Information
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Conducted on
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Prepared by
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Location
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Personnel interacted with during audit
1 EMERGENCY RESPONSE
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1.1 Current Emergency Evacuation Plan & Procedure displayed in appropriate positions around site
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1.2 Fire Extinguishers are marked correctly on evacuation plan
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1.3 Emergency assembly & Muster points are highlighted on the evacuation plan
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1.4 Location of First Aid kits are marked on the evacuation plan
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1.5 Emergency Exits are marked correctly on evacuation plan
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1.6 Emergency Numbers displayed on evacuation plan and include
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1.6 Emergency Numbers displayed on evacuation plan include:
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* Local Police Station
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* Local Fire Brigade
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* Local Hospital
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* Western Power or electricity source
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* Gas
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* Chemwatch
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* Water & Sewerage
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* Site Managers phone number
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1.7 Firefighting equipment in place and in good condition
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1.8 Fire extinguishers are correct type for the area
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1.9 Fire extinguisher signage is in place and correct
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1.10 Fire extinguishers are serviced every 6 months and fitted with anti-tamper tags
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1.11 1 metre clearance maintained around fire fighting equipment
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1.12 Access to fire fighting equipment is clear
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1.13 Fire Breaks in place and adequate if near site boundries
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1.14 Access to switchboards is clear and unobstructed
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1.15 Smoke alarms fitted in buildings as required
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1.16 Emergency assembly / muster area(s) sign posted
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1.17 Emergency assembly / muster area(s) have a clear path to them and are free of debris
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1.18 First Aid kits are available with correct signage displayed
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1.19 First Aid kits in good condition and fully stocked (contents list is located on inside of kit - check)
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1.20 Are names of first aiders on site located on the first aid kit
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1.21 Sign in sheets accurate
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1.23 Exits and stairs clear and unobstructed
2 House Keeping
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2.1 Access / Egress to work sites
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2.2 Caps on star pickets & rebar
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2.3 Rubbish bins provided and used
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2.4 Materials neatly stacked
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2.5 Work platforms clear
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2.6 Adequate lighting - night work
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2.7 All hoses off ground
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2.8 Correct signage in place & readable
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2.9 Hazardous Sub's labeling & storage
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2.10 Waste stored / removed correctly
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2.11 Recycling is occurring
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2.12 Do employees pick up stock / litter / spillages off floor & site area
3 Offices and Ablutions
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3.1 Crib room clean, tidy and hygienic
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3.2 Floors are clean, clear with a safe path of travel throughout area
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3.3 Floor coverings / surfaces in good condition
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3.4 Toilets clean and hygienic
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3.5 No evidence of sewage spills or overflows
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3.6 Barricading / signs in place where required
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3.7 Access and Egress; trip hazards, condition of flooring, anti-slip, handrails
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3.8 Emergency Evacuation Plan
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3.9 Air conditioning & Ventilation adequate and filters clean
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3.10 Filing Cabinets / Shelving - not overloaded
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3.11 Leads, Lighting, Emergency Lighting
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3.12 Housekeeping, cleanliness, food / rubbish disposal, hygienic
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3.13 Individuals Work Stations are clean and walkways not obstructed
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3.14 Office equipment; Shredder protected, good height, ventilation, noise
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3.15 Equipment such as chairs, desks, computers, etc. are in good working condition
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3.16 Lights are working, covers in place where required and adequate for the job
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3.17 Double adaptors and non RCD power boards are not being used
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3.18 Electrically operated machines have current testing and tagging (includes kitchen appliances older than 12 months
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3.19 Power points and power leads are good condition (no leads across floors or on wet surfaces)
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3.20 First Aid Kit available
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3.21 MSDS available
4 Personal Protective Equipment (PPE)
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4.1 PPE available at the worksite
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4.2 All appropriate PPE being worn
5 Mechanical / Workshop
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5.1 9" grinders not in use
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5.2 Clips fitted to all hoses
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5.3 Correct discs used in grinders
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5.4 Ladders secured and tagged
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5.5 guards fitted to machinery/ tools
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5.6 Portable electrical equipment Tagged and current
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5.7 Wheel chocks in use / available
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5.8 Hand held tools are in good condition and stored appropriately
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5.11 Are sufficient stocks of PPE kept?
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5.12 Manual handling aids available
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5.13 Gas bottles secured / protected from damage or falling over ( e.g strapped or chained to secured fixture)
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5.14 Ladders used are in good working condition and quarterly tagged
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5.15 Safety warning signs present:
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* Manual Handling
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* Eye protection
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* Keep out - Authorized Personnel only
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* Visitors report to the Office
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* Chemicals
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5.16 Employees are wearing correct PPE
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5.17 A register of authorized employees to operate plant / equipment is available
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5.18 Stacked items are safe - not overhanging or leaning
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5.19 Are pallets in good condition?
6 Electrical
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6.1 Electrical leads, plugs etc are in good condition
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6.2 ELCB / RCD used for portable tools
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6.3 All equipment tagged correctly
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6.4 Leads off ground not near water
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6.5 Isolations appropriate & completed
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6.6 Earth leads on welders good condition
7 Vehicles and Mobile Equipment
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7.1 All vehicles reverse parking or parked fundamentally stable
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7.2 Road rules are being followed
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7.3 Vehicles meet site requirements
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7.4 Daily Pre-start inspection completed and logged on all machinery
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7.5 Are equipment prestarts completed by employees
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7.7 Are Corrective Actions of defects completed in a timely manner
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7.8 Flashing lights & headlights working and being used
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7.9 Maintained, clean and sanitary
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7.10 Spotter used as required
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7.11 Clean / No loose debris
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7.12 Radio procedures being followed
8 Traffic Management
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8.1 Full segregation of HV - LV and pedestrians is in place
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8.2 Park up areas are correct
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8.3 Traffic management plans are in place
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8.4 Management plans publicised
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8.5 Speed limits are marked correctly
9 Roads and Surfaces
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9.1 Windrows correct height
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9.2 Surfaces firm and safe
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9.3 Roads adequate width
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9.4 Delineators in place
10 Excavations and Mining
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10.1 Trenches and stock piles are correctly battered back
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10.2 Barricaded correctly
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10.3 Easy entry and exit to Digger
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10.4 Loading of Trucks sequenced
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10.5 Correct method of digging is being used
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10.6 Park up areas are defined
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10.7 All signals appropriate
11 Job Start
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11.1 SWMS or JHA appropriate & completed
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11.2 SWMS or JHA on the job and understood
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11.3 Take 5's have been completed and sighted by the inspector
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11.4 Permits are appropriate & completed
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11.5 Isolations appropriate & completed
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11.6 Work area demarked and sign posted
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11.7 Material Safety Data Sheets (MSDS) for chemicals at the workplace
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11.8 Access/egress to work area is safe
12 Occupational Health
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12.1 Dust levels low and controlled
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12.2 Noise levels acceptable
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12.3 Fibrous Material is being controlled
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12.4 Vibration is being controlled
13 Hot Work
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13.1 Permit in place
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13.2 Flashback arresters on cylinders and hand pieces
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13.3 All equip (hoses, etc) in good condition
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13.4 Fire extinguishers available for all Hot Work
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13.5 Earth clamps in correct location
14 Working at Heights
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14.1 WAH is being eliminated where possible
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14.2 Fall arrest equipment used
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14.3 Permit to work at Height in place
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14.4 Spotters in place as required
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14.5 Drop zone barricading in place
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14.6 Dropped objects prevention is in place
15 Craneage Operations
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15.1 Crane log books and documentation in place in the crane
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15.2 Cranes set up correctly
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15.3 Crane operator competent
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15.4 Crane lift plan or risk assessment in place
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15.5 Crane suitable for the task
16 Confined Space
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16.1 Confined space permit in place
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16.2 Sentry space permit in place
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16.3 Procedure being followed
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16.4 Space safe
17 Hydrocarbon Storage
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17.1 All hydrocarbon materials inside bunds
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17.2 Oil spill equipment available, status
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17.3 No evidence of stains / spillage
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17.4 Bunds fully effective
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17.5 Fuel-containing equipment and plant in trays or provided with other bunding
18 Flora and Fauna
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18.1 All clearing approved
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18.2 VDAs in place for all activities
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18.3 Rehabilitation carried out correctly
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18.4 Priority flora is identified and fenced
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18.5 Topsoil stockpiled and signposted
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18.6 No evidence of unauthorized disturbance
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18.7 Easy exit for fauna from trenches & pits
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18.8 Bore caps in place & conduit ends taped
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18.9 All weed free certificates in place
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18.10 No weeds growing in project areas
19 Water Management
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19.1 Work area taps, pipes and pumps are in good condition and not leaking
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19.2 Water holding facilities appropriately constructed (drainage of standpipes, depth)
20 Erosion
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20.1 No erosion from stockpiles
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20.2 No erosion of gullies and streams
22 Occupational Health and Safety Administration
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22.1 Is there a procedure for personnel to refuse working where they feel that injury or harm could occur to themselves or to other people
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22.2 Danger Tags are available and being used correctly site wide
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22.3 Current Company HSE Policies are on display in a prominent position
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22.4 Is the management team (Project Manager, Supervisors etc.) actively involved in Health and Safety activities
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22.5 Are employees given an opportunity to provide feedback or suggestions on Health & Safety matters
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22.6 Have Site Specific Risk Assessments been completed on contractors
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22.7 Is the Site Specific Risk Assessment Current
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22.8 Are controls been put in place to control hazards identified (review site specific risk assessment)
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22.9 Has the employee completed Specific Training for their role (review on the job training records)
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22.10 Employees who conduct specialized tasks have received Verification of Competencies ( VOC) or appropriate training if required (check employee personnel files for record of training (Assessment Matrix)
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22.11 Has each crew been established with a First Aider (check training matrix)
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22.12 Employees who conduct specialized tasks have received appropriate training in WHS Related Matters
23 Chemicals
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23.1 Are only approved chemicals being used as per the Approved Chemical Register
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23.2 Chemicals stored on site are not expired or obsolete
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23.3 Chemicals are not decanted (substances must be in original containers with original labels)
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23.4 Are all the chemicals clearly labelled
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23.5 Material Safety Data Sheets present at location where Chemicals are kept and easily accessible
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23.6 Containers in which chemicals are stored are in good condition and are not leaking
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23.7 Nominated area in which chemicals are stored is locked allowing only restricted access and bundled
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23.8 Gas bottles secured/ protected from damage or falling over (e.g strapped or chained to secured fixture)
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23.9 Is there adequate ventilation where chemicals are stored?
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23.10 Spill kits available and fully stocked
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23.11 Are emergency showers or eye wash stations available & easily assessable?
Review
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Remarks
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Person completing form
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Witness/Participant