Stormwater Project / Site Safety Inspection Check Sheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Documentation

• 1. A current version of the Project Safety Plan is on site?

  Yes

  No

  N/A

• 2. A site Environmental Management Plan is in place?

  Yes

  No

  N/A

• 3. All employees and (sub)contractor personnel on site have completed Site-Specific Inductions?

  Yes

  No

  N/A

• 4. Toolbox / daily pre-start meetings are occurring and have been signed off?

  Yes

  No

  N/A

• 5. Toolbox / daily pre-start meetings include (sub)contractors?

  Yes

  No

  N/A

• 6. Safety issues raised at daily pre-start or toolbox meetings have been noted and addressed?

  Yes

  No

  N/A

• 7. Site safety inspections have been carried out according to a schedule?

  Yes

  No

  N/A

• 8. Have Corrective Actions from prior internal or external safety audits / assessments been addressed?

  Yes

  No

  N/A

• 9. Near Miss Reports are regularly reported and findings / actions discussed?

  Yes

  No

  N/A

• 10. Daily Pre-start check sheets been completed for plant including all subcontractor provided and hired plant?

  Yes

  No

  N/A

• 11. Hazard Registers and Work Method Statements are up-to-date and have been discussed with site personnel & signed by all present?

  Yes

  No

  N/A

• 12. TMP is in place & has been reviewed & updated as required. (ie. Restricted Access, exclusion zones, traffic control). STMS is on Standby?

  Yes

  No

  N/A

• 13. Is there a Work Permit process in place? (E.g. Confined Space, working at Heights, Trenching, Hot Work)?

  Yes

  No

  N/A

• 13.1. Have Permits to Work been completed and are they up to date?

  Yes

  No

  N/A

• 14. There are up to date project specific Safe Work Method Statements / Job Safety Analysis in place for all high risk tasks on site?

  Yes

  No

  N/A

• 15. The SWMS / JSA are reviewed, signed and understood by those undertaking tasks?

  Yes

  No

  N/A

• 16. All (sub)contractor works is undertaken under a SWMS/JSA?

  Yes

  No

  N/A

• 17. All (sub)contractor SWMS / JSA reviewed by & signed off by the Site Manager / Project Manager or HSE Officer?

  Yes

  No

  N/A

• 18. SDS sheets and register on site?

  Yes

  No

  N/A

• 19. Health monitoring required - exposure to hazardous substances?

  Yes

  No

  N/A

• 20. Company policies, committee meeting minutes, emergency evacuation, etc notices are posted for all to see?

  Yes

  No

  N/A

Site and Facilities

• 21. Is there any work in Confined Space?

  Yes

  No

  N/A

• 22. Is there any Hot Work being performed? (Welding / spark emitting)

  Yes

  No

  N/A

• 23. Is Work at Heights being performed? (where one could fall and suffer an injury?)

  Yes

  No

  N/A

• 24. Excavations /Trenching works being performed?

  Yes

  No

  N/A

• 25. Underground / Overhead services clearly identified if present prior to work starting?

  Yes

  No

  N/A

• 26. All plant operators on site licenced, competent and fit for work?

  Yes

  No

  N/A

• 28. Emergency Response Plan in place and understood and have Emergency Assembly Areas been identified?

  Yes

  No

  N/A

• 29. Are emergency contact numbers easily available to personnel on site?

  Yes

  No

  N/A

• 30. Stocked First Aid kits & a minimum of 1 certified first aider on site? (ensure that the kit supplies within "used by date")

  Yes

  No

  N/A

• 31. Fire extinguishers on site, well signed and been serviced and tagged in the last 12 months? (include plant extinguishers).

  Yes

  No

  N/A

• 32. Hazardous substances and dangerous goods clearly identified (labels) and correctly stored?

  Yes

  No

  N/A

• 33. PPE review - all personnel including subcontractors wearing the minimum and appropriate PPE for the job?

  Yes

  No

  N/A

• 34. Site layout effective & allow effective access & egress to site & work zones, crib hut/portable building setup to Safety Environmental Management Plan?

  Yes

  No

  N/A

• 35. Site signage appropriate - visible, accurate?

  Yes

  No

  N/A

• 36. Vehicle movement plan, including parking arrangements for plant / equipment, segregation of pedestrians effective?

  Yes

  No

  N/A

• 37. Site facilities appropriate - fresh drinking water, toilets, shade, extreme weather protection?

  Yes

  No

  N/A

• 38. Has plant refueling and servicing location been identified, prepared and bunded where required?

  Yes

  No

  N/A

• 39. Are all lifting chains on site certified and tagged with SWL listed on the register? Tag out non complying chains and remove from use. Lifting equipment inspected & tagged in past 6 moths?

  Yes

  No

  N/A

• 40. Are all plant/equipment fit for purpose, have compliance plates, registered, ROPS, FOPS, audible alarms, flashing lights & are used within manufacturer's requirements? Tag out non complying plant/equipment & remove from use.

  Yes

  No

  N/A

• 41. Electrical equipment have been tagged and tested (not expired)?

  Yes

  No

  N/A

• 42. Extension leads, cables, hoses, etc are set up appropriately ( off ground and free from potential damage)?

  Yes

  No

  N/A

• 43. RCD'S in use on portable generators and for portable electrical equipment?

  Yes

  No

  N/A

• 44. Potential or likely sources of ignition near flammable liquids or gas?

  Yes

  No

  N/A

• 45. Site been assessed for potential or likely exposure to infectious substances (needle sticks)?

  Yes

  No

  N/A

• 46. Has the fire danger rating been considered and appropriate controls put in place?

  Yes

  No

  N/A

Environmental Requirements

• 47. Are there any special Environmental / Cultural Heritage considerations for this project?

  Yes

  No

  N/A

• 48. Have site personnel been made aware of environmental restricted areas and controls?

  Yes

  No

  N/A

• 49. Have appropriate material / waste / spoil stockpiles / disposal bins been identified, present & risk assessed?

  Yes

  No

  N/A

• 50. Are spill kits required, available on site with instructions for use and operators trained in their use/application?

  Yes

  No

  N/A

• 51. Evidence of unreported incidents - environmental (spills, emissions, noise, impact on native vegetation or wildlife habitat), property damage or personnel injury?

  Yes

  No

  N/A

Sign - off and Comments

• Other Observations?

• Signature of person inspecting

  Sign

• Signature of supervisor on site

  Sign