Title Page
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Site conducted
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Conducted on
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Safety Check completed by:
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Location
H&S Ops Manual
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Do staff at this site have access to the H&S Ops Manual
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Are all procedures in the H&S Ops Manual being implemented at this site
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Does this site have a plan to address this area of non-compliance
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Are all staff aware of the Drug and Alcohol Policy
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How can you evidence that ALL staff have been made aware of the D&A Policy
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Has this site conducted Pre-employment Drug and Alcohol testing for workers in Safety Critical Roles in the last 12 months
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Has this site conducted Post Incident Drug and Alcohol testing in the last 12 months - including All forklift events.
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Has this site conducted Reasonable Cause Drug and Alcohol testing in the last 12 months
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Do staff at this site know what a Notifiable Event is
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Do staff at this site know what to do if a Notifiable Event occurs
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Has a Notifiable Event occurred at this site in the last 12 months
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Was the Notifiable Event Process followed when the Notifiable Event occurred.
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Are staff at this site aware of the guidance for employing Young People
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Is the guidance for employing Young People being followed at this site
H&S Ops Manual Safety Check Ends - Continue with H&S MAP
H&S Monthly Action Plan (MAP)
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The site is completing SH&W MAPS and submitting these to healthandsafety@pggwrightsonseeds.co.nz by the due date quarterly
Employee Participation
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Toolbox Meetings have been held with and Health & Safety is discussed
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How can you evidence Health & Safety is being discussed at toolbox meetings
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Site Health & Safety meetings have been held Monthly in Australia and Quarterly in NZ.
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Is there a Safety Health and Wellbeing (SHW) Rep at this site
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Has the site SHW Rep received training in the last 12 months
Hazards and Risks
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H&S Monthly Checks have been completed.
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Site Manager has reviewed H&S Monthly Checks
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Daily and Weekly Forklift Checks have been completed.
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All Potential Hazards have been reported in Safetynet.
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How many Potential Hazard reports have been recorded in Safetynet in the last 12 months?
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The site has a Hazard & Risk Register
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Has the site Hazard and Risk Register been reviewed in the last 12 months?
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What date was the Hazard and Risk Register last reviewed
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Health Hazard Exposure Monitoring has been completed for all workers in noisy, dusty and chemical handling work areas (at least within the last 5 years).
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What date was the Health Hazard Exposure Monitoring last completed
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Employee Health Monitoring has been completed for all workers in noisy, dusty and chemical handling work areas (annually).
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What date was the Employee Health Monitoring last completed
Training and Competence
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Safety training records have been reviewed and all training is current (not expired).
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Are all training records recorded in the LMS (Learning Managment System)?
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All Staff have had refresher training in how and when to use the PGW Seeds Injured at Work Pack - DLF Seeds Recover at Work Pack within the last 12 months
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All Staff have had refresher training in the PGW Seeds Manual Handling SOP
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All Workers have completed annual health and safety induction refresher training.
Event Reporting and Investigation
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All injuries have been reported and recorded in Safetynet (ASAP and at least same day).
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Workers are reporting Safety Observation or Interaction reports in Safetynet (target at least 1 report bi-monthly)
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How many Safety Observation or Interaction reports have been recorded in Safetynet in the last 12 months?
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Have there been any Safety Events on this site in the last 12 months.
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Have all Safety Events been reported, recorded in Safetynet and investigated
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How many Safety Event reports have been recorded in Safetynet in the last 12 months?
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Was corrective action taken following the investigation of the Safety Events
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All workflows from events reported in Safetynet reported been completed by their due date.
Injury Management
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There are enough trained First Aider on site to cover all normal business operations
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How many trained First Aiders are on site?
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Trained First Aiders provide first aid when required.
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The Recover at Work Pack is available for use at this site
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The Recover at Work Pack was used for any Discomfort, Pain or work Injury that required a visit to a treatment provider in the last 12 months (N/A = no DPI events reported)
Contractors and Visitors
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Contractors and Visitors sign into site using the Safetynet Visitor and Staff Register
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Approved contractors are recorded on Safetynet
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Approved Contractor pre-qualification is current in Safetynet
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Contractors working on site are inducted on to site using Safetynet
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How many Contractor Inductions have been recorded in Safetynet in the last 12 months?
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Contractors Safety Performance was monitored while working on-site and recorded as a Safety Observation in Safetynet.
Emergency Preparedness
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The site’s Emergency Response Plan and Emergency Contact Information has been reviewed and updated in the last 12 months
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Is the site reviewing and updating their ERP in December each year
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Will the site move the review of their Emergency Response Plan and Contact Information to December each year to align with the H&S MAP and all other PGW Seeds sites?
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A Trial Emergency Evacuation was carried out in the last 6 months
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Is the site conducting trial emergency evacuations in March and September each year
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Will the site move their trial emergency evacuations in March and September each year to align with the H&S MAP and all other PGW Seeds sites?
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A Chemical Spill Drill was carried out in the last 12 months
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Is the site conducting a Chemical Spill Drill in June each year
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Will the site move their Chemical Spill Drill to June each year to align with the H&S MAP and all other PGW Seeds sites?
Personal Protective Equipment (PPE)
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PPE has been issued to staff as required to keep them safe.
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Managers and Supervisors have monitored and enforced the wearing of PPE in compulsory areas.
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What is the evidence of this e.g. Safetynet reporting.
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All Safety Harnesses have been inspected in the last 6 months and this has been documented in Safetynet.
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Is the site conducting Safety Harness Checks in May and November each year
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Will the site move their Safety Harness Checks to May and November each year to align with the H&S MAP and all other PGW Seeds sites?
H&S MAP Safety Check Ends - Continue with Critical Risk Controls Safety Check
Critical Risk Controls
Confined Spaces
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Does anyone work in confined spaces at this site?
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Is a Permit to Work issued for all Confined Space Entries
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Are Permits to Work in Confined Space recorded in Safetynet
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Are staff who are permitted to enter confined spaces trained
Forklifts
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Do forklifts operate at this site?
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Are workers who are permitted to operate a forklift licenced
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Do all forklift operators wear a seat belt while operating a forklift.
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Are forklift operators trained in SOP# OCEANIA 009 Forklift - Pre-Start Checks
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Are all staff on site trained in SOP# OCEANIA 013 Forklift - Pedestrian Safety
Hazardous Substances
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Are there Hazardous Substances at this site?
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Does this site have a hazardous substances inventory
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Has the sites hazardous substances inventory been reviewed in the last 12 months
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NZ Only: Are there any Class 6.1A or 6.1B substances stored on site
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NZ Only: Does the site have a Location Compliance Certificate for Class 6.1A and 6.1B substances
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NZ Only: Is there a Certified Handler on site to cover all normal business operations
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NZ Only: Do people at this site transport hazardous substances as dangerous goods.
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NZ Only: Do the people who transport dangerous goods have a current D endorsement on their drivers licence.
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Is there Asbestos Containing Material (ACM) at this site
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Is there an Asbestos Management Plan for this site
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Is the sites Asbestos Management Plan being implemented
Plant and Machinery
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Is there plant and machinery at this site?
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Is there any qualification or licence required to operate any plant or machinery at this site
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Do all staff have the required qualification or licence for the plant and machinery they operate
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Is there a SOP for all plant and machinery at this site.
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Are all Workers trained in the SOPs for the plant and machinery they operate
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Has plant and machinery at this site been assessed by an external auditor within the last 5 years?
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What date was the last external plant and machinery assessment.
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Have all recommendations from the last external plant and machinery audit been implemented at this site
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Is all machinery adequately guarded?
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Is Isolation, Lock out and Tag out (LOTO) used at this site
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Are there people on site qualified to implement LOTO
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Are people on site who implement LOTO trained in SOP# OCEANIA 002 Isolation Lock Out and Tag Out
Vehicles and Driving
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Does anyone at this site regularly drive a vehicle as part of their job?
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Do all staff have a current licence for the vehicles they drive
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Are all staff aware of the Motor Vehicle Policy
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How can you evidence that ALL staff have been made aware of the MV Policy
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Are staff aware of what to do if they have an accident in their work vehicle
Working Alone
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Does anyone at this site work alone or in remote locations?
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Would anyone at this site be unable to communicate for help for 30 minutes or more most days
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What are the names of the people who may be unable to communicate for help
Working at Height
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Does anyone work at height at this site?
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Are staff who are permitted to work at height trained
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What qualification do they have.
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Is a Permit to Work at Height issued for any work above 3-meters that is not covered by Standard Operating Procedure.<br>A permit is not required for workers who have been trained in: <br>SOP# OCEANIA 011 Using a Forklift Safety Cage/Man Cage.<br>SOP# OCEANIA 021 Safe Work at Height who use a safety harness, lanyard and safety helmet for all climbs over 3-meters.<br>SOP# OCEANIA 021A Safe Use of a Portable Ladder/Platform Ladder who use a platform ladder.<br>
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Are Permits to Work at Height recorded in Safetynet
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Is a harness required with all fixed ladder climbs over 3mts using static line or double lanyard.
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Is there a static line installed for all permanent ladder climbs over 6mts (excludes designated No Climbs)
Critical Risk Controls Safety Check Ends - Continue with Safety Observation and Interaction
Safety Observation and Interaction
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What safety risks were observed while walking around this site (Select 'At Risk' for Moderate, Major, Or Extreme Potential Consequence Only - Risk Rate each risk)
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What type of behaviour was observed while walking around this site (Select 'At Risk' for Moderate, Major, Or Extreme Potential Consequence Only - Risk Rate each behaviour)
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What was discussed with staff on site
5S Housekeeping
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A 5S Housekeeping Improvement Project has been completed - at least 2 projects annually.
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How can you evidence that least two 5S projects have been completed?
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The site is clean and tidy - there are no slip, trip or fall hazards