SRL - PT0501 H&S Audit

• Staff member

• Site/Station

• Conducted on

  Date

General information

• Railway station

• Personnel on site

• Time cleaner or maintenance person arrived/was on-site

  Date

• Work Site photo

  Media

Audit Items

• Do they have correct information from SIMPro?

  Yes

  No

• Check JSA has been completed?

  Yes

  No

• Check plant and equipment, test and tag and condition

  Yes

  No

• Photos

  Media

• Is access equipment in a safe condition and being used correctly

  Yes

  No

• Photos

  Media

• Van and/or work area housekeeping acceptable?

  Yes

  No

• Photos

  Media

• Are hazardous substances being safely stored/used and are relevant risk assessments available to the staff?

  N/A

  No evidence

  Some evidence

  Could not be better

• If required has an emergency HSE plan been written and available for the work being carried out?

  Yes

  No

• Have appropriate steps been taken to ensure the safety of the public and commuters? Eg- signs posted, area barricaded etc.

  N/A

  No evidence

  Some evidence

  Could not be better

• Are there adequate first aid facilities available?

  Yes

  No

• Are there arrangements for the safety coordination and cooperation of subcontractors or visitors?

  Yes

  No

• Additional comments

Audit scores

• Please select the %age audit score as per the calculation shown above

  Below 30%?

  Between 30 & 50%

  51 to 70%

  71% plus

• Stop all work immediately make site safe and remove contractor from site

• Instruct contractor on necessary changes required before any work can continue. Actions to be dated and person responsible noted below.

• Successful Audit make notes below on any improvements/actions required

• Congratulations on a fantastic audit score - note any comments or follow up below

• Follow up action required

• Auditor to sign

  Sign

• Staff member to sign

  Sign