Small works hazard identification and inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Working at Heights

• 1.1. Fall risks of 2m or more? (including voids, pits, and trenches)

  Safe

  At Risk

  N/A

2. Plant and Equipment

• 2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)

  Safe

  At Risk

  N/A

• 2.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)

  Safe

  At Risk

  N/A

3. Scaffolds

• 3.1 Unsafe or incomplete scaffold?

  Safe

  At Risk

  N/A

5. Harness and Equipment

• 5.1. Unsafe or damaged harness or equipment?

  Safe

  At Risk

  N/A

• 5.2 Harness being used

  Safe

  At Risk

  N/A

6. Ladders

• 6.1. Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• 6.2. Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• 6.3. Ladder not properly secured?

  Safe

  At Risk

  N/A

• 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

7. Hazardous Manual Tasks

• 7.1. Lack of identification hazardous manual tasks?

  Safe

  At Risk

  N/A

• 7.2. Lack of assessment of hazardous manual tasks?

  Safe

  At Risk

  N/A

• 7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  Safe

  At Risk

  N/A

• 7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

  Safe

  At Risk

  N/A

8. Coshh

• 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  Safe

  At Risk

  N/A

• 8.2 Inadequate spill containment equipment?

  Safe

  At Risk

  N/A

• 8.3. Safety Data Sheets available for all substances identified

  Safe

  At Risk

  N/A

• 8.4. Insufficient, or incorrect, PPE?

  Safe

  At Risk

  N/A

9. Emergency Response

• 9.1. Emergency procedures identified in method statement

  Safe

  At Risk

  N/A

• 9.2. first aid kits on site?

  Safe

  At Risk

  N/A

• 9.3. First Aiders identified or nearest medical centre

  Safe

  At Risk

  N/A

11. Personal Protective Equipment (PPE)

• 11.1. Lack of, or inadequate PPE (including sun protection)

  Safe

  At Risk

  N/A

• 11.2. Lack of system to issue, inspect, replace and monitor PPE?

  Safe

  At Risk

  N/A

• 11.3. Lack of training in safe use, clean-up and inspection of PPE?

  Safe

  At Risk

  N/A

12. Work Environment

• 12.1. Welfare facilities available or identified nearby? (toilets, wash areas, lunch rooms, etc)

  Safe

  At Risk

  N/A

• 12.3. housekeeping? Is work area tidy

  Safe

  At Risk

  N/A

• 12.4. Lack of, or inadequate noise/ vibration control?

  Safe

  At Risk

  N/A

13. Electrical Hazards

• 13.1. Unsafe electrical leads? (damaged, out of test date or untested)

  Safe

  At Risk

  N/A

• 13.2. Lack of RCD protection?

  Safe

  At Risk

  N/A

14. Environmental Hazards

• 14.1. Lack of/or inadequate, dust suppression system?

  Safe

  At Risk

  N/A

• 14.2. PPE used including gloves for removal of waste and painting

  Safe

  At Risk

  N/A

15. Administrative Procedures

• 15.1. Lack of/or inadequate Site Safety Plan?

  Safe

  At Risk

  N/A

• 15.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  Safe

  At Risk

  N/A

• 15.3. Lack of, or inadequate, induction for workers, contractors, visitors?

  Safe

  At Risk

  N/A

• 15.4. Lack or, or inadequate, supervisory arrangements?

  Safe

  At Risk

  N/A

• 15.5. Lack of/or inadequate training, licenses, skills, experience?

  Safe

  At Risk

  N/A

• 15.6. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  Safe

  At Risk

  N/A

• 15.7. Lack of, or inadequate system to review SWMS as needed?

  Safe

  At Risk

  N/A

• 15.8. Lack of/or inadequate incident notification procedures?

  Safe

  At Risk

  N/A

• 15.9. Lack of, or inadequate, routine inspections, monitoring, audits?

  Safe

  At Risk

  N/A

• 15.10. Lack of/or inadequate consultative arrangements?

  Safe

  At Risk

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign