SAFETYMARK SITE H&S AUDIT 2014

• Document No.

• Site

• Client

Location

• Conducted on

  Date

• Prepared by

• Personnel

• HAVE ALL ACTIONS ON PREVIOUS REPORT BEEN CLOSED OUT

  Yes

  No

• CONSTRUCTION PHASE PLAN

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• STATUTORY REGISTERS, F10 & OTHER PRESCRIBED DOCUMENTS

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• RISK ASSESSMENT & METHOD STATEMENTS

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• SITE INDUCTION

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• WELFARE & FIRST AID

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• SITE SECURITY AND ACCESS

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• TRAFFIC MANAGEMENT

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• PROTECTION OF THE PUBLIC

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• WORK AT HEIGHT

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• SCAFFOLDING AND TEMPORARY WORKS

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• LIFTING OPERATIONS

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• EXCAVATION

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• WORK EQUIPMENT (PLANT, TOOLS & EQUIPMENT)

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• MANUAL HANDLING

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• HAZARDOUS SUBSTANCES, ASBESTOS & LEAD

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• ELECTRICITY & OTHER SERVICES

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• OCCUPATIONAL HEALTH

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• FIRE PRECAUTIONS & EMERGENCY PROCEDURES

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• CONFINED SPACES

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• PERSONAL PROTECTIVE EQUIPMENT

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• HOUSEKEEPING AND STORAGE

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• SITE H&S MANAGEMENT

  Compliant

  Non-compliant Cat A

  Non-compliant Cat B

  Non-compliant Cat C

  Not Applicable

• Action required by

  Date

• Action Taken Date completed Signature

• I confirm that I have had the findings of this report explained to me SITE MANAGER:

  Sign

• AUDITOR:

  Sign