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

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