Stockpile locations have been clearly identified / flagged on site in a suitable area away from key environmental<br>receptors? ie. Waterways, vegetation, property boundaries
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Spoil shall be stockpiled on durable plastic liner / membrane or reused in accordance with environmental approval
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Sediment controls have been installed
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Spill kits readily available on all plant / machinery
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Are water carts or other fire fighting equipment readily available for hot works? Is there a designated fire spotter on site?
Personnel
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Do you wish to check personnel and this safety walk?
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Behavior is orderly and professional
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Clear communication is possible without needing to shout
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Proper lifting technique demonstrated
General Comments
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Any further comments or recommendations arising from this inspection?
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Add any additional relevant photos
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Have all required corrective actions been added as Actions to this inspection?
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Please add any corrective actions to the appropriate questions above before completing this report
Sign Off
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Name & Signature of Inspector
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Name & Signature of Site Supervisor / Foreman
Fall Protection Equipment XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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Do you wish to examine fall protection equipment on this safety walk?
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Fall protection equipment inspected inspected regularly and before use
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Appropriate for task and used properly by crew where applicable
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Suitable Anchorage Points
Ladders XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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Do you wish to examine ladders on this safety walk?
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Ladders are well maintained and in satisfactory condition
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Ladder base, footing and set up is to standard
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Proper Ladder for Task
Excavations
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Do you wish to examine excavations on this safety walk?
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Access/Egress is safe and frequency of egress is acceptable
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Shoring/Shielding/Sloping is safe
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Barricades are in place as required
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Spoil Pile
People Safety
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Do you wish to check work crew safety knowledge at this inspection?
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Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.
Team Member XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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Has the team member attended a pre-start meeting or toolbox talk within the last week?
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Is the team member able to describe the correct process to follow in an emergency situation?
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Is the worker able to identify three hazards they may encounter in their tasks today?
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Team member signature (to verify this interview took place NOT to assess their safety knowledge)