Site safety advisor

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Name of crew being audited.

  Yes

  No

  N/A

Initial Considerations

• Have all risks been identified and eliminated ?

  Safe

  At Risk

  N/A

• Is the proper PPE being worn?

  Yes

  No

  N/A

• Is the PPE in good condition and being worn correctly?

  Safe

  At Risk

  N/A

• Is there a First Aid Kit available and is it stocked appropriately for the activity being undertaken?

  Safe

  At Risk

  N/A

• Have all other services in the vicinity of the Site been identified and located?

  Safe

  At Risk

  N/A

• Are all activities being conducted within written procedures?

  Safe

  At Risk

  N/A

• Are correct manual handling techniques being used by all personnel?

  Safe

  At Risk

  N/A

Traffic & Pedestrian Management

• Has the Traffic Management Assessment been completed? If so, has the appropriate Traffic Management Plan been implemented?

  Yes

  No

  N/A

• If Traffic Management is being provided by a third party, are their JSA's and Plans completed and appropriate for the task/s being undertaken?

  Safe

  At Risk

  N/A

• Is there appropriate Pedestrian / Traffic protection?

  Safe

  At Risk

  N/A

• Has the worksite been tapped off to prevent unauthorized entry?

  Safe

  At Risk

  N/A

• Are all signs and equipment being used in required condition?

  Yes

  No

  N/A

Vehicles Plant and equipment

• Carry out a vehicle, Plant and Equipment inspection and report any deficiencies.

  Safe

  At Risk

  N/A

• Is there a Fire Extinguisher available, is it secured correctly and is it in service, I.e. been checked and in date with the regular service checks?

  Safe

  At Risk

  N/A

• Are vehicle and plant log books correctly filled out with any faults listed?

  Yes

  No

  N/A

Environmental Aspects

• Has the worksite been reinstated as per requirements and standards? (eg. The cleanup of driveways, gutters nature strip etc.)

  Yes

  No

  N/A

• Are silt traps in place to prevent excessive entry into storm water drains? How many are in place?

  Safe

  At Risk

  N/A

Excavation

• Is the excavation for the activity appropriate in size?

  Yes

  No

  N/A

• Is the excavation over 1.5 mt deep? Are proper shoring devices being used?

  Safe

  At Risk

  N/A

• Does the operator of the excavator have the appropriate license? Who is the appointed operator? Are they licensed? Name the spotter.

  Safe

  At Risk

  N/A

• Was the correct equipment used for the excavation, I.e. shovel digging first and then a mud bucket?

  Safe

  At Risk

  N/A

• Is the available back fill material appropriate, and is there sufficient quantity available to complete the task?

  Safe

  At Risk

  N/A

• Has the excavation been back filled correctly and compacted?

  Safe

  At Risk

  N/A

Safety Conversations

• We're any safety conversations conducted during this audit? If so please record the conversation.

  Yes

  No

  N/A

Opportunity for Improvement

• Were there any opportunities for improvement identified during this audit? If so please record the details and ensure that the OFI is reported, registered and followed up.

  Yes

  No

  N/A

Sign off

• Auditor signature

  Sign

• Crew signature

  Sign

• Crew signature

  Sign