Site Safety Inspection remote site

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Office & Administration area

• Is the office and administrative area clean & tidy?

  Yes

  No

  N/A

• Are there clear safe means for access and escape in the vent of an emergency situation

  Yes

  No

  N/A

• Is fire fighting equipment available and easily accessible

  Yes

  No

  N/A

• Are exits clear of obstructions on both sides?

  Yes

  No

  N/A

• Are walkways clear and free of obstructions and trip hazards

  Yes

  No

  N/A

Storage Container & Lay-down Area

• Is the area clean & tidy?

  Yes

  No

  N/A

• Is the container secured?

  Yes

  No

  N/A

• Is all Protech equipment secured?

  Yes

  No

  N/A

• Does any Protech Equipment in the storage area pose a risk or possible risk to anyone who may access this area

  Yes

  No

  N/A

Worksite

• Are there clear safe means for access and escape in the event of an emergency situation?

  Yes

  No

  N/A

• Do all Protech Power staff know what to do in the event of an emegency?

  Yes

  No

  N/A

• Is the work area free of unnecessary obstacles ? i.e. trip hazards rubbish, extension cables

  Yes

  No

  N/A

• Is the work area clear of unnecessary combustable materials?

  Yes

  No

  N/A

• Is fire fighting equipment available and easily accessible?

  Yes

  No

  N/A

• Are appropriate barricades, caution tapes, do not enter tapes, warning signs in place?

  Yes

  No

  N/A

• Are there any floor openings?

  Yes

  No

  N/A

• Are floor openings covered or adequately barricaded off?

  Yes

  No

  N/A

Electrical

• Are residual current devices used and when were they last tested?

  Yes

  No

  N/A

• Are electrical extension leads in use? are the leads routed so that they can not be damaged or create hazards i.e. tripping

  Yes

  No

  N/A

• Has all electrical equipment and leads been tested and tagged?

  Yes

  No

  N/A

• Has any equipment or leads have an expired tag?

  Yes

  No

  N/A

• Is a temporary power installation and when was it last tested

  Yes

  No

  N/A

Calibration of Test Equipment

• has all test equipment in the work area been calibrated?

  Yes

  No

  N/A

• Does any of the equipment sighted have an expired calibration sticker

  Yes

  No

  N/A

Ladders & Scaffolding

• Are any Ladders or scaffolding being used in the work area?

  Yes

  No

  N/A

• Are the correct size and type of ladder being used, is it being used in the correct manner?

  Yes

  No

  N/A

• Are ladders free of dirt, grease and other contaminants?

  Yes

  No

  N/A

• Is scaffolding being used?

  Yes

  No

  N/A

• Are the correct tags attached?

  Yes

  No

  N/A

• Are guard rails, intermediate rails and toe boards in place?

  Yes

  No

  N/A

Isolation Procedures

• Was the switchboard checked for dead prior to anyone beginning work?

  Yes

  No

  N/A

• Who checked the board?

  Yes

  No

  N/A

• Do all staff understand the Stanwell Authority to Work (ATW) process?

  Yes

  No

  N/A

• Is the Stanwell Authority to work documentation available for review?<br>

  Yes

  No

  N/A

• Are there any Safe Work Method Statements or similar risk management documentation attached to the ATW

  Yes

  No

  N/A

• Have all Protech staff signed on?

  Yes

  No

  N/A

• Have all staff signed off at the end of the day?

  Yes

  No

  N/A

Safe Work Method Statements (SWMS) & Job Safety & Environmental Analysis (JSEA)

• Is a Safe Work Method Statements (SWMS) & Job Safety & Environmental Analysis (JSEA) available for review?

  Yes

  No

  N/A

• Have all Protech staff reviewed and signed on to the Safe Work Method Statements (SWMS) & Job Safety & Environmental Analysis (JSEA)?

  Yes

  No

  N/A

• Is the SWM and\or JSEA appropriate to the tasks being performed?

  Yes

  No

  N/A

• Do the SWMS and\or JSEA adequately identify all risks to people, the environment or property?

  Yes

  No

  N/A

• Are Protech Staff reviewing and signing on to the SWMS and\or JSEA daily

  Yes

  No

  N/A

First Aid

• Is there a qualified first aid person in the workgroup?<br>

  Yes

  No

  N/A

• Do Protech staff know the Stanwell emergency number (from Stanwell phones)<br>(555)

  Yes

  No

  N/A

• Do Protech Staff know the emergency number to use from a mobile phone? (4930 3555)

  Yes

  No

  N/A

• Is there a first aid kit available in the work area?

  Yes

  No

  N/A

• do all Protech staff have a current LV Rescue & CPR Certificate?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Does each Protech Employee in the work area have the correct minimum PPE?

  Yes

  No

  N/A

• Must have a safety helmet, safety glasses, work gloves and belt clip, Hi Vis Shirts and 100% cotton pants

• Is each Protech Employee wearing appropriate safety footwear that is in good condition?

  Yes

  No

  N/A

• Lace up ankle boots that meet Australian standards, no holes, no frayed laces

• Are any Protech employees wearing loose jewellery i.e. necklace, large rings

  Yes

  No

  N/A

• Is PPE that is appropriate to tasks being undertaken used

  Yes

  No

  N/A

• Respirator masks, appropriate filters, protective gloves for handling possible hazardous substances i.e. Isopropyl Alcohol

Hazardous Substances and the Environment

• Are any hazardous substances being used in the work area? i.e. cleaners, fillers

  Yes

  No

  N/A

• Is the an MSDS available for the substance?

  Yes

  No

  N/A

• Is the MSDS less than five years old?

  Yes

  No

  N/A

• Is the substance clearly labelled and appropriately stored?

  Yes

  No

  N/A

• Is there a means of controlling any foreseeable spills

  Yes

  No

  N/A

• Is it possible that a spill would cause an evacuation of the area

  Yes

  No

  N/A

• Is it possible that a spill would have a major detrimental effect on the surrounding environment?

  Yes

  No

  N/A

• Has an emergency response plan been put into place?

  Yes

  No

  N/A

• Has a copy of the emergency response plan been sighted and rerviewed?

  Yes

  No

  N/A

Hazards Noted in this Work Area, list actions required and priority

• Priority
  
  A: Potential for serious injury with frequent exposure - requires immediate and urgent action
  B: Potential for minor injury with frequent exposure - requires action
  C: Potential for minor injury with infrequent exposure - Requires review

Deficiencies in Safety Equipment or Procedures, List actions required and priority

• Priority
  
  A: Potential for serious injury with frequent exposure - requires immediate and urgent action
  B: Potential for minor injury with frequent exposure - requires action
  C: Potential for minor injury with infrequent exposure - Requires review

Electrical Faults

• Priority
  
  A: Potential for serious injury with frequent exposure - requires immediate and urgent action
  B: Potential for minor injury with frequent exposure - requires action
  C: Potential for minor injury with infrequent exposure - Requires review

Other Comments

Sign off

• Name of Person Conducting the audit

  Sign

• Select date

  Date

• Name of Worksite Supervisor

  Sign

• Select date

  Date