Title Page
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Site
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Document No.
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Principal Contractor / Client
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Completed on
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Form completed by
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Location
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Foreman
Site Overview
SITE OVERVIEW
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Brief description of work underway
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Site Photos
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Hazard Board Photo
Site Set Up & Work Planning
SITE SET UP & WORK PLANNING
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Has the foreman completed a job health, safety and work plan for this site?
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Has the foreman completed the daily health, safety and work plan with workers?
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If required, have SWMS been documented on site by workers? (i.e. if their task is not covered by a standard SWMS)
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Are workers adequately trained and/or supervised for their work as required?
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Is the work site adequately separated from the public and/or other work areas?
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Is public traffic adequately managed?
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Is the hazard board prominently displayed?
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Does the hazard board accurately reflect what is happening on site?
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Are onsite exclusion zones clearly separated or demarcated?
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Is on site traffic adequately managed?
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Are entries and exits in safe condition and clear of obstacles?
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Are vehicles, plant, equipment and materials located in safe, designated areas on site?
Personal Protective Equipment
PERSONAL PROTECTIVE EQUIPMENT
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Are workers wearing suitable safety footwear?
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Are workers wearing hard-hats?
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Are workers wearing high-visibility clothing?
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Are workers wearing the correct eye protection?
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Are workers properly using the correct hearing protection?
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Are workers properly using the correct respiratory protection?
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Are workers wearing protective clothing/gloves as required?
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Is any other PPE being worn as required?
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Does PPE appear to be in good condition?
Emergency Preparedness
EMERGENCY PREPAREDNESS
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Are emergency procedures available and do workers know where to find them (e.g. on OneDrive)?
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Is there a complete first-aid kit readily available?
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Is a charged fire extinguisher readily available?
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Is a spill kit readily available?
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Do workers know where the emergency assembly point is?
Plant/Machinery/Equipment
PLANT / MACHINERY / EQUIPMENT
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Is plant / machinery fit-for-purpose?
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Does plant/machinery appear to be in safe working order (to the best of your knowledge)?
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Do all guards and safety devices appear to be in place and functioning (to the best of your knowledge)? E.g. attachment locking pins, guards/shields, emergency stops/dead-man-switch, Operator Protective Structures (OPS) on mobile plant, safety belts, extraction systems, warning alarms etc.
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Are plant/machinery items warranted, certified, tested etc. as required?
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Is plant/machinery being used safely by competent operators?
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Are workers maintaining a safe position and distance from mobile plant / raised booms?
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Do lifting chains have current certification tags?
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Do electrical items have current tags?
Excavations
EXCAVATIONS
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Are excavations physically isolated when unattended? E.g. Covered or fenced (either around the excavation or the whole site)
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Do excavations / trenches appear to be adequately battered, benched or shielded to prevent collapse?
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Is there safe access into and out of excavations / trenches?
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Are there adequate measures in place to manage water accumulation?
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Are materials and plant kept back a safe distance from edges of excavations / trenches (minimum of 600mm)?
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Have all underground services been identified, fully exposed by safe methods, and supported/protected where required?
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Is work required in any excavation / trench that exceeds 1.5m deep?
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Is the Worksafe notification for particular hazardous works available on site?
Hazardous Substances
HAZARDOUS SUBSTANCES
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Are all hazardous substances listed in the inventory?
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Is a current SDS available in OneDrive for all hazardous substances?
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Are hazardous substances stored in the correct containers and clearly and accurately labelled?
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Are hazardous substances stored safely? E.g. isolated from unauthorised access, properly contained to prevent them from being released accidentally into the environment, away from incompatibles or ignition sources etc.
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Are workers aware of the risks posed by the hazardous substances they are working with, and the controls required? E.g. can they describe them to you?
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Do workers have the necessary training and competency to handle hazardous substances as required?
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Are workers using the correct PPE when working with hazardous substances?
Further Notes
FURTHER NOTES
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Record any other notes or observations not captured by the audit questions