Information
-
Project Name
-
Main Contractor
-
Audit conducted by
-
Date of Inspection
-
Location of Inspection
-
Contractors on-site
Main Contractor Safety Plan (part 1)
-
Is the "sign in" book being used?
-
Notes
-
Is there a Site Safety Management Plan in place?
-
Notes
-
Is there evidence of a hazard identificiation and control procedure (hazard register, up to date hazard ID board, task analysis)
-
Notes
-
Is there evidence that a Toolbox Talk was held in the last 30 days?
-
Notes
Main Contractor Safety Plan (part 2)
-
Is there a Training/Competency Register for all Main Contractor Employees on site?
-
Notes
-
Is an Accident Register being maintained?
-
Notes
-
Is there evidence of Accident/Incident investigation?
-
Notes
-
Is Task Analysis carried out for significantly hazardous work?
-
Notes
-
For current Notifiable Work is there evidence that DoL has been notified?
-
Notes
-
Is there an operating Permit to Work system in place?
-
Notes
Main Contrator Safety Plan (part 3)
-
Is there a site emergency plan?
-
Notes
-
Are all sub-contractors SDHB approved contractors?
-
Notes
-
Is there a Site Specific Induction Procedure in place?
-
Notes
-
Is there a Hazardous Substances Register and Safety Data Sheets for Hazardous substances?
-
Notes
Sub-Contractor Safety Plans (part 1)
-
Do the subcontractors have Site Specific Safety Plan?
-
Notes
-
Is there evidence of a hazard identification and control procedure including at least one of these activities: hazard register or task analysis?
-
Notes
-
Is there evidence that a Tool Box Talk was held in the last 30 days?
-
Notes
-
Is there a Training/Competency Register for all Subcontractor Employees on site?
-
Notes
-
Is Task Analysis carried out for significantly hazardous work?
-
Notes
Sub-Contractor Safety Plans (part 2)
-
Has Emergency Planning been completed for all “Significantly Hazardous Work”?
-
Notes
-
For current Notifiable Work, where the Subcontractors employees are involved, is there evidence that DoL is notified?
-
Notes
-
Are Sitesafe Passport details provided for Subcontractor's Employees?
-
Notes
-
Is there a Hazardous Substances Register and Safety Data Sheets for Hazardous substances?
-
Notes
Site Facilities and Amenities
-
Is there adequate site fencing?
-
Notes
-
Is there adequate site signage?
-
Notes
-
Are site offices clean & tidy?
-
Notes
-
Are first aid kits in place & well stocked?
-
Notes
-
Are first aid kit contents within expiry date?
-
Notes
-
Are there toilet facilities sufficient for number of site Workers?
-
Notes
-
Are there amenities or arrangements for Workers to have lunch and smoko?
-
Notes
-
Are lunch room & food prep area clean and tidy?
-
Notes
-
Have hand washing facilities been provided?
-
Notes
-
Are appropriate fire extinguishers charged & current (Serviced 12 monthly)
-
Notes
Housekeeping
-
Are work areas clean & tidy?
-
Notes
-
Are access ways clear? (including stairways)
-
Notes
-
Are materials stacked safely?
-
Notes
-
Have adequate rubbish bins or skips been provided?
-
Notes
-
Have hazardous substances and chemicals been adequately controlled?
-
Notes
-
Have combustable materials and substances been adequately controlled?
-
Notes
-
Have nails in timber been made safe?
-
Notes
-
Are slips & trips hazards controlled?
-
Notes
Environmental Safety
-
Is Dust controlled?
-
Notes
-
Is Construction Waste being controlled?
-
Notes
-
Is Construction Noise being controlled?
-
Notes
Step Ladders
-
Is the stepladder suitable for the job?
-
Notes
-
Are stepladder lock bars in place?
-
Notes
-
Are stepladders set up on firm level gound?
-
Notes
-
Are stepladders in good condition?
-
Notes
-
Are workers using step ladders correctly?
-
Notes
Standard Ladders
-
Are ladders of industrial standard (complying with AS/NZ 1892.1:1996?
-
Notes
-
Are Workers using ladders correctly?
-
Notes
-
Are ladders set up on firm level ground?
-
Notes
-
Are ladders secured? (base and/or top)
-
Notes
-
Is ladder set at correct angle? (4 up to 1 out)
-
Notes
-
Are ladders in good condition?
-
Notes
-
Do ladders project 1m above step off point?
-
Notes
Fall Prevention
-
Are there guardrails between 0.9m & 1.1m?
-
Notes
-
Are fall hazards controlled?
-
Notes
-
Are fall edges fitted with guardrails/toeboards?
-
Notes
-
Are holes & floor penetrations covered and marked?
-
Notes
-
Are stairways fitted with handrails?
-
Notes
-
Are liftshafts closed off?
-
Notes
Harness Use
-
Are restraint systems being used in preference to fall arrest systems?
-
Notes
-
Are service/maintenance records for harness equipment being kept?
-
Notes
-
Have Employees undertaken training for harness use?
-
Notes
-
Are Supervisors of fall arrest systems trained and competent to NZQA 15757?
-
Notes
-
Is the fall arrest system suitable for the work requirements?
-
Notes
-
Was all equipment checked prior to use?
-
Notes
-
Are hazards associated with fall arrest systems controlled?
-
Notes
-
Is the fall arrest connection correctly set up?
-
Notes
-
Are harnesses correctly fitted?
-
Notes
-
Is equipment in serviceable condition?
-
Notes
-
Is there a rescue plan & is equipment present at job site?
-
Notes
Elevated Work Platforms (EWP)
-
Is EWP set up on firm level ground?
-
Notes
-
Are outriggers fully extended?
-
Notes
-
Has area at base of EWP been isolated?
-
Notes
-
Is EWP at least 4m from power lines?
-
Notes
-
Are safety harnesses being worn in boom mounted buckets?
-
Notes
-
Has EWP been inspected & certified within last 6 months?
-
Notes
Mobile Scaffold
-
Is mobile scaffold suitable for the job?
-
Notes
-
Is mobile scaffold set up on firm level ground?
-
Notes
-
Is scaf-tag/acu-log in place & up to date?
-
Notes
-
Are wheels locked?
-
Notes
-
Are wheels turned out? (increased stability)
-
Notes
-
Are working levells fully decked & secure?
-
Notes
-
Is access from within the scaffold frame?
-
Notes
-
Mobile scaffold at correct base width to height ratio?
-
Notes
-
Are there guardrails between 0.9m and 1.1m?
-
Notes
-
Are outriggers fitted where required?
-
Notes
Standing Scaffold
-
Is scaffold suitable for the job?
-
Notes
-
Has scaffold been erected by Certified Scaffolder?
-
Notes
-
Is scaf-tag/acu-log scaffold register up to date?
-
Notes
-
Are baseplates & soleboards in place and in good condition?
-
Notes
-
Are ladders on scaffold secured?
-
Notes
-
Does ladder extend 1m past step off? (or suitable hand holds)
-
Notes
-
Is there suitable access to scaffold platforms?
-
Notes
-
Are work platforms adequate?
-
Notes
-
Are there guardrails between 0.9m and 1.1m?
-
Notes
-
Is there an intermediate rail in place?
-
Notes
-
Is a toeboard in place?
-
Notes
-
Is there debris netting in place?
-
Notes
Special Scaffold
-
Has a Competent Person designed the special scaffold?
-
Notes
-
Is there a copy of a Registered Engineers Design Certificate?
-
Notes
-
Does the scaffold structure comply with the Design Certificate?
-
Notes
-
Has a Certified Scaffolder erected the scaffold?
-
Notes
-
Is there a current Scaffold Register?
-
Notes
Suspended Scaffold (Swing stage)
-
Is there a current Scaffold Register (daily)?
-
Notes
-
Are roof suspension rigs secured against movement?
-
Notes
-
Are sufficient counterweights secured in place?
-
Notes
-
Is the needle overhang and tail length ratio correct?
-
Notes
-
Are the suspension ropes secure and in good conditions?
-
Notes
-
Are all control and emergency buttons operational?
-
Notes
-
Are operations within the Safe Working Load (SWL) of platform?
-
Notes
-
Is the path of the suspended scafffold clear of projections?
-
Notes
-
Is the power cable prevented from becoming dislodged or damaged?
-
Notes
-
Are Operators all using a safety harness?
-
Notes
-
Are Workers connected to independent safety line or other engineered anchor system?
-
Notes
-
Are warning notices and barricades at ground level?
-
Notes
Hazardous Substances
-
Are MSDS sheets available and HSNO compliant?
-
Notes
-
Are "Approved Handlers" certified?
-
Notes
-
Is there a "Location Certificate"?
-
Notes
-
Is there a "Person in Charge"?
-
Notes
-
Are appropriate controls in place?
-
Notes
-
Are Workers protected from chemical exposure?
-
Notes
-
Are chemicals stored in proper containers?
-
Notes
-
Are chemicals properly disposed of?
Personal Protective Equipment (PPE)
-
Has mandatory PPE for site been specified and signage posted?
-
Notes
-
Are hard hats being worn where required?
-
Notes
-
Are safety glasses/goggles being worn where required?
-
Notes
-
Are respirators or masks being worn where required?
-
Notes
-
Is hearing protection being worn where required?
-
Notes
-
Are appropriate gloves being worn where required?
-
Notes
-
Is protective clothing being worn where required?
-
Notes
-
Is high visibility clothing being worn where required?
-
Notes
-
Is safety footwear being worn where required?
-
Notes
Electricity
-
Are electrical tools and leads visually inspected for faults prior to use?
-
Notes
-
Are electrical leads and tools free from defects and damage?
-
Notes
-
Are electrical tools and leads tagged quarterly?
-
Notes
-
Are protected power outlets being used on site (e.g. lifeguards or RCDs)?
-
Notes
-
Are lifeguard units tagged quarterly?
-
Notes
-
Are multi-plug boards & double adaptors industrially rated?
-
Notes
-
Are electrical tools and leads industrial rated?
-
Notes
-
Does temporary festoon lighting have moulded line sockets?
-
Notes
-
Are electrical leads clear of pathways and stairs?
-
Notes
-
Are electrical leads clear of water?
-
Notes
-
Have electrical leads been protected from traffic?
-
Notes
Powder Actuated Tools
-
Are Operators certified?
-
Notes
-
Does tool have 6 monthly certifcate?
-
Notes
-
Are tool & cartridges secured when not in use?
-
Notes
-
Has PAT signage been posted at work area?
-
Notes
-
Has firing zone been isolated or cleared of people?
-
Notes
-
Have walls or surfaces been checked for service conduits? (e.g gas or electrical)
-
Notes
-
Is a 3 second verbal waning given?
-
Notes
-
Is hearing & eye protection worn?
-
Notes
Welding and Gas Cutting
-
Are gas bottles secured in use and/or stored correctly?
-
Notes
-
Do gas sets have flash black arrestors?
-
Notes
-
Is there a Hot Work Procedure/Permit System?
-
Notes
-
Are there welding screens and/or signs in place?
-
Notes
-
Is there an appropriate extinguisher at the work area?
-
Notes
Asbestos (part 1)
-
Is Asbestos Removal in accordance with DoL Guidelines?
-
Notes
-
Is there a Supervisor with a Certificate of Competence for Restricted Work?
-
Notes
-
Is there an Asbestos Removal Plan on site?
-
Notes
-
Has access to work area been restricted?
-
Notes
-
Has adequate signage been posted at work area?
-
Notes
-
Is there adequate containment of partical drift?
-
Notes
Asbestos (part 2)
-
Is there adequate air extraction with HEPA filter?
-
Notes
-
Is air monitoring for contamination being performed?
-
Notes
Noise
-
Is noise level for operations/site being measured?
-
Notes
-
Is Worker exposure to noise being monitored?
-
Notes
-
Have work operations been arranged to reduce exposure to noise hazards?
-
Notes
-
Has plant and equipment been configured to reduce noise?
-
Notes
-
Are Workers wearing hearing protection on site?
-
Notes
-
Is hearing loss of Workers being moniitored?
-
Notes
Cranes and Lifting Appliances
-
Is there an appropriate lifting plan?
-
Notes
-
Are crane outriggers fully extended?
-
Notes
-
Are loads correctly slung?
-
Notes
-
Has lift zone been isolated or cleared of people?
-
Notes
-
Is there a current Test Certificate?
-
Notes
-
Are the crane slings certified?
-
Notes
-
Are the Crane Operator & Dogman trained appropriately?
-
Notes
Sun Exposure
-
Is shade cover or screens over work areas where practicable?
-
Notes
-
Are Employees wearing clothing to prevent sun exposure?
-
Notes
-
Is there a sun screen on site of the broad spectrum range?
-
Notes
-
Does the sun screen on site provide a sun protection factor of 30 or more?
-
Notes
-
Are Workers on site applying sun screen to exposed skin areas?
-
Notes
Confined Space
-
Is there a Confined Space Management (CSM) plan on site?
-
Notes
-
Is there a competently trained CSM Supervisor on site?
-
Notes
-
Have all Workers been trained to work in a Confined Space (CS)?
-
Notes
-
Is an Entry Permit System in use to manage CS work?
-
Notes
-
Is a monitoring person stationed outside the CS while work in progress?
-
Notes
-
Have all services associated with CS been disconnected or isolated (lockout tagout)?
-
Notes
-
Does the CSM Plan describe the Emergency Rescue Procedures?
-
Notes
-
Is Emergency Rescue Equipment available at or near the entry?
-
Notes
-
Is emergency breathing apparatus available at or near the entry?
-
Notes
-
Before entry to CS is atmospheric testing carried out?
-
Notes
-
During work in CS is atmospheric testing carried out?
-
Notes
Demolition
-
Is there a Demolition plan that complies best practice standard?
-
Notes
-
Is there an Engineer's Report/advice?
-
Notes
-
Is there a Demolition Supervisor on site?
-
Notes
-
Is there site security fencing?
-
Notes
-
Is there signage for demolition activities?
-
Notes
-
Is there gantry/overhead protection for the public?
-
Notes
-
Have all building services been disconnected?
Cement and Concrete
-
Are Concrete Workers trained and competent?
-
Notes
-
Are Cement Workers protected from contact with wet cement?
-
Notes
-
Is concrete pump boom area isolated from Workers being underneath?
-
Notes
-
Is clean water on site readily available?
-
Notes
Evacuations and Trenches
-
Have underground services been located? (plans, service location)
-
Notes
-
Are excavations battered, braced or supported? (trenches >1.5m deep)
-
Notes
-
Is there adequate shoring, trenchshields, sheetpiles before entry into excavations?
-
Notes
-
Is their edge protection to prevent falls?
-
Notes
-
Is there safe ladder access to excavation?
-
Notes
-
Does job method avoid work in unsupported trenches?
-
Notes
-
Is materials & spoil stored to prevent edge collapse? (600mm)
-
Notes
-
Are vehicles & plant at distance to prevent collapse?
-
Notes
-
Is a "stop block" used for tipping vehicles?
-
Notes
Traffic Management
-
Is there a temporary Traffic Management Plan (TMP) on site?
-
Notes
-
Has the TMP been approved by the Road Controlling Authority?
-
Notes
-
Are the Traffice Mangagement (TM) measures and signage set up as per the TMP?
-
Notes
-
Is TM supervised by a qualified (STMS)?
-
Notes
-
Is there a Traffice Controller (TC ) on site?
-
Notes
Transport and Mobile Mechanised Plant
-
Are Drivers/Operators trained?
-
Notes
-
Are vehicles securely loaded?
-
Notes
-
Are reversing vehicles controlled?
-
Notes
-
Are vehicle warning signs displayed?
-
Notes
-
Does mobile plant have roll over protective structure?
-
Notes
-
Is protective structure in good repair?
-
Notes
-
Is seat belt effective and in good repair?
-
Notes
Falsework/Formwork
-
Has the propping been designed & inspected by a Competent Person?
-
Notes
-
Has falsework and formwork been checked by a Competent Person before pour?
-
Notes
-
Is there adequate bearing on all supports?
-
Notes
-
Are support frames/props plumb?
-
Notes
-
Are frames/props appropriately braced and/or tied?
-
Notes
-
Are the correct pins used in props?
-
Notes
-
Are forkheads used for bearer support?
-
Notes
-
Are forkheads wedged centrally?
-
Notes
-
Are screwjacks within maximum extension allowed?
-
Notes
-
Have falls from falsework and formwork been controlled?
-
Notes
Machinery
-
Is machinery in good operating condition?
-
Notes
-
Are guards secured, operable & in good order?
-
Notes
-
Does machinery have current test certificate?
-
Notes
-
Do bench saws have a riving knife & hood guard
-
Notes
-
Does compressed air have matched & secured connections?
-
Notes
Notes and Observations not covered by Audit
-
Notes
-
Audit completion