Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
CLIENT INFORMATION
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Host (Client) Name:
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Client Address:
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Site Address:
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Client Representative Name & Position:
ITEM 1 - METHOD
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How has this been completed
- Stellar Rep + Client Rep on site
- Stellar Rep + Client Rep via phone
- Client completing + Stellar reviewing
ITEM 2 - WHS SYSTEM & WORKPLACE SAFETY PLAN
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2.1 Do you have a Health & System Management system?
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2.2 Is it certified to ISO45001, ISO18001or AS4801?
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2.3 Do you have a Site Safety Plan / Workplace Safety Plan?
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2.4 Do you have a Health and Safety Policy?
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2.5 What Health and Safety roles do you maintain at this workplace?
ITEM 3 - KEY REQUIREMENTS
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3.1 Do you have a Risk Management Procedure?
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3.2 Do you have Incident & Injury Reporting and management procedures?
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3.3 Do you have a Hazard reporting system /procedure?
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3.4 Do you have Consultation procedures / arrangements?
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3.5 Do you have Bulllying, Harassment & Equal Opportunity or equivalent policies or procedures?
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3.6 Do you have Emergency Procedures and provisions in place?
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3.7 What Covid-19 prevention measures do you have in place?
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3.8 Describe the level of Supervision for workers (eg direct Supervisor on site 100% of time)
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3.9 Can you describe the induction process
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3.10 Are fatigue management procedures in place?
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3.11 Is there a procedure or Specific plan in place for explosives?
ITEM 4 - GENERAL RISKS
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4.1 Are all workplace risks identified, assessed and managed according to your H&S plan in order to provide a safe workplace and prevent work related illness and injury?
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4.2 Are all work activities outlined in Standard Operating Procedures (SOP's) ?
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4.3 Are all workers trained on relevant SOP's before they commence?
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4.4 Are SOP's reviewed for effectiveness on a regular basis?
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4.5 Do pre-shift meetings cover off any changes to the worksite?
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4.6 Are Permit systems are in place for works including grinding, confined space, hot work, high voltage electrical work at minimum? Note: grinding work is considered hot work and requires use of a permit.
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Is use of any electric, oxy-acetylene or similar welding and cutting equipment only carried in full compliance with Australian Standard 1674 "Safety in Welding and Allied Processes" including use of hot works permit and is this under the direction of the Supervisor at all times? NOTE: IF THE ANSWER IS 'NO' Stellar field staff are not to perform this work. MUST BE RAISED immediately to GM/CFOO and documented. This includes grinding works.
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4.7 Are procedures in place to protect people from ground, excavation, waste dump and stockpiles that have potential to slip, fall or collapse?
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4.8 Are controls in place to minimize manual handling ?
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4.9 Does the hot seating procedure remove the risk of people and vehicles interaction?
ITEM 5 - PLANT & EQUIPMENT RISK
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5.1 Are Competency assessments are carried out prior to use of plant?
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5.2 Are Pre-starts checks carried out on vehicles before start of shift, this includes seat belt functioning
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5.3 Is there a system that identifies when plant & equipment requires tagging out of use?
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5.4 Is plant guarded as per manufacturers instructions?
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5.5 Are workers are instructed on isolation requirements?
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5.6 Are emergency stops present on suitable plant, as per manufacturers recommendations?
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5.7 Are Safe work loads clearly identifiable?
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5.8 Is the risk of falls prevented through guard rails, physical barriers and fall prevention mechanisms?
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5.9 Is vehicle speed monitored & if so how?
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5.10 How are workers observed and monitored for working to the procedures?
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5.11 Are regular plant maintenance schedules maintained?
ITEM 6 - WORKSITE MANAGEMENT RISK
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6.1 How are workers are trained on haul road rules/ priority rules to prevent vehicle interactions?
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6.2 How are roads inspected for quality of road conditions, clarity and frequency of signage, dust and lighting? (e.g. by who, frequency)
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6.3 Are windrows in place in required areas such as ramps, slopes?
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6.4 How are wet-weather and environmental conditions managed?
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6.5 How are pit walls monitored for safety?
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6.6 How are exclusion zones and hazardous areas clearly identified and communicated?
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6.7 Is there a procedure in place for spontaneous combustion?
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6.8 Is positive communication in place in all vehicles?
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6.9 Are amenities managed so that they are suitable, appropriate for numbers and clean for use at all times?
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6.10 Are offices regularly inspected for trips/slips hazards, appropriate work station set up and suitable facilities?
7. OBSERVATIONS - This section CAN ONLY BE COMPLETED by a Stellar Rep in person. Confirm what you have observed on this date, and take a photo where possible.
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7A - This observation section can only be completed by a Stellar Rep at the worksite. Who is completing these observations?
- Stellar Rep that is completing the SSA
- No observations completed at this time by Stellar- do not continue this section
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7B - Site Safety Assessment completed in person at the worksite? (if 'No' - site observation is not possible and you do not need to complete the rest of section 7).
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7.1 Traffic management (specify what) eg intersection signage, delineation, speed, signage to indicate direction
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7.2 Windrows in place
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7.3 Exclusion /No go zones identified and signposted / barricaded
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7.4 Haul roads cleared from debris
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7.5 Safety signage is clearly identifiable
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7.6 Overhead services identified and flagged
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7.7 Hand / guard railing installed to prevent falls (detail where/ what)
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7.8 Bodies of water are restricted and identified
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7.9 Amenities observed in good condition with suitable provisions
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7.10 Emergency details posted
ITEM 8 - SUMMARY
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Are there any other key risks to workers at this workplace not covered in the above? If 'yes' detail including what the controls are to prevent injury/illness.
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Details of additional key risks at the workplace:
STELLAR RECRUITMENT REPRESENTATIVE
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Health and Safety is a shared responsibility between our businesses. I confirm that I have reviewed the above detail and made enquiries to the above questions.
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Name:
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Date:
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SIGNATURE:
CLIENT ACKNOWLEDGEMENT
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Health and Safety is a shared responsibility between our businesses. I confirm that I have provided the responses to these questions.
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Name
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Date:
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SIGNATURE:
