SD 6.02 OHS&E Spot Audit

• Site

• Location
  Address

• Conducted on

  Date

• Prepared by

• Personnel present for audit

• Project Number

• Project Manager

• Site Supervisor

• Scope of works

• Trades on site during inspection

• Project progress (%)

• Rating Scale Compliance
  0 Unacceptable 0-25% Immediate action required/ Major non-compliance
  1 Poor 25% Attention required before the end of the day
  2 Fair 50% Attention required within the next 2 days
  3 Acceptable 75% Minimal rectification required
  4 Good 100% No action required
  
  
  Based on:
  0 Potential for serious injury/ major damage to equipment
  1 Likelihood for an incident occurring
  2 General non-compliance with legal or site safety requirements
  3 Compliance substantial but not 100%
  4 All areas satisfy both legal and site safety requirements
  
  
  Not applicable:
  * - Not Applicable - To be placed in appropriate section when not being audited
  
  
  Audit Target
  70% +
  

• General Comments

• Site specific Management Plan on site?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Name of key personnel on site for the project posted?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Name and location of emergency and medical services for the project posted?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Emergency/Evacuation procedures developed and displayed including a site specific evacuation plan?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are company policies displayed in site office and crib room?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Have all site personnel and subcontractors received a site induction?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there a construction "Blue/White Card" induction register on site and is it being used?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are there photocopied records of relevant training/licenses for personnel who carry out specific tasks and/or high risk activities?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Site inspections conducted and recorded. Copies kept on site?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Access to copies of Act 1984 and Regs 1996 on site?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are toolbox meetings held and allow site personnel to participate in the safety effort

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Easy access to first aid box and register

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Contents clean, orderly, stocked and labelled

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Trades aware of first aid box location and procedure

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Facility easily identified - Green cross displayed outside of site office

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Toilets clean, supply of soap, hand towels, toilet paper (Male/Female)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Clean lunch room with adequate supply of water and facilities

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Fridge and microwave clean

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Bins not overflowing

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are all access points onto site clear and unobstructed e.g. General building material and rubbish

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Construction warning signage at each site entry

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• PPE signage in place?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• PPE worn on site?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Electrical tagging signage

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Construction material kept within the workplace. Public area not obstructed.

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• No risk of objects falling into public areas

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• No trip hazards to the public

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Site perimeter fencing or barriers erected

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Roads unobstructed, permits and signage in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Job Safety Analysis or Safe Work Method Statements for work being carried out in the project in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are JSAs/SWMS provided by subcontractors for specific hazardous tasks

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Was the JSA referred to during the job and were the job steps followed and effective? Select on JSA/SWMS and test for onsite compliance.

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Permanent live boards lockable

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Temporary power box tagged and numbered

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Covers used correctly and leads through the bottom of the box

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Insulated tie bars in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Electrical tools/leads with current testing and tagging and in good condition

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Electrical leads raised off the ground by at least 2m

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Electrical register available on site and filled out

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Power located within 30 metres of work area (no piggy backing)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Proof of Dial Before You Dig and/or scanning report available on site

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Permit provided to work near overhead power lines or underground services

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Overhead power lines identified

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Electrical danger poster displayed

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Correct step ladders in use for electrical work

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Access/exits for emergency egress clear and clearly signposted

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Fire extinguishers accessible and easily identifiable

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are fire extinguishers the right type for the hazard and have relevant operating instructions

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Hydrants clear of materials

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Do fire extinguishers have an up to date inspection tag (6 months)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are fire detection control measures in place if required and what are they

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Have all subcontractors carried out a risk assessment for the hot works they are carrying out

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Hot work permit systems available and in place as required

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Good housekeeping maintained

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Equipment in good condition

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Verify that oxy/acetylene gas bottles are fitted with flashback arresters (at cylinder end for hoses <3 metres. Cylinder and hand piece/torch end for hoses >3 metres)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Proper tools for the job

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Tools in good condition and all safety guards fitted

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• RCD protection in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Petrol driven tools not used in poorly ventilated areas

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Petrol driven and concrete cutting tools used in accordance with manufacturer's instructions and Code of Practice

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• 
  http://www.commerce.wa.gov.au/WorkSafe/PDF/Codes_of_Practice/Code_concrete_masonr.pdf

• Drilling & Cutting Permit in place for coring and chasing?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Warning signage for laser use in place?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Work area barricaded off when laser in use?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Regulations known and being complied with

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Competent instruction and supervision being carried out while EPT is in use

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Operator wearing eye and ear protection

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Warning signs erected and in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Bobcat tractor/forklift used in accordance with manufacturer's instructions, in good/serviceable condition and clean

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are guards in place where required and are they effective

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is mobile plant operated well clear of overhead power lines?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is mobile plant operated by trained, competent and certified operators

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Manufacturer's instructions available and log book or daily pre-use inspections completed

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Hoists have overhead operators protection

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Hoist properly erected and operated

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Hoists have base level guard rails

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Safe access and egress to hoist working platform

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Hoists have log books available

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Hoist has isolating device e.g. key

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Hoists have all upper levels with guard rails fitted

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is person certified to operate hoist above 11m or competent to operate hoist under 11m

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Hoist above 11 metres fitted with sign nominating authorised certificated person only and names the person.

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• EWP log book (or pre-use inspection checklists) available and completed

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• EWP's sited on firm and level ground

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• EWP operator trained and have they a high risk licence if operating a boom type EWP

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are harnesses being worn in EWPs/cherry pickers

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is mobile plant kept clean and in a serviceable condition

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Crane has log book, maintenance records and Worksafe certification available

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Crane with flashing lights, alarms, outriggers?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Crane inspection regularly carried out by competent person (daily inspection)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• When crane is in operation is it located on compacted or stabilised ground

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• When crane is in operation is the crane and movement of the crane jib well clear of any overhead power lines

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there a means of restriction or control to prevent persons entering te area or vicinity in which a crane is operating?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Has operator and dogman/rigger relevant high risk licences?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are slings and chains in good condition and tagged

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there a lifting register in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Clear of unnecessary personnel when lifting loads

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Crane operators and riggers have clear communication method

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Has operator and dogman/rigger got relevant high risk licences?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Has the daily checklist been completed and documented? Have the safety devices been checked?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there documentation to show the crane box, first aid cage and kibble have the appropriate certification and SWL marking on them

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is all the crane documentation available on site to indicate the crane complies with the legislative requirements

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are slings and chains in good condition and tagged

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there a lifting register in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there a current (five year) MSDS available for all hazardous substances on site and register in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Access to register and MSDS sheets by employees

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are subcontractors complying with MSDS in their SWMS

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Have risk assessments been completed for all hazardous or dangerous substances/goods on site?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there a sign off by the subcontractors showing all employees working with hazardous substances have been trained in the MSDS

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there appropriate storage available for Hazardous Substances on site

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Verify that there is a fire extinguisher available in storage areas for flammable liquids and gases

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Verify that gas bottles are stored in a cage while not in use and that the gas bottles are stored separately

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are trades cutting MDF Sheets Jin accordance with MSDS Sheet?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Synthetic fibres controlled in accordance with MSDS

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Traffic management plan available on site

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Traffic movement in accordance with the plan implemented on the site

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is all signage in good condition and free from vandalism/tampering

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• System to control movement of traffic onsite (site specific internal traffic management plan in place and is displayed)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Reversing vehicles controlled with spotters

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Safe unloading of vehicles implemented on the site

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Does the traffic management plan need to be reviewed for current or future works

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Adequate access into the excavation over 1m deep e.g. Ladders/ramp

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is the depth of the excavation greater than 1.5 metres and if so has risk assessment been carried out

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there an observer present when workers are in an excavation at least 1.5 m deep

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Excavations greater than 1.5 metres benched, battered or shored

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Adequate barriers erected around the excavations

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Spoil heaps near excavations edge

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Stacking of material near excavation edge

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Passing traffic near excavation edge

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is the stability of buildings/structures adjacent to an excavation maintained

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Permit system in place for excavation

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Diagrams showing locations of utility services e.g. Dial Before You Dig Records

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Regular disposal of rubbish

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Passageways, walkways and access ways clear of building material

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Adequate lighting for task

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Bins provided

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Reo-steel capped

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Work areas tidy

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Slip, trip and fall hazards identified

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Chutes used for waste disposal in good working condition

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Barriers at the base to restrict others from entering bin areas

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Bins covered to contain dust and debris

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Rubbish removed by mechanical means

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Has a risk assessment been carried out before commencement of any work at heights

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Has safe access been provided - Stair or ladder access

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is edge protection erected to comply with regulations

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are all materials secured from movement

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are all trades trained and holding current certificate for Working at Heights

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are any holes or openings in any floor appropriately covered, have appropriate signage "Danger Hole Beneath" and / or is protected using guard rails

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are harnesses required to be worn and is there a rescue procedure in place?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Harness, lanyards etc. in good condition and certified?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Scaffolds properly constructed to AS 1576.1.6

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is scaffold erected by a certified scaffolder

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• As there handover certificates or checklists in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Standards on concrete fitted with base plates

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Standards with screw jacks and sole boards

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Scaffold tied in to prevent collapse of scaffold (adequate bracing in place)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Edge protection in place for all scaffolding over 2 metres in height

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Kick boards/mesh guards fitted to platforms

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Sheeted or netted scaffolds fitted with additional ties to resist wind loads

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Tagging system on scaffolds above 4 metres (scaffold sign off)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Tagging system fitted on each access point (access ladder)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Tagging system legible, durable and up to date

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Warning signs/barriers in place for incomplete scaffolds

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Planks secured from uplift/movement

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Working platforms fully decked

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Platforms of a suitable width for the work being carried out

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Safe access provided to working platform

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• During construction of the scaffold is the immediate area around the base barricaded off or otherwise controlled to minimise risk of injury from falling objects

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there protection for scaffold within 6 metres of electrical conductors?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Loading bays evenly distributed with loads? SWL sign fitted?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are harnesses required for the tasks being carried out

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Have scaffold trades completed a Working at Heights Course

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

Mobile Scaffold

• Mobile scaffold complies with suppliers specifications

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Mobile with equipment and components in place

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Edge protection with top rail, mid rail and kick board fitted for mobile scaffold above 2m

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Mobile with ladder correctly fitted

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Scaffold braced correctly

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Tagging system on scaffolds above 4 metres (scaffold sign off)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Tagging system legible, durable and up to date

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Warning signs/barriers in place for incomplete scaffolds

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Castors fitted and locked

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Working platforms fully decked

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Outriggers/ties fitted where required

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

Bricky Kits and Trestles

• Set up on firm, even ground

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Timber sole boards or base plates used in soft ground

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Screw jacks used in uneven ground

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Working platforms do not exceed 2m height

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Trestles have a least 450mm wide platform

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are ladders erected and compliant with regulations

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are access ladders appropriate and secured at the top and bottom

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Do ladders extend a minimum of 1m above the platform

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are ladders angled at the correct distance from the structure to be accessed, 1 out and 4 up

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are ladders maintained in good condition

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are step ladders being used appropriate for work tasks being carried out (i.e. electrical work)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are all access points clear and unobstructed

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is the area around the ladder clear of all fall hazards

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there a risk of fall from height

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Written procedures developed and followed for working at heights (JSA)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• If stay harnesses are in use, do they and the anchor points comply with relevant Australian Standards

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• PPE inspected and maintained and fall restraint register established

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Safe access/egress provided to all work places

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Objects removed from fall zones

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Edge protection as required

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Catch platforms provided to prevent persons from falling from a height

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Formwork progressing in a systematic manner

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Formwork checked by a competent person

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Barriers erected in work areas

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Warning signs erected to prevent persons walking into fall zones

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Ladder/stair access provided

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Fall zones barricaded off

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Penetrations meshed, covered with warning signs

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• All personnel including supervisors have been trained in accordance to an accredited Tiltup and precast concrete course

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• All untrained personnel requiring access to tilt panel areas been given authorisation to do so by relevant personnel (use of form F8.83)

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Personnel i.e. riggers/crane operators are trained

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Crane operations i.e. setup, power lines, slings, etc.

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Documentation i.e. logbooks, JSAs, etc.

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Shop drawings i.e. drawings signed by certified engineer

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Australian Standards 3850-2003 and Code of Practice for Tiltup and Precast Concrete available onsite

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• 
  http://www.commerce.wa.gov.au/WorkSafe/PDF/Codes_of_Practice/Code_Tiltup_Precast_.pdf

• Safe erection process i.e. fall zones, panels and bracing

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Braces i.e. locked 2 per panel

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• EWP used rather than ladders

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Safe storage onsite for panels i.e. not leant against temp brace panel

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Safety signage and barricades erected

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are there any work activities that require personal exposure monitoring/health surveillance

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are personnel protected from exposure to excessive vibration

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is ventilation, lighting and temperature in confined spaces and site offices monitored and controlled to ensure the health and safety of personnel

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is there a complete spill kit available on site

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is the site maintained in a clean and tidy state to minimise the occurrence of environmental incidents

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are drains inside the site free from building materials

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is dust generated by vehicle movement minimised using appropriate road base or the application of water?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is dust generated by the cutting of concrete, bricks, tiles, etc minimised using wet cutting where applicable, vacuum or dustless cutters?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are emissions produced from fixed or mobile plant minimised in accordance with the relevant code?

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are gutters outside the project free of building materials

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are the gutter drains protected by enviro socks or other means

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are the sedimentation fences in place and being maintained around the site

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Have the bricklayers a system to prevent waste when using their equipment e.g. Brick saw or mixer

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Does the painter have a system in place for disposal of excess paint

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are waterways (sewers, storm water drains, etc) and soil protected from contamination by the discharge of any polluting substances i.e. the washing down of plant and equipment and concrete trucks

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are chemicals stored and used responsibly, and chemical wastes disposed of according to best industry practice

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is noise minimised to comply with the local authority requirements and specific client requirements e.g. Restricted working hours

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are materials used in an economical manner

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are all recyclable materials segregated and stored appropriately for reuse or off site recycling

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Are all water supplies turned off when not in use

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• Is all electrical equipment turned off when not in use

  Select Unacceptable Poor Fair Acceptable Good Not Applicable

  • Unacceptable
  • Poor
  • Fair
  • Acceptable
  • Good
  • Not Applicable

• Observation

• Add media

  Media

• High Risk: Does the hazard have the potential to kill or permanently disable you? - Action immediately
  Medium Risk: Does the hazard have the potential to cause a serious injury which will temporarily disable you? - Action within 24 hours
  Low Risk: Does the hazard have the potential to cause a minor injury which would not disable you? - Action within 7 days

• Corrective Actions/Recommendations Report

Corrective Action

• Corrective Action description

• Add media

  Media

• Risk Level

  High Risk - Action immediately

  Medium Risk - Action within 24 hours

  Low Risk - Action within 7 days

• Action by who?

• Action complete

  Yes

  No

  Partly

  No longer applicable

• Action complete sign off

  Sign

• Action complete date

  Date

• Opportunity for Improvement

OFI

• OFI description

• Add media

  Media

• Notes/comments

• This site safety inspection report is advisory and is for the use of the party to whom it is addressed and for no other purpose. No responsibility is accepted or undertaken to any third party who may use or rely on the content of this report. No responsibility is accepted or undertaken for any decisions made by the addressee in relation to sit e safety, whether made on the basis of this report or otherwise.