Information

  • Site Manager

  • Project Site

  • Conducted on

  • Prepared by

  • Personnel

  • Document No.

Site Office

SITE OFFICE

  • Site Establishment Plan - On display?

  • Emergency Contact Details - On display?

  • Emergency Evacuation Instructions - On display?

  • Evacuation Siren - available and tested?

  • Visitor Register - Available and in use?

  • Is the First Aid cabinet suitably stocked with contents date current?

  • Fire Extinguisher tags up-to-date? (6 months)

Lunchrooms

Lunchroom

  • Clean and tidy?

  • Emergency Evacuation Instructions - On display?

Toilets

Toilets

  • Toilets in functioning order?

  • Toilet paper, Soap & Hand towel stocked?

  • Are any taps or fixtures leaking water?

  • Toilets cleaned weekly?

Signage

Signage

  • Entry Signage displayed at front gate and in good condition?

  • Safety signage is appropriate for the site?

  • Cooper & Oxley identification and registration number displayed?

  • Emergency Muster Point - sign located at Muster Point?

  • Site Office & First Aid locations easily identifiable?

Safety Noticeboard

Safety Noticeboard

  • OHS Policy - On display?

  • Environmental Policy - On display?

  • OHS Representative - Name on display?

  • Site Establishment Plan - On display?

  • Emergency Evacuation Instructions - On display?

  • Toolbox meeting minutes - On display?

Safe Work Method Statement Complaince

SWMS Compliance

  • Subcontractor Observed

  • SWMS Title:

  • Observed work is in compliance with SWMS?

  • SWMS reviewed and resigned monthly?

  • Is a review of the SWMS required?

Electrical

Electrical

  • Site shed RCD's test/tagged (6 monthly)

  • Electrical tools test/tag - random inspection (subcontractor, tool, tag number, name of tester)

  • Power Boxes - Numbered and test/tagged?

  • Power Boxes - Leads entering through correct entry holes?

  • Power Boxes - RCD push button tested?

  • Power Boxes labelled appropriately? (I.e electrical hazard warning sign, board ID, supply location)

  • Any leads on the ground or hanging from steel structures?

  • Lead stands/hangers in use and insulated?

  • Leads no longer than 30m in use?

Excavations

Excavations

  • Excavation Permit has been completed, including details of the defined SWMS?

  • Barricading erected around excavation areas?

  • Excavations with a potential to collapse inward, benched, battered or shored?

  • Plant and spoil kept or placed at least 1m from edge of excavation?

  • Spoil or stock piles kept away from drains, buildings, fences, trees?

  • Excavations have safe means of access/egress?

  • Daily excavation checklists completed as required?

Working at Height

Powered Plant & Equipment

  • Subcontractor:

  • Plant ID:

  • Plant risk assessment submitted to site?

  • Plant maintenance records submitted to site?

  • Plant logged into plant/equipment register?

  • Plant specific SWMS signed?

  • Daily pre-start checks completed?

  • Plant free from obvious leaks?

  • Maintenance identified in pre-start has been communicated to those responsible?

  • Plant operators hold current licence or competency?

  • Lifting slings, chains, harnesses, fire extinguishers etc. certified/tagged?

  • Are appropriate machine guards in place?

  • Plant is being operated clear of overhead power lines?

  • Plant being operated at a site specific speed limit?

  • Seat restraints being used correctly?

Powered Plant & Equipment

Working at Heights

SCAFFOLD

  • Last scaffold inspection within 30 days?

  • Scaf tags updated and legible with inspector name?

  • Scaf tags at all scaffold entry points?

  • Are feet centrally located on sole boards?

  • Edge protection complaint with:<br>Guard rail, mid rail, toe boards, or;<br>Guard rail and mesh panel

  • Work platform clean and free from obstructions?

  • Scaffold 4m and above, erected by licensed scaffolder?

LADDERS

  • Ladders extend a minimum of 1m above connection point and are secured (I.e tie down)

  • Ladders are maintained in good condition?

  • Step ladders have legs correctly spaced and locked/tied off?

  • Top step of step ladder being used as a working platform?

  • Defective ladders tagged out of service and placed in quarantine area?

OPEN FLOOR PENETRATIONS

  • Holes or openings in floors are barricaded or boarded with danger signs

GUARD RAILS

  • Guard rails in place where a person can fall 2m or more from a stair, landing or fixed platform?

FALL ARREST/RESTRAINT

  • Harness tagged? (6 monthly)

  • Harness in use and attached or anchor point?

  • Working at Height Permit has been completed, including details of the defined SWMS?

Hazardous Substances and Dangerous Goods

Hazardous Substances & Dangerous Goods

  • Hazardous substances register is up to date?

  • Hazardous substances assessed as High risk or above, have been approved by Site Manager?

  • MSDS register and file up to date?

  • Storage facility is labelled HAZCHEM?

  • Storage facility is well ventilated and away from potential ignition sources?

  • All Hazardous substances appropriately labelled?

  • Gas cylinders secured?

  • Gas cylinders have flashback arresters in use?

  • Incompatible chemicals segregated?

  • Spill kit proportionate to size of project available?

  • Subcontractor hazardous substances stored correctly?

Personal Protective Equipment

PPE

  • Mandatory PPE is being worn by subcontractors?

  • PPE is in good condition?

  • Task specific PPE is being used?

Other

Other

  • Subcontractor sheds/sea containers tidy with correct storage requirements

  • Quarantine area established and orderly to house out of service items?

  • Star pickets/reinforcing rods protected by caps?

  • All other work permits have been completed, including details of the defined SWMS?

  • Site safety documentation properly completed and filed away?

  • Public safety controls remain effective (fencing, locks, signage)?

  • Public safety concerns are communicated to the OHSE Department?

Environmental

Environment

  • Excessively noisy tasks are not undertaken in the early morning? (Disturbing local community)

  • Vibration dampening equipment is installed where necessary?

  • Site fencing shade cloth is secured and in good condition to minimise dust movement?

  • Dust generated by vehicle movement is minimised?

  • Dust generated by concrete/brick cutting is minimised?

  • Water hoses turned off when not in use?

  • Water hoses/replaced when leaking?

  • Refuelling of plant is conducted at the designated area or by using appropriate size bund?

  • Designated concrete wash out is in use where practicable?

  • Site has been inspected for significant spills?

Audit Rating

Corrective actions (include into site CA Register)

  • CORRECTIVE ACTION

  • Corrective Action
  • What?

  • By Who?

  • By When?

Worker Participation

Worker Participation

  • Name of worker / Subcontracting company

  • Q1) Do you have any health and safety concerns that you would like to raise?

  • Q2) Is there anything within reason that Cooper & Oxley can do to make this site safer?

  • Q3) Do you have any general observations you would like to identify to Cooper & Oxley?

  • Signature or worker

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