SSEF - Field Safety Inspection Checklist

• Audit Title/ Worksite

• Location
  Address

• Conducted on

  Date

• Prepared by

• Instructions
  -------------------
  1. Answer "Yes", "No", "N/A" for the questions below
  2. Add any photos and notes by clicking on the paperclip icon
  3. To create a corrective action click on "Add Action", provide a description, assign to a member, set priority and due date
  4. Complete audit by providing digital signature

General Housekeeping

• Is the work area clear of obstacles and trip hazards?

  Yes

  No

  N/A

• Is there safe access / egress to the work site?

  Yes

  No

  N/A

• Are there any visible hazards that may increase the risk of operating powered equipment

  Yes

  No

  N/A

Fire and Emergency

• Are the correct fully charged fire extinguishers supplied in vehicles and plant?

  Yes

  No

  N/A

• Are fire extinguishers clearly labelled?

  Yes

  No

  N/A

• Has the fire equipment been serviced and is up to date

  Yes

  No

  N/A

• Is other fire equipment in good condition and stored correctly and easily accessible

  Yes

  No

  N/A

• Are emergency instructions and names/ numbers of emergency contacts available?

  Yes

  No

  N/A

• Are the emergency management plans available and up to date?

  Yes

  No

  N/A

Plant, Equipment & Vehicles

• Plant, equipment and vehicles are cleaned and maintained with records maintained of any use and vehicle checks.

  Yes

  No

  N/A

• Seating, seat belts, if applicable is in good condition and free from damage?

  Yes

  No

  N/A

• Operator instructions exist for all plant and equipment?

  Yes

  No

  N/A

• Personnel who use or operate plant and equipment are licensed or trained accordingly?

  Yes

  No

  N/A

• Damaged/broken down plant or equipment, is tagged "Do Not Operate"?

  Yes

  No

  N/A

• Hot areas of plant have adequate safe guarding?

  Yes

  No

  N/A

• Guarding is in place where plant has moving parts and is correctly fitted & maintained?

  Yes

  No

  N/A

• Plant, equipment or vehicle is fitted with a rollover structure if required?

  Yes

  No

  N/A

• Plant, equipment or vehicle is fitted with adequate functioning communication devices?

  Yes

  No

  N/A

• Emergency stop devices/equipment are functioning correctly?

  Yes

  No

  N/A

Environments

• Are chemicals being mixed more than 30 metres from water points

  Yes

  No

  N/A

• Are correct mix ratios being used

  Yes

  No

  N/A

• Is weather within the parameters for spraying

  Yes

  No

  N/A

• Is Documentation filled in correctly re weather

  Yes

  No

  N/A

Hazardous Substances / Dangerous Goods

• Are Material Safety Data Sheets (MSDS) available and up to date?

  Yes

  No

  N/A

• Employees are provided with instruction and training in relation to hazardous substances and dangerous goods?

  Yes

  No

  N/A

• Is the appropriate personal protective equipment (PPE) available to use with the chemicals?

  Yes

  No

  N/A

• Are spill kits available, regularly maintained and checked?

  Yes

  No

  N/A

• Are decanted chemicals only in approved and labelled containers?

  Yes

  No

  N/A

• Are chemicals stored in the appropriate manner?

  Yes

  No

  N/A

• Are gas cylinders restrained during use and storage?

  Yes

  No

  N/A

• Are gas cylinders within compliance date?

  Yes

  No

  N/A

Manual Handling / Ergonomics

• Have manual handling activities most likely to cause an injury been identified in consultation with employees and assessed for risk ?

  Yes

  No

  N/A

• Tasks which require frequent manual handling of objects over periods of time or distance are minimized?

  Yes

  No

  N/A

• Have employees received training on the perceived correct methods of lifting/manual handling and team lifting?

  Yes

  No

  N/A

• Are lifting devices/equipment available and used? (Ask some of the employees on the day of the inspection).

  Yes

  No

  N/A

Noise

• Risk controls identified & implemented on plant/equipment and tasks where noise levels exceed 85dB?

  Yes

  No

  N/A

• Hearing protection used by personnel is adequate for the task & maintained in good condition?

  Yes

  No

  N/A

• Personnel are using the correct hearing protection when required?

  Yes

  No

  N/A

Traffic Management

• Has a risk assessment been completed to identify all risks associated with traffic and controls put in place ?

  Yes

  No

  N/A

• Is a Traffic Controller required?

  Yes

  No

  N/A

• Has the traffic controller been trained & wearing high visibility clothing?

  Yes

  No

  N/A

• Is any signage required installed and displayed correctly?

  Yes

  No

  N/A

• Are signs & safety devices clearly visible & in good condition?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Are personnel wearing all the required PPE for the task they are doing

  Yes

  No

  N/A

• Is high visibility clothing worn when required?

  Yes

  No

  N/A

First Aid

• Are First Aid & Snake Bite kits available in all vehicles?

  Yes

  No

  N/A

• Do the First aid kits contain out of date materials

  Yes

  No

  N/A

• Do personnel know who the qualified first aid people are? (Ask staff on the day of the inspection).

  Yes

  No

  N/A

Amenities

• Do team members have sufficient drinking water available

  Yes

  No

  N/A

• Is sufficient washing water and facilities available

  Yes

  No

  N/A

• Are adequate sanitation facilities available

  Yes

  No

  N/A

• Is team members food items stored in a manner to eliminate contamination and spoilage issues

  Yes

  No

  N/A

Quality

• Is all documentation completed correctly

  Yes

  No

  N/A

• Do operators clearly understand quality requirements of their task

  Yes

  No

  N/A

• Mapping of completed works are up to date and correct

  Yes

  No

  N/A

• Correct maps are available and used

  Yes

  No

  N/A

• Current SOP is on site

  Yes

  No

  N/A

• JSEA documented and signed off for task

  Yes

  No

  N/A

Completion

• Inspected by:

  Sign