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
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.