Site verification audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel conducting field review

• Contract Company Observed

Legal requirements

• DOL notified-CR 3

  Yes

  No

  N/A

• GAR 4 - copy of OHS ACT

  Yes

  No

  N/A

• Letter of good standing

  Yes

  No

  N/A

• Base line risk assessments /hazard identification

  Yes

  No

  N/A

• All appointments and assigned duties 6.1/16.2/6.2/6.6

  Yes

  No

  N/A

• Mandatory agreements section 37

  Safe

  At Risk

  N/A

Housekeeping

• Are safe access areas to the job site provided for all workers

  Yes

  No

  N/A

• Are stairways,passageways and gangways kept free of material,supplies or obstructions that are a potential hazard

  Yes

  No

  N/A

• Is all debris and trash picked up and placed in the containers or refuse bins

  Yes

  No

  N/A

• Are protruding nails ,forms,scrap lumber, and other debris kept clear from work areas,passageways and stairs and in around the buildings or other structures

  Yes

  No

  N/A

• Are drip pans used to collect oils and fluids

  Yes

  No

  N/A

• Are chutes provided to remove waste from above level floors

  Yes

  No

  N/A

• Are work areas tidy and free from trip hazards

  Yes

  No

  N/A

• Are empty cement bags and other dust producing materials removed from the work areas?

  Yes

  No

  N/A

Isolation of Hazardous Energy

• Can the work wait until the unit is completely (LOTO) shutdown?

  Yes

  No

  N/A

• Energy isolation requires a specialized work permit (energy control plan worksheet), Is there one in place?

  Yes

  No

  N/A

• Has the crew reviewed the permit and understand the hazards associated with the work?

  Yes

  No

  N/A

• Are personnel performing the isolation of hazardous energy trained and competent in the roles for which they are responsible?

  Yes

  No

  N/A

• Are all energy sources identified and isolated?

  Yes

  No

  N/A

• Has de-energization been verified before work begins?

  Yes

  No

  N/A

• Has mechanical equipment been safely restrained?

  Yes

  No

  N/A

• Have positive energy isolation techniques been used where vessel entry or open flame hot work is required?

  Yes

  No

  N/A

• Are all isolation points locked, tagged and documented?

  Yes

  No

  N/A

• Does each personal lock / tag used for energy control only identify and are used by a competent / approved individual?

  Yes

  No

  N/A

• Have operations and maintenance personnel reviewed the energy isolation that has been done on the system?

  Yes

  No

  N/A

Electrical

• Are cords and plugs inspected daily before use and tagged appropriately?

  Yes

  No

  N/A

• Has the equipment been de-energized and verified before starting work?

  Yes

  No

  N/A

• Are power tools grounded or double insulated and GFCI's in use?

  Yes

  No

  N/A

• Are electrical tool NOT used where gas or fuel vapors exist in the atmosphere?

  Yes

  No

  N/A

• Are cords NOT damaged or patched with tape?

  Yes

  No

  N/A

• Is care taken to ensure cords do not lay / rub against sharp edges, doorways, stairwells, walkways and in water?

  Yes

  No

  N/A

• Personnel do NOT use electrical equipment in wet conditions and areas?

  Yes

  No

  N/A

• Are electrical tools being used in confined spaces between 12 and 120 volt maximum?

  Yes

  No

  N/A

Permit To Work

• Have personnel assigned PTE roles been trained in those roles and do they appear competent in those roles?

  Yes

  No

  N/A

• Is it clear that the same person cannot act as Permit Issuer, Permit Approver or Permit Requester / holder at the same time?

  Yes

  No

  N/A

• Is the approved Permit to Work available at the job site or prominently displayed?

  Yes

  No

  N/A

• Are the permits completed correctly (comprehensively filled in with valid date / times)?

  Yes

  No

  N/A

• Are approved specialized work permits (hot work, excavation, confined space, etc) available / displayed at the job site?

  Yes

  No

  N/A

• Was a hazard analysis (JSA) completed during the planning of work and did workers discuss the JSA prior to starting work?

  Yes

  No

  N/A

• Have all precautions and safety measures been put in place to conduct work safely and mitigate risks?

  Yes

  No

  N/A

• Have steps needed to prepare the job site / equipment for the start of work, as noted on the permit to work, been completed satisfactorily?

  Yes

  No

  N/A

• Has the JSA and possible risks to all affected been effectively communicated?

  Yes

  No

  N/A

• Have any changes happened in this activity that would cause you to use a SWA?

  Yes

  No

  N/A

• Has the permit in use been expired (does the permit need to be re-validated)?

  Yes

  No

  N/A

• Do crew understand the conditions for work stoppage or permit cancellations?

  Yes

  No

  N/A

Job Safety Analysis

• Do the hazards on the JSA correspond to the physical task at hand?

  Yes

  No

  N/A

• Have the identified hazards been effectively communicated and mitigated?

  Yes

  No

  N/A

• Are the people present knowledgeable in identifying the hazards associated with the work and the work area?

  Yes

  No

  N/A

• Has the work crew signed off on the JSA?

  Yes

  No

  N/A

• Have environmental conditions such as location, light, noise and weather been considered in performing the work?

  Yes

  No

  N/A

• Have job specific emergency / rescue plans been considered and are they available?

  Yes

  No

  N/A

• Have the steps in the JSA identified each potential hazard and steps to mitigate those hazards?

  Yes

  No

  N/A

• If the job has not been completed and the same JSA is used, has it been updated and signed off again?

  Yes

  No

  N/A

• Are the JSA's being reviewed and signed by other work crews who come on site during work?

  Yes

  No

  N/A

• Is the JSA displayed at the job site (if applicable / practicable)?

  Yes

  No

  N/A

• Does the JSA correspond with the ongoing activity being conducted?

  Yes

  No

  N/A

Hot Work

• Is there a Hot Work Permit at the job site and has it been signed by the Permit Approver and the work team leader?

  Yes

  No

  N/A

• Has the Hot Work Permit been thoroughly completed and acknowledged by the fire watch?

  Yes

  No

  N/A

• Have hazards associated with isolation of hazardous energy bee identified and mitigated prior to beginning work?

  Yes

  No

  N/A

• Are personnel performing the work competent in the roles for which they are responsible?

  Yes

  No

  N/A

• Has the qualified gas tester / chemist determined the frequency of gas testing based on the potential risk?

  Yes

  No

  N/A

• Is a fire watch present at the work activity and monitoring the work?

  Yes

  No

  N/A

• If work was interrupted by a Stop Work Authority, weather conditions, alarms or unforeseen dangerous conditions, were the conditions re-evaluated and was the Hot Work permit revalidated before work was restarted?

  Yes

  No

  N/A

• Do personnel performing the work understand that hot tapping requires subject matter expert input, written procedures and a high level of management approval?

  Yes

  No

  N/A

• Have sources of ignition that could come into contact with sources of fuel been identified and risks mitigated?

  Yes

  No

  N/A

• Is all the required fire suppression equipment on site, operable and service in date?

  Yes

  No

  N/A

• Are barriers between hot work and sources of fuel adequate and maintained?

  Yes

  No

  N/A

• Are welding shields or physical barriers provided to protect nearby workers?

  Yes

  No

  N/A

• Is a fire blanket or spark containment device available at work site and used when necessary?

  Yes

  No

  N/A

• Are areas below welding / burning / cutting barricaded and clearly demarcated?

  Yes

  No

  N/A

Working At Heights

• Has the responsible person considered if the work can be done at ground level instead of at heights?

  Yes

  No

  N/A

• Have hazards been associated with Working at Heights been identified and mitigated prior to beginning work?

  Yes

  No

  N/A

• Are personnel protected from fall by either fall prevention (guardrails etc) or fall protection systems that are n place (safety harness etc) and are sufficient?

  Yes

  No

  N/A

• Are the people performing work competent in the roles for which they are responsible for?

  Yes

  No

  N/A

• Are workers wearing fall-arrest equipment NOT working alone and using 100% tie off?

  Yes

  No

  N/A

• Are rescue personnel and equipment available (either on site or on call) and audit able records available of turnaround times?

  Yes

  No

  N/A

• Working at heights greater than 6' is a high risk - was a JSA completed and reviewed with all members of the work crew and is a Permit to Work on site?

  Yes

  No

  N/A

• Are all persons working at height trained in the proper use, maintenance and inspection of the equipment they will be required to use?

  Yes

  No

  N/A

• Are workers using full body harness and not safety belts?

  Yes

  No

  N/A

• If the job was interrupted due to SWA or adverse conditions (rain / wind), alarms unforeseen dangerous conditions, was. The job re-assessed and all hazards mitigated?

  Yes

  No

  N/A

• Has adequate barricading been put in place below work position with approved signage?

  Yes

  No

  N/A

• Has the job been communicated to all affected personnel, including crane operator and banksmen / riggers?

  Yes

  No

  N/A

Work on Ladders

• Was the ladder inspected prior t use and have a load rating tag?

  Yes

  No

  N/A

• Are ladders on secure footing, tied off to prevent sliding or is someone helping by holding the ladder?

  Yes

  No

  N/A

• Are ladders being used properly? (4:1 angle, ladders accessing roof or other area extend at least 3' above the point of exit, working within 6' of leading edge requires 100% tie off and not working from the top 3 rungs)

  Yes

  No

  N/A

• Are ladders being stored correctly (secured to wall if stored vertically)

  Yes

  No

  N/A

• Is the ladder free from paint and imperfections?

  Yes

  No

  N/A

• Is footwear / ladder rungs clear and free of any slippery substances?

  Yes

  No

  N/A

• Is the ladder the only means of access or an alternate means?

  Yes

  No

  N/A

• Is the ladder free from any visible damage to any part of the structure (cracks, twisted or excessively worn parts)?

  Yes

  No

  N/A

Confined Space Entry

• Is there a PTW and Confined Space Entry permit at the job site (has it been signed by the permit to work officer / requester / issuer)?

  Yes

  No

  N/A

• Have the hazards associated with the confined space been identified and mitigated prior to beginning work?

  Yes

  No

  N/A

• Has a qualified gas tester / chemist performed gas testing for entry into confined space?

  Yes

  No

  N/A

• Has a gas free entry certificate been issued for the confined space and is it available on site?

  Yes

  No

  N/A

• Is a rescue plan in place and understood by the rescue personnel and the personnel working in the confined space?

  Yes

  No

  N/A

• Has the rescue plan been example drilled with an audit-able record?

  Yes

  No

  N/A

• Do entry watch personnel understand they should never attempt to enter a confined space, even in an emergency, until help arrives?

  Yes

  No

  N/A

• Do rescue personnel have the correct rescue equipment at the work station?

  Yes

  No

  N/A

• Is the entry log up to date and maintained?

  Yes

  No

  N/A

• Are provisions made for a qualified entry guard to be on site at all times when personnel are in the confined space?

  Yes

  No

  N/A

• Is the confined space secured and flammable gas sources removed whenever the confined space is left unattended for any period of time?

  Yes

  No

  N/A

• Is there a handover process in place should the work take longer than a single shift (in way of the status of equipment being worked on)?

  Yes

  No

  N/A

• Is there a clear communication plan in place?

  Yes

  No

  N/A

• Have workers been trained in CONFINED SPACE ENTRY protocol and procedures?

  Yes

  No

  N/A

• Have workers reviewed the JSA and understand the risks involved?

  Yes

  No

  N/A

Scaffolding

• Is scaffolding being inspected by a competent person before being put into initial use and at the start of each shift?

  Yes

  No

  N/A

• Is the scaffolding visibly red / yellow / green tagged (at eye level) at each designated access point?

  Yes

  No

  N/A

• Are Tags being filled out completely and affixed in a manner that effectively communicates the condition of the scaffold to workers following inspection?

  Yes

  No

  N/A

• Are scaffold user trained and competent in using the scaffold? Certification available?

  Yes

  No

  N/A

• Are work areas or walkways below scaffolds appropriately barricaded, demarcated and sign posted?

  Yes

  No

  N/A

• Are all scaffold work platforms equipped with guardrails installed prior to work beginning (except when erecting scaffolding)?

  Yes

  No

  N/A

• Are anchoring and bracing present to prevent scaffold from swaying, tipping or collapsing?

  Yes

  No

  N/A

• Is there a safe and unconstructed means of access such as a walkway, stair or ladder (securely attached), provided to all scaffold platforms?

  Yes

  No

  N/A

• Is there NO work being done from scaffold platforms during slippery wet and adverse weather conditions (including high winds)?

  Yes

  No

  N/A

• Are workers working in restricted barricaded areas?

  Yes

  No

  N/A

• Is all work on scaffold platform being conducted within the guardrails, and if not, is personal fall protection system being used?

  Yes

  No

  N/A

• Are personnel NOT extending their working height by standing on boxes or guardrails rather than on scaffold platform?

  Yes

  No

  N/A

• Are personnel removing any components of a completed scaffold under the direct supervision of a competent person?

  Yes

  No

  N/A

• Are scaffolding baseplates / base jacks being used on solid surfaces (not in water)?

  Yes

  No

  N/A

• Are all components of the work platform present (fully boarded, toe boards, mid rail, top rail & sway bars)?

  Yes

  No

  N/A

Lifting and Rigging

• Have hazards associated with lifting and rigging been identified and mitigated prior to beginning work?

  Yes

  No

  N/A

• Have competent personnel completed the steps needed to safely prepare the job site and equipment for the start of work?

  Yes

  No

  N/A

• Has a pre-use inspection been done to verify that lifting & rigging equipment and crew are certified to do the job?

  Yes

  No

  N/A

• Has the pre-planning been completed prior to lifting and rigging?

  Yes

  No

  N/A

• Has a pre-use inspection of the crane been performed?

  Yes

  No

  N/A

• Has the crane pre-use checklist and monthly checklist been completed properly and is it being maintained?

  Yes

  No

  N/A

• Is the load securely placed in the lay down area and free of any support from the crane before rigging equipment being removed?

  Yes

  No

  N/A

• Is the crew familiar with the hazards around the job site including simultaneous lifting operations and overhead power lines etc?

  Yes

  No

  N/A

• Have all precautions been taken for lifts over operating equipment or facilities including power lines?

  Yes

  No

  N/A

• Are appropriate permits and JSA's in place and accessible to the work crew?

  Yes

  No

  N/A

• Has the contractor provided documentation of crane operation radius and lift calculations for the job at hand (lifting plan)?

  Yes

  No

  N/A

• Does the crane have its certification and inspection records available?

  Yes

  No

  N/A

• Is the crane equipped with a safe working load (SWL) indicator such as light and siren?

  Yes

  No

  N/A

• Is the crane equipped with two anti-blocking devices?

  Yes

  No

  N/A

• Does the crane have a legible load chart which is located where the operator can see it?

  Yes

  No

  N/A

• Is the crane swing radius (cab, counter weight and boom) properly barricaded to prevent unauthorized entry?

  Yes

  No

  N/A

• Is an aerial spotter available when personnel are being elevated in an aerial lift over high traffic areas, where there is the potential for injury or property damage when contact is made with facility structures or systems?

  Yes

  No

  N/A

• Did the aerial lift operator conduct pre-use equipment inspections according the manufacturers instructions?

  Yes

  No

  N/A

• Has the load been correctly slung with no unequal lengths and loose material in or on the load?

  Yes

  No

  N/A

• Are the banksmen / riggers adequately trained / experienced to sen and receive loads?

  Yes

  No

  N/A

• Is the certification for banksmen / riggers and crane operators available?

  Yes

  No

  N/A

• Is adequate communication methods being used (I.e. radios and hand signals) between operators and banksmen / riggers without outside interference?

  Yes

  No

  N/A

• Are the slings and chains within the regular service dates?

  Yes

  No

  N/A

Personal Protective Equipment

• Are hard hats worn (with the bill facing forward and square) in designated areas?

  Yes

  No

  N/A

• Is appropriate eye and face protection being worn (i.e. hard side shields, face shields. Goggles)?

  Yes

  No

  N/A

• Are personnel utilizing ear protection near and in noise zones?

  Yes

  No

  N/A

• Is appropriate footwear being worn (steel tip work boots / shoes)?

  Yes

  No

  N/A

• Is appropriate respiratory protection being utilized (dust mask, level 2 respiratory mask)?

  Yes

  No

  N/A

• Has the respirator wearer performed positive / negative fit checks?

  Yes

  No

  N/A

• Is appropriate clothing being worn (I.e. long sleeves, long pants & coveralls)?

  Yes

  No

  N/A

• Are personnel wearing the appropriate gloves for the task at hand?

  Yes

  No

  N/A

• Are personnel who are working over or close to water equipped with proper flotation devices?

  Yes

  No

  N/A

• Is PPE in good condition and made to recognized standards (ANSI, SABS, SANS, etc)?

  Yes

  No

  N/A

• Are personnel aware of proper inspection, use and care of all PPE?

  Yes

  No

  N/A

Powered Industrial Vehicles

• Are all drivers / operators properly certified and trained in the safe operation of vehicles and equipment?

  Yes

  No

  N/A

• Are maintenance programs in place?

  Yes

  No

  N/A

• Does every haulage vehicle and piece of heavy equipment have a working back-up alarm?

  Yes

  No

  N/A

• Are forklifts, trucks and other equipment NOT loaded above their designated safe carrying capacity or weight and secured?

  Yes

  No

  N/A

• Are seat belts provided on all vehicles and in good working order?

  Yes

  No

  N/A

• Vehicles and heavy equipment parked with parking brake set?

  Yes

  No

  N/A

• Are fire extinguishers fitted, regularly inspected and operational?

  Yes

  No

  N/A

• Are the drivers / operators equipped with adequate / approved / correct PPE?

  Yes

  No

  N/A

• Is there a spotter in place if necessary?

  Yes

  No

  N/A

• Are PIV's fitted and using the approved chocks if necessary?

  Yes

  No

  N/A

• Is the PTW displayed in / on the vehicle?

  Yes

  No

  N/A

Barricading

• Have the barricade boundaries been established to form a safe perimeter around the hazard area to protect personnel working outside the boundary from hazardous conditions?

  Yes

  No

  N/A

• Has an alternative egress or path of travel been established if barricade blocks standard pattern of traffic flow (both pedestrian and vehicular)?

  Yes

  No

  N/A

• Are emergency exits clear and not impacted by the barricaded area or have alternative emergency exits been established and communicated?

  Yes

  No

  N/A

• Are barricade tags complete and affixed at regular intervals along the barricaded boundary?

  Yes

  No

  N/A

• Is lighting provided if required to illuminate the barricade boundary at night?

  Yes

  No

  N/A

• Have all necessary local permits been completed and filed with the local authorities as necessary if barricade will impact public roadway?

  Yes

  No

  N/A

• Are additional hazard communication signs in place?

  Yes

  No

  N/A

• Have hazards within the barricaded area been adequately communicated to personnel who will work within the boundary in order for them to safely perform their work tasks?

  Yes

  No

  N/A

Hand Tools / Machine Guarding

• Are personnel using the correct tools for the job?

  Yes

  No

  N/A

• Are appropriate guards in place and functional?

  Yes

  No

  N/A

• Are tools and equipment in good condition and undamaged?

  Yes

  No

  N/A

• Do personnel unplug / disconnect their power tools before changing parts or performing maintenance on the tool?

  Yes

  No

  N/A

• Are personnel using correct face and front body PPE (I.e. face shield, mask apron etc)?

  Yes

  No

  N/A

• Are air hoses for pneumatic tools with mechanical connections secured with he appropriate pins or locking mechanisms / whip restraints?

  Yes

  No

  N/A

• Are personnel using the appropriate / approved working platforms if elevated?

  Yes

  No

  N/A

• Are the appropriate tables or work platforms being used?

  Yes

  No

  N/A

• Is the area adequately and correctly barricaded to prevent other trades from adverse effect?

  Yes

  No

  N/A

• Has the barricaded area been clearly marked with the correct signage and worker identification?

  Yes

  No

  N/A

Masonry / Plastering/brickwork

• Are personnel using the appropriate / approved working platforms if elevated?

  Yes

  No

  N/A

• Is the appropriate PPE being utilized for the task at hand?

  Yes

  No

  N/A

• Is the mixing area and travel distance approved?

  Yes

  No

  N/A

• Has an approved water supply been provided? (No open drums to be used)

  Yes

  No

  N/A

• Has material handling, stacking and storage been kept to a minimum?

  Yes

  No

  N/A

• Is body posture / position correct while working on scaffolding and working platforms?

  Yes

  No

  N/A

• Is adequate barricading and approved signage being utilized if required?

  Yes

  No

  N/A

• Have all scaffolding or elevated working platforms been inspected and tagged prior to use?

  Yes

  No

  N/A

Protecting the public

• Is the public protected from the works ie:construction site fenced off

  Yes

  No

  N/A

• Is their any potential hazards that could fall into public area or harm the public in any way

  Yes

  No

  N/A

• Have all the necessary signage been erected to notify or inform the public of the potential hazards

  Yes

  No

  N/A

Noise

• Are barriers erected to reduce the spread of noise

  Yes

  No

  N/A

• Is work sequenced to minimize the number of people/workers exposed to noise.

  Yes

  No

  N/A

• Is the suitable PPE OR HEARING protection provided and worn in noisy areas

  Yes

  No

  N/A

• Has the level of noise been tested

  Yes

  No

  N/A

Field Review Acknowledgement and Sign Off

• Was the GC health and safety representative present during the field review?

  Yes

  No

  N/A

• Name and signature of accompanying GC health and safety representative

  Sign

• Name and signature of field reviewer

  Sign

• Date and time of field review completion

  Date