SBO HLM Rev 03

• Audit Title (SBO Job Number yyyy mm dd)

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Describe the task you are observing

1.0 WORKING HABITS / COMPETENCY / BEHAVIOURS

• 1.1 PPE: Are team members wearing / using the prescribed personal protective equipment? Is the PPE in good condition?

  Yes

  No

  N/A

• 1.2 Risk Awareness: Can team members describe at least 3 risks and the appropriate controls?

  Yes

  No

  N/A

• 1.3 Competency & training: Is everyone inducted, licenced / trained for their task?

  Yes

  No

  N/A

• 1.4 Emergency Procedure: Does the team know where the muster point is? Nearest Hospital? First Aid location / person?

  Yes

  No

  N/A

2.0 HOUSEKEEPING / WORK ENVIRONMENT

• 2.1 Access / egress: Are pathways clear from hazards and debris

  Yes

  No

  N/A

• 2.2 Trips / slips / falls / tidy: is the site neat and tidy? Free from slip, trip hazards?

  Yes

  No

  N/A

• 2.3 Lighting: Is the lighting adequate?

  Yes

  No

  N/A

• 2.4 Hygiene: Are the team working with waste? Is PPE appropriate? Are the correct procedures being followed?

  Yes

  No

  N/A

• 2.5 Rubbish and waste: Placed in bins? Disposed in appropriate manner? Areas tidy?

  Yes

  No

  N/A

3.0 COMMUNICATION & PROCEDURES

• 3.1 Have Pre Start talks or Risk Assessments been completed for today? Is the observed task included? (attach photo)

  Yes

  No

  N/A

• 3.2 SWMS covering the task: Is it onsite? Relevant? In date? Has it been signed by all on site?

  Yes

  No

  N/A

• 3.3 Isolation & lock-out: If required, has this been done correctly? Inspect locks and/or tags. Do they identify personal?

  Yes

  No

  N/A

• 3.4 Non-verbal / verbal: Is communication between the team sufficient and working? Verbal, hand signals, radios or other?

  Yes

  No

  N/A

4.0 MANUAL HANDLING & ERGONOMICS

• 4.1 Positions / posture: Has the least awkward position been used? Is posture correct?

  Yes

  No

  N/A

• 4.2 Repetitive motions: Are the tasks rotated or breaks taken?

  Yes

  No

  N/A

• 4.3 Over exertion: Could the activity cause stress, strain or damage? Are there alternives to using the large bursts of energy e.g. tools? Loads shared?

  Safe

  At Risk

  N/A

5.0 EQUIPMENT & TOOLS

• 5.1 Are all tools tested and tagged? Is the tag in date?

  Yes

  No

  N/A

• 5.2 Tools & portable equipment condition: Are they in working order? Have repairs been completed by a qualfied person?

  Yes

  No

  N/A

• 5.3 Lifting & rigging: Slings and chains tagged and in date?

  Yes

  No

  N/A

• 5.4 Chemical storage: Is the SDS available? If required; area ventilated / bunded and secured?

  Yes

  No

  N/A

• 5.5 Are the appropriate number of spill kits on site?

  Yes

  No

  N/A

6.0 WORK AT HEIGHT / ELEVATED WORK

• Does the task involve work at height or elevated work?

  Yes

  N/A

• 6.1 Work overhead signage is in place?

  Yes

  No

  N/A

• 6.2 Permit / checklist completed?

  Yes

  No

  N/A

• 6.3 Harness is being used and tagged?

  Yes

  No

  N/A

• 6.4 Barricading is in place? Encompasses site and whole drop zone?

  Yes

  No

  N/A

• 6.5 Appropriate equipment selected? (e.g. Ladder, EWP, Boom, Scaffold)

  Yes

  No

  N/A

• 6.6 EWP / Boom pre-start completed? (attach photo)

  Yes

  No

  N/A

• 6.7 Rescue Plan documented and known?

  Yes

  No

  N/A

7.0 EXCAVATION

• Does the task involve excavation?

  Yes

  N/A

• 7.1 Has the plant pre start check been completed and documented? (attach photo)

  Yes

  No

  N/A

• 7.2 Is Signage and exclusion zone in place?

  Yes

  No

  N/A

• 7.3 Excavation Permit completed?

  Yes

  No

  N/A

• 7.4 Appropriate controls for depth? (>1.5m must have bench, batter or shoring)

  Yes

  No

  N/A

• 7.5 Are sediment fences: Upright? Tight? Capturing sediment? Not overfull?

  Yes

  No

  N/A

• 7.6 Drain protection: Adequate number of sandbags? water running through sandbag not around?

  Yes

  No

  N/A

• 7.7 Air quality: Free of odours, fumes and dust?

  Yes

  No

  N/A

8.0 CONFINED SPACE

• Does the task involve confined space work?

  Yes

  N/A

• 8.1 Signage to prevent entry of persons not involved is displayed?

  Yes

  No

  N/A

• 8.2 Permit: Completed? onsite? all requirements to standard? e.g. gas monitor calibrated

  Yes

  No

  N/A

• 8.3 Rescue Plan documented and known?

  Yes

  No

  N/A

• 8.4 Rescue equipment readily available, in date and in good condition?

  Yes

  No

  N/A

9.0 HOT WORKS

• Does the task involve hot works?

  Yes

  N/A

• 9.1 Permit: Completed? Onsite? To standard?

  Yes

  No

  N/A

• 9.2 Fire extinguisher readily available, tagged and in date?

  Yes

  No

  N/A

• 9.3 Area appropriate? (wet down, protected, combustible materials removed)

  Yes

  No

  N/A

• 9.4 Adequeate Ventilation? (extraction fans, open vents, PPE)

  Yes

  No

  N/A

• 9.5 Air quality: Free of odours, fumes and dust?

  Yes

  No

  N/A

CORRECTIVE ACTIONS

• Enter any corrective actions that will be undertaken.

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