SURESAFETY - HEALTH AND SAFETY SITE REVIEW

• Client Name

• Worksite

• Location
  Address

• Main contractor on site

• Site Foreman

• Conducted on

  Date

• Prepared by

Executive Summary

• undefined

PCBU - Main Contractor

• Name of main contractor

• Main contractor has a SSSP or PSMP available and used

  Yes

  No

  Not sighted

  N/A

• Main hazard and risk register is available and reflects the hazards and risks on site

  Yes

  No

  Not sighted

  N/A

• Training and competency register available of main contractor employees

  Yes

  No

  Not sighted

  N/A

• Evidence of regular safety meetings held in the last 30 days (min of two)

  Yes

  No

  Not sighted

  N/A

• Evidence of regular inspections held in the last 30 days (min of two)

  Yes

  No

  Not sighted

  N/A

• Contractor has an active incident register

  Yes

  No

  Not sighted

  N/A

• Last incident recorded

  Date

• Incidents recorded shows proof of investigations and sign off

  Yes

  No

  Not sighted

  N/A

• Updated Hazardous Substances Inventory available

  Yes

  No

  Not sighted

  N/A
PCBU - Sub Contractor

• Name of sub contractor

• Evidence that the main contractor has evaluated the SSSP

  Yes

  No

  Not sighted

  N/A

• Main hazard and risk register is available and reflects the hazards and risks on site

  Yes

  No

  Not sighted

  N/A

• Training and competency register available of all workers on site

  Yes

  No

  Not sighted

  N/A

• Evidence of regular safety meetings held in the last 30 days (min of two)

  Yes

  No

  Not sighted

  N/A

• Evidence of regular inspections held in the last 30 days (min of two)

  Yes

  No

  Not sighted

  N/A

• Emergency plan available for high risk activities

  Yes

  No

  Not sighted

  N/A

• Contractor has an active incident register

  Yes

  No

  Not sighted

  N/A

• Incidents recorded shows proof of investigations and sign off

  Yes

  No

  Not sighted

  N/A

• Updated Hazardous Substances Inventory available

  Yes

  No

  Not sighted

  N/A

Site Access, Emergency Response and Safety

• Worksite is secure against unauthorised entry

  Yes

  No

  Not sighted

  N/A

• Hazard board visible and reflect current data on entry to the site

  Yes

  No

  Not sighted

  N/A

• Adequate site signage (speed limits/office/first aid etc.) visible

  Yes

  No

  Not sighted

  N/A

• Access to site adequately controlled

  Yes

  No

  Not sighted

  N/A

• There is a sign-in for visitors and contractors. Regularly completed

  Yes

  No

  Not sighted

  N/A

• Site-specific health and safety inductions are carried out for all persons

  Yes

  No

  Not sighted

  N/A

• Site wide emergency response/evacuation plan visible

  Yes

  No

  Not sighted

  N/A

• List of First Aiders and Fire Wardens available or visible

  Yes

  No

  Not sighted

  N/A

• Evacuation route signposted

  Yes

  No

  Not sighted

  N/A

• Clear sign-posted assembly point

  Yes

  No

  Not sighted

  N/A

• Working areas and access ways are clear and unobstructed

  Yes

  No

  Not sighted

  N/A

• Building/work material stacked in an orderly and safe manner

  Yes

  No

  Not sighted

  N/A

• Safety caps on all vertical/rio bars that present an impaled risk

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Health Management

• Office space is tidy and acceptable

  Yes

  No

  Not sighted

  N/A

• Access to hot water available or plan in place for access

  Yes

  No

  Not sighted

  N/A

• Access to clean drinking water

  Yes

  No

  Not sighted

  N/A

• Toilets, changing facilities available and clean

  Yes

  No

  Not sighted

  N/A

• Bins and skips available for waste management and not overfilled

  Yes

  No

  Not sighted

  N/A

• UV protection managed (sunscreen availble/PPE)

  Yes

  No

  Not sighted

  N/A

• Workers informed of asbestos-related hazards if on-site

  Yes

  No

  Not sighted

  N/A

• Dust, vibration and noise are effectively managed on-site

  Yes

  No

  Not sighted

  N/A

• Access to first aid and first aiders on site

  Yes

  No

  Not sighted

  N/A

• Name of trained First Aider

• Other related observations to this section

Hazard and Risk Management

• Evidence of a risk assessment method/tool being used as part of hazard management

  Yes

  No

  Not sighted

  N/A

• Is there evidence that WorkSafe has been notified for particular hazardous work?

  Yes

  No

  Not sighted

  N/A

• Permit to work system (PTWS) are used and documents all completed by PI/PR/users

  Yes

  No

  Not sighted

  N/A

• JSA/TA/SWMS/HITRS used for any activities completed and signed by all workers involved in the task

  Yes

  No

  Not sighted

  N/A

• Rescue plan available for High Risk activities and executable

  Yes

  No

  Not sighted

  N/A

• Fire extinguishers available, in date and secured

  Yes

  No

  Not sighted

  N/A

• PPE is being worn related to site hazard board, risk register and site activities

  Yes

  No

  Not sighted

  N/A

• Isolation process used (LOTO) and followed as per site rules

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Working at heights and general fall protection

• Fall risks into open pits, trenches, voids or openings have been managed

  Yes

  No

  Not sighted

  N/A

• Edge protection in place as means of fall prevention

  Yes

  No

  Not sighted

  N/A

• Workers working at height have minimum required training (US 23229) or evidence or informal training and competency

  Yes

  No

  Not sighted

  N/A

• For harness use only: A feasible rescue plan is in place

  Yes

  No

  Not sighted

  N/A

• Height safety equipment used is date and six-month certified

  Yes

  No

  Not sighted

  N/A

• Anchors are an approved or certifed anchor with the correct rating and set up to prevent falls/pendulum

  Yes

  No

  Not sighted

  N/A

• Height safety systems used is appropriate for the task and fall clearance

  Yes

  No

  Not sighted

  N/A

• Safety nets installed by a competent person, secured without debris on top

  Yes

  No

  Not sighted

  N/A

• Stairways are fitted with handrails

  Yes

  No

  Not sighted

  N/A

• Workers using MEWP for working at height doing it safely

  Yes

  No

  Not sighted

  N/A

• MEWP six month certification on machine and in date

  Yes

  No

  Not sighted

  N/A

• MEWP logbook completed or machine inspection app

  Yes

  No

  Not sighted

  N/A

• MEWP operator ticketed for specific machine

  Yes

  No

  Not sighted

  N/A

• MEWP set-up is safe and outriggers have been deployed on stable ground

  Yes

  No

  Not sighted

  N/A

• Isolation of work area in place to prevent unauthorised access during MEWP operations

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Mobile Plant including forklifts

• Mobile plant on site:

• Those operating mobile plant work safely and in compliance with site rules

  Yes

  No

  Not sighted

  N/A

• Mobile plant is isolated from other workers and machinery / Warning signs in place

  Yes

  No

  Not sighted

  N/A

• Mobile plant operators are licenced/trained

  Yes

  No

  Not sighted

  N/A

• Evidence of plant inspections completed

  Yes

  No

  Not sighted

  N/A

• Does the plant have a current in-service certification? Example: Licence/ WOF

  Yes

  No

  Not sighted

  N/A

• Operating warning lights and audible alarms are working during operations

  Yes

  No

  Not sighted

  N/A

• Is the plant fitted with a ROPS/ MOPS

  Yes

  No

  Not sighted

  N/A

• If the equipment is equipped with a safety belt, is the operator using the belt during operating the machine?

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Scaffolds

• Those working on scaffold are working safely

  Yes

  No

  Not sighted

  N/A

• Mobile scaffold above 2 metes is tagged and erected by a competent person

  Yes

  No

  Not sighted

  N/A

• Mobile scaffold is set up on firm area, wheels locked, fully decked with toeboards and edge protection in place

  Yes

  No

  Not sighted

  N/A

• Scaffold tag at access points and within required inspection date

  Yes

  No

  Not sighted

  N/A

• Evidence that the scaffold was erected by a competent person

  Yes

  No

  Not sighted

  N/A

• Scaffold components are in good condition<br>

  Yes

  No

  Not sighted

  N/A

• Scaffold are fully decked and no loose scaffold planks

  Yes

  No

  Not sighted

  N/A

• Scaffolds have edge protection and toeboards on all levels

  Yes

  No

  Not sighted

  N/A

• Edge-to-face gaps are less than 300mm wide

  Yes

  No

  Not sighted

  N/A

• Those working below the scaffold are protected or area is identified as an exclusion zone

  Yes

  No

  Not sighted

  N/A

• Access to the scaffold is clear, safe and ladders secured

  Yes

  No

  Not sighted

  N/A

• Are special scaffolds designed by a Chartered Professional Engineer?

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Lifting and Equipment

• Manual handling risks identified and adequate risk controls in place. (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)C

  Yes

  No

  Not sighted

  N/A

• Lifting equipment(chains, slings, strops ect) have a current certification tag attached

  Yes

  No

  Not sighted

  N/A

• Lifting plant has current certification and vehicle certification

  Yes

  No

  Not sighted

  N/A

• Clearly defined exclusion zones are in place

  Yes

  No

  Not sighted

  N/A

• Inspection record of lifting equipment and machinery available and completed

  Yes

  No

  Not sighted

  N/A

• SWL information displayed and clearly avaible

  Yes

  No

  Not sighted

  N/A

• Lift plan in place and available

  Yes

  No

  Not sighted

  N/A

• Crane operators are licenced and trained

  Yes

  No

  Not sighted

  N/A

• Crane set up on stable ground, stabilisers fully extended and safely positioned

  Yes

  No

  Not sighted

  N/A

• MAD maintained during crane operation

  Yes

  No

  Not sighted

  N/A

• Use of dogman during lifts (depends on the complexity and lift plan)

  Yes

  No

  Not sighted

  N/A

• Load rigged by competent person/rigger

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Ladders

• Ladders are compliant with industry requirements (AS/NZ 1892,120kg)

  Yes

  No

  Not sighted

  N/A

• Ladders are in good, safe working condition

  Yes

  No

  Not sighted

  N/A

• Ladders are properly secured

  Yes

  No

  Not sighted

  N/A

• Ladders are suitable for the job

  Yes

  No

  Not sighted

  N/A

• Workers using the ladders is using it safely

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Tools and equipment

• Are those working with tools and equipment working safely?

  Yes

  No

  Not sighted

  N/A

• All tools and equipment have guards in place around moving parts, drive belts, chains and blades

  Yes

  No

  Not sighted

  N/A

• Angle grinders have handle to prevent kick back

  Yes

  No

  Not sighted

  N/A

• Disks and blades are correct size and in good condition

  Yes

  No

  Not sighted

  N/A

• Workstations are well set up and fir for purpose

  Yes

  No

  Not sighted

  N/A

• Electrical tools are tested and tagged

  Yes

  No

  Not sighted

  N/A

• For PAT are the gun and cartridges in a locked boxed when not in use

  Yes

  No

  Not sighted

  N/A

• Those operating PAT are trained and ticketed

  Yes

  No

  Not sighted

  N/A

• Clear warning signs in place where PAT's are in use and the operator calling before firing a shot

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Temporary works and structures

• Those working on/under/close to temporary structures are working safely

  Yes

  No

  Not sighted

  N/A

• Temporary works plan signed off by a competent person or certified professional engineer

  Yes

  No

  Not sighted

  N/A

• Props and all equipment is in good and safe condition

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Hazardous Chemical (including fuel and oil)

• Are those working with chemicals working safely?

  Yes

  No

  Not sighted

  N/A

• Chemicals stored safely and in compliant containers

  Yes

  No

  Not sighted

  N/A

• Adequate spill containment equipment available on site

  Yes

  No

  Not sighted

  N/A

• Safety Data Sheets accessible on site and in date

  Yes

  No

  Not sighted

  N/A

• Ignition sources kept away from flammable chemicals

  Yes

  No

  Not sighted

  N/A

• Signage in place as required for quantities above specified levels

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Hot Works

• Those engaged in hot works activities, are working safely

  Yes

  No

  Not sighted

  N/A

• Permit to work at hot work area displayed

  Yes

  No

  Not sighted

  N/A

• Fire fighting equipment close by and in working condition

  Yes

  No

  Not sighted

  N/A

• Work zone isolated or screen in place to protect others and area of sparks

  Yes

  No

  Not sighted

  N/A

• Gas cylinders are secured and upright

  Yes

  No

  Not sighted

  N/A

• Gas plant have fitted flash back arrestors and maintained

  Yes

  No

  Not sighted

  N/A

• Flammable material has been removed before hot work started

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Electrical Hazards

• Are those exposed to potential electrical hazards, working safely?

  Yes

  No

  Not sighted

  N/A

• Leads, plugs,and portable equipment tested and tagged

  Select Yes No Not sighted N/A

  • Yes
  • No
  • Not sighted
  • N/A

• Minimum approach distance (MAD) of 4 meters is maintained from power lines or a consent form is in place for closer distance

  Yes

  No

  Not sighted

  N/A

• Lifeguards, RCD's, leads, multi-boards (EPOD's), portable socket outlet assemblies (PSOA's) are commercially rated - IP33 or higher inside and IP67 or higher outside

  Yes

  No

  Not sighted

  N/A

• Temporary switchboard close securely and is lockable

  Yes

  No

  Not sighted

  N/A

• Temporary switchboard have a current COC or COV (six monthly)

  Yes

  No

  Not sighted

  N/A

• Leads placed hanging not on the ground or around metal structures

  Yes

  No

  Not sighted

  N/A

• Are site 3 phase RCD units rectified every four months

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Environmental Management

• Environmental Management plan (EMP) in place

  Yes

  No

  Not sighted

  N/A

• Adequate dust suppression system in place

  Yes

  No

  Not sighted

  N/A

• Adequate systems to prevent contaminants from entering stormwater drains are in place

  Yes

  No

  Not sighted

  N/A

• Noise impact under control

  Yes

  No

  Not sighted

  N/A

Concrete work (wet or dry)

• Those woking with concrete are working safely

  Yes

  No

  Not sighted

  N/A

• Correct PPE is worn to prevent dust inhalation silicosis, and contact with wet concrete creating a risk of chemical burns or dermatitis

  Yes

  No

  Not sighted

  N/A

• Clean water readily available for cleanup

  Yes

  No

  Not sighted

  N/A

• Concrete mixer safe and tagged

  Yes

  No

  Not sighted

  N/A

• Exclusion zone in place during pumping activities

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Traffic Management

• Traffic Management Plan (TMP) in place

  Yes

  No

  Not sighted

  N/A

• Adequate controls for TMP in place (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

  Yes

  No

  Not sighted

  N/A

Excavations

• Those working close to excavations are working safely

  Yes

  No

  Not sighted

  N/A

• Suitable fencing or barriers are in place to prevent falls into the excavation

  Yes

  No

  Not sighted

  N/A

• Underground services were identified and clearly marked out

  Yes

  No

  Not sighted

  N/A

• Safe access and egress are avaible

  Yes

  No

  Not sighted

  N/A

• Excavations deeper than 1.5 meters are adequately benched, shored or battered to prevent trench collaps

  Yes

  No

  Not sighted

  N/A

• Machinery, materials, and spoil are at an adequate distance from the edge

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Confined Space Management

• Those exposed to confined space hazards are working safely

  Yes

  No

  Not sighted

  N/A

• Permit is on-site and available

  Yes

  No

  Not sighted

  N/A

• Feasible rescue plan in place

  Yes

  No

  Not sighted

  N/A

• Rescue equipment on site, inspected and certified

  Yes

  No

  Not sighted

  N/A

• Evidence of atmospheric testing has been carried out

  Yes

  No

  Not sighted

  N/A

• Fit for purpose gas detecting device is used

  Yes

  No

  Not sighted

  N/A

• Isolations are in place as per permit requirements

  Yes

  No

  Not sighted

  N/A

• Safety observer (standby person) appointed and trained

  Yes

  No

  Not sighted

  N/A

• Entrants trained in CS entry

  Yes

  No

  Not sighted

  N/A

• Entrants connected to a rescue device and provided with a personal gas device

  Yes

  No

  Not sighted

  N/A

• Other related observations to this section

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• Auditor's signature

  Sign