Title Page

  • Client / Site

  • Location
  • Address
  • Conducted on

  • Prepared by

  • Personnel

High Risk Activities

Site risk assessment

  • Is there a documented site specific and environmental risk register?

  • Is the register specific to the site?

  • Is the register complete and current?

  • Comments

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WORK AT HEIGHTS

SWMS SYSTEMS OF WORK

  • Are works conducted where there is a risk of a fall from one level to another?

  • Is there approved SWMS/JSEA available for works at heights? Has hierarchy of controls been considered? I.e. elimination, passive fall protection, work positioning, fall injury prevention systems, ladders etc.?

  • Are adequate measures documented to prevent objects falling from heights? Such as, tool lanyards, area security, barricading, signage, observers and traffic management?

  • Comments

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FALL PROTECTION SYSTEMS & EQUIPMENT

  • Are fall protection systems installed, such as, barriers, edge protection, cable and anchor systems?

  • Have work positioning/fall protection systems been designed and installed by a qualified person?

  • Are work positioning/fall protection systems tested and certified by a competent person? Are systems currently in test date?

  • Are workers inspecting harnesses, anchor points by sight, touch or by using inspection checklists before and after each use?

  • Does a competent person inspect and certify all harnesses, lanyards and associated equipment every six months? Are records of inspection on file?

  • Comments

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TRAINING & COMPETENCY

  • Has the Site FM received accredited heights safety training, such as "Working at heights - RIIWHS204D" or approved industry equivalent. Is this training current?

  • Are workers trained to work at heights and to use equipment, including, plant, fall protection devices and rescue equipment? Are records of training, licenses and competencies available and current?

  • Comments

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HEIGHTS PERMITS

  • Are permits in place/issued for roof access and/high risk work at heights tasks?

  • Are permits authorised by the authorised person/FM?

  • Does the work permit consider hazards from other/multiple workgroups operating in the same area?

  • Are emergency arrangements confirmed in the heights permit?

  • Comments

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EMERGENCY RESPONSE

  • Does high risk work at heights SWMS/JSEA include emergency response arrangements, equipment and responsibilities?

  • Does emergency response planning include a "fall arrest" rescue plan. Is the drilled annually?

  • Comments

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ROOF ACCESS

  • Are roof risks, prohibited areas, penetrations, non-load bearing surfaces and permit requirements to roof workers (company and subcontractors) at induction?

  • Are roof access points signposted to indicate that a permit is required to access the roof?

  • Are adequate walkways provided to enable workers to safely cross sloping/fragile/asbestos roofs?

  • Are systems in place to prevent workers falling through roof penetrations, skylights, windows etc?

  • Are fragile sheet roofs clearly signposted to prohibit workers walking on/across them?

  • Are systems in place to prevent workers falling through roof penetrations, skylights, windows etc?

  • Are non-load bearing surfaces, grilles, skylights clearly signposted?

  • Are roof areas used for storage of equipment. Is there likelihood of equipment becoming airborne during strong winds?

  • Comments

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ELEVATING WORK PLATFORMS (EWP)

  • Are elevating work platforms (EWP) used at the facility, e.g. scissor lifts, boom lifts, cherry pickers etc.?

  • Are workers operating EWP trained/licensed to operate? A minimum is EWP Yellow Card (or industry equivalent) for plant with a reach of less than 11 metres. An industry approved high risk licence is required for plant with a reach of 11 metres and above (WorkCover, WorkSafe etc.)

  • Are operators licenses and certificates recorded in the site safety documentation?

  • Do SWMS/JSEA for EWP use include and document emergency and rescue arrangements?

  • Do SWMS/JSEA record steps and responsibilities for plant maintenance, pre-use log book completion? Is there evidence of maintenance and inspections occurring?

  • Do SWMS/JSEA include direction/steps for safe transport of plant between work areas and detail steps for work area security, barricading and the protection of others from falling objects.?

  • Are permits in place dor EWP use? Are permits signed by the authorised FM?

  • Comments

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PORTABLE LADDERS

  • Is approved SWMS/JSEA in place for ladder works at the facility? Are hazards such as manual handling, ladder type, type of works, pre-use inspection documented?

  • Was control hierarchy considered for the selection of ladders for the works? Are safe work platforms, EWP considered before step ladders. Do safety measures adequately manage the risk?

  • Are portable ladders used by employees and subcontractors industrially rated, and manufactured with no conductive materials?

  • Sample random work places and tasks in which portable ladders are used. Determine if ladder is appropriate - type, height, use of both hands simultaneously, duration etc.

  • Conduct random ladder inspections, check condition, rungs, feet, spreaders, latches etc.

  • Are documented ladder inspections carried out at least annually by a competent person? Are records kept of inspections and ladder inspected labels visible?

  • Are extension ladders used to access or work at heights greater than 3 metres, are additional safety measures in place , such as pole straps, harnesses etc.?

  • Comments

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HOT WORKS

  • Are Hot Works, grinding, soldering, welding conducted at the facility?

  • Is a dedicated welding booth provided for hot work/welding?

  • Are welding booths/workshops adequately ventilated, fumes from welding extracted nd complete with fire extinguisher or hoses?

  • Are welding booths/workshops free of flammable substances, chemicals?

  • Are hot work permits issued for welding/grinding etc. conducted outside of the dedicated welding area?

  • Do permits include requirements for fire watcher/observer during hot works, post works surveillance and confirmation of fire detection system being reinstated?

  • Are hot work permits issued by the FM/authorised person? Are permits closed off following post work surveillance periods of at least 30 minutes?

  • Are fire watchers/observers trained in the use of fire fighting equipment?

  • Comments

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CONFINED SPACES

  • Does the site have confined spaces entered/managed by the FM, or equipment serviced by by the FM that are located in confined spaces?

  • If the site is free of confined spaces confirm that the assessment has been conducted by a competent person and documented.

  • Have known confined space entry points been clearly signposted prohibiting entry to unauthorised persons? Are entry points secured to prevent unauthorised entry?

  • Is there a confined space register at the facility?

  • Are there approved SWMS/JSEA available for confined entry? Are all risks including unsafe atmospheres, falling objects, rotating plant, explosion/fire, engulfment or electrocution identified?

  • Do confined space SWMS/JSEA document emergency response arrangements. Does the response plan include self and assisted rescue and stipulate roles and responsibilities, rescue equipment and drills?

  • Are workers entering confined spaces and/or approving confined space entry permits qualified in accordance with local requirements. Are competencies recorded current and recorded in the site plan?

  • Are confined space entry permits completed for each confined space entry? Are permits signed by workers and an authorised/qualified person?

  • Does the permit consider hazards from multiple workgroups at the facility?

  • Is the atmosphere tested before each entry, after breaks etc. Are air quality testing instruments calibrated?

  • Are energy sources isolated/locked prior to entry?

  • Are confined space entry permits closed on completion of works, are records kept?

  • Comments

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LINE BREAKING

  • Are approved SWMS/JSEA available at the site? Are risks to people and the environment considered?

  • Are line breaking permits issued and authorised by the FM?

  • Do line breaking permits consider risk from multiple workgroups?

  • Are workers performing line breaking trained and competent?

  • Comments

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ELECTRICAL WORK AND LIVE WORKS

  • Are energised electrical works conducted at the facility?

  • Could energised work be conducted in a de-energised state. E.g work live for convenience, external pressure?

  • Are there approved SWMS/JSEA for energised electrical works? Do SWMS/JSEA describe a full range of safety measures, including identification of isolation points, physical (insulated) safeguards, insulating PPE, exclusion zones, safety observers and LVR?

  • Are workers conducting live electrical work, including energised fault finding qualified and appropriately licensed? Are licenses recorded in the site plan?

  • Do SWMS / JSEA include provisions for safety observers during live work?

  • Are safety observers trained and competent to rescue and resuscitate a person? Is there an LVR kit, is it complete and up to date?

  • Comments

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LOCKOUT TAG OUT AND ZERO ENERGY

  • Are documented 'Lockout Tag Out' guidelines in place for zero energy, including electrical, pressurised systems, chemical and hydraulic energy isolation works?

  • Are workers performing works on systems with potential, stored, chemical and hydraulic energy trained/competent in the use of locks and tag out systems and equipment?

  • Are there approved SWMS/JSEA for lockout tag out of sources of energy?

  • Are the competencies/trade licenses of workers performing lockout tag out recorded in the site safety plan?

  • Are lockout tag out permits completed for high risk tasks in which electrical or other sources of energy may be released?

  • Are permits authorised by the FM or authorised person?

  • Comments

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HAZARDOUS SUBSTANCES

REGISTERS AND MANIFESTS

  • Does the site have an up to date hazardous substance register?

  • Does the hazardous substance register record the quantity, storage location, and SDS status of each substance stored?

  • Where applicable, have statutory authorities, permits/licenses been obtained ? Obtain details of type and quantity if unsure for evaluation.

  • Are hazard substance manifests available where stored quantities exceed prescribed limits?

  • Have emergency services been notified where stored quantities exceed prescribed limits?

  • Has HSE been notified where prescribed limits exceed 100 litres in a single container or 250 litres in total?

  • Comments

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STORAGE AND SEGREGATION

  • Are hazardous substances stored appropriately? Flammable products stored in approved cabinets. Hot works or flame producing works are not conducted in or around flammable substance storage areas?

  • Incompatible substances segregated and stored separately?

  • Storage areas are secured from unauthorised access, clear from mobile plant etc. Adequate fire hoses, extinguishers are available nearby?

  • Comments

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SAFETY DATA SHEETS (SDS)

  • Is a current SDS available for each hazardous substance stored and used at the facility by the FM and our subcontractors? Including, cleaners, refrigerant storage, pressurised gases, water treatment pest and weed control services? Are SDS GHS compliant?

  • Are SDS available at the point of storage and/ or use for all hazardous substances?

  • Have subcontractors provided SDS for used and stored at the facility?

  • Comments

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RISK ASSESMENT

  • Are risk assessments available/completed for hazardous substances stored and used by the FM at the facility?

  • Have SWMS/JSEA been developed for the safe use and storage of hazardous substances? For the FM and subcontractors chemicals?

  • Comments

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CHEMICAL USE AND TRAINING

  • Are employees using hazardous substances trained in safe use and handling of the substances. Have they been made aware of the risk, exposure affects and safe handling controls.?

  • Are hazardous substances labelled in accordance with company and legislative standards?

  • Are workers trained in the selection, use, storage and maintenance of chemicals PPE?

  • Are containers labelled to clearly identify the contents when substances are decanted into smaller/other containers and not used immediately?

  • Is health monitoring organised (where applicable) for affected workers handling highly toxic, carcinogenic substances?

  • Comments

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EMERGENCIES, SPILL PREVENTION & CONTROL

  • Are adequate emergency eyewash, showers available where hazardous substances are decanted, used, or mixed?

  • Is there adequate first aid supplies for the substances used at the facility? Including, eyewash, sterile pads, creams or other products referenced in SDS?

  • Is there a trained first aider at the facility?

  • Are there emergency procedures, spill control plans? Are workers trained in spill control, are drills practiced for significant risk sites?

  • Are there adequate spill controls kits, are they complete? (No missing components).

  • Are significant spill of hazardous substances notified to HSE?

  • If the clients procedures are in use for hazardous substances/spill management, do they meet the requirements of company environmental controls?

  • Comments

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HAZARDOUS WASTE DISPOSAL

  • Does the site generate hazardous/controlled wastes? Such as, oils, contaminated refrigerants, contaminated water/sludges etc.? Is there an environmental management plan in place to manage waste disposal and record keeping through authorised waste management vendors?

  • Do hazardous waste transporters have the necessary licenses to carry the class of waste?

  • Is there evidence that the waste is being disposed to a suitably licensed location (chain of control)?

  • Are approved SWMS/JSEA in place for hazardous waste disposal?

  • Are EPA licenses and approvals in place for waste water management? , such as, cooling tower cleaning/wastes, storm water release etc.?

  • Are empty/damaged containers disposed appropriately - recycled, sent to accredited disposal facility, removed by supplier (subcontractor)?

  • If the clients procedures are in use for hazardous waste disposal, do they meet the requirements of company environmental controls?

  • Comments

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EMPLOYEE AND SUBCONTRACTOR INDUCTION

  • Have company employees and subcontractors completed site induction?

  • Does the site induction cover site specific issues, such as: SITE RULES, SITE CONTACTS, ACCESS & EMERGENCY INFORMATION, PUBLIC SAFETY MATTERS, PATHS OF TRAVEL, SIGNAGE AND SITE SPECIFIC HAZARD AND RISK?

  • Does the site induction process, identify, confirm and record licenses for high risk trades and activities, e.g ELECTRICAL WORKS, REFRIGERATION, PLUMBING, ABSEIL, SCAFFOLDING ETC?

  • Are the site environmental aspects and impacts, including significant environmental issues communicated at company induction?

  • Does the induction include risk management, known hazards and site safety controls?

  • Does the induction communicate the WORKS AUTHORISATION FORM and associated processes. Is there evidence that the WAF is completed for high risk work?

  • Are persons inducting employees and subcontractors to the site trained and competent (inducted, site knowledge) to induct other workers?

  • Are the inductors current in their mandatory HSE online training, SOM and SOM for TAM training?

  • Have the inductors been inducted themselves and/or participated in the development of the site induction program?

  • Are induction records (signed by all parties) kept on the project file?

  • Are there processes in place at the facility to escort workers/subcontractors who hve not been fully inducted?

  • Are employees and subcontractors signing in/out in the site attendance register each day?

  • Comments

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EMERGENCY RESPONSE - GENERAL

  • Is an emergency response plan in place?

  • Have emergency response teams been formed and trained? E.g first aiders, fire wardens, emergency response coordinators?

  • Are emergency response drills for potential emergencies at the site planned and conducted, minimum annually?

  • Is a register of emergency response equipment maintained at the facility?

  • Has the adequacy of the emergency response plan and equipment been verified by a competent person?

  • Is emergency equipment, inspected, tested and tagged at six monthly intervals (fire hoses and extinguishers)?

  • Have emergency responders been trained in the use of emergency equipment? E.g fire wardens, heights rescue teams, confined rescue teams, liquid spill, automatic external defibrillation.

  • Are emergency response events and drills being recorded and notified where applicable to Corporate?

  • Are emergency response records of training, equipment inspection/testing, drill and incidents being kept in site files?

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