This checklist provides information to assist (PDM) in reviewing responses indicated in the WH&S System and supporting information provided by tenderers for work scopes

• Contractor Name

• Conducted on

  Date

• Prepared by

• Location
  Address

CONTRACTOR DETAILS

• CONTRACT NAME:

• CONTACT PERSON:

• CONTRACT NO:

• DOCUMENT NAME & VERSION:

WH&S Policy and Management

• Outline a clear statement of the business WH&S objectives

  Compliant

  Non-Compliant

  N/A

• Outline WH&S goals and commitment to safety

  Compliant

  Non-Compliant

  N/A

• Outline the strategies for WHS continual improvement

  Compliant

  Non-Compliant

  N/A

• Be relevant to the business undertaking and operations

  Compliant

  Non-Compliant

  N/A

• Be currently signed and dated by the CEO or Director

  Compliant

  Non-Compliant

  N/A

• Reviewed on a regular basis

  Compliant

  Non-Compliant

  N/A

WH&S Management System

• Details attached

  Compliant

  Non-Compliant

  N/A

WH&S Management Plan

• The name and location of the Workplace

• The name and address of the PCBU

• The ABN / ACN of the PCBU

• The WH&S Policy as per item 1

  Compliant

  Non-Compliant

  N/A

• Management of the WH&S responsibilities

  Compliant

  Non-Compliant

  N/A

• Outline the process how the PCBU consults, cooperates and coordinates with other duty holders such as sub contractors, suppliers, consultants on site

  Compliant

  Non-Compliant

  N/A

• How the revision and/or amendments to the WH&S plan are communicated to the relevant stakeholders

  Compliant

  Non-Compliant

  N/A

• General WH&S procedures

  Compliant

  Non-Compliant

  N/A

• Safe work procedures relevant to the company operations

  Compliant

  Non-Compliant

  N/A

• Public Safety procedures

  Compliant

  Non-Compliant

  N/A

• Traffic Management systems or the process of implementation

  Compliant

  Non-Compliant

  N/A

• Induction and training procedures including an example of the PCBU recent Site-Specific induction

  Compliant

  Non-Compliant

  N/A

• Issue resolution and WH&S consultation mechanisms

  Compliant

  Non-Compliant

  N/A

WH&S Responsibilities

• WH&S responsibility statements

  Compliant

  Non-Compliant

  N/A

• Part of worker’s job description

  Compliant

  Non-Compliant

  N/A

• Responsibility of the provision and maintenance of accommodation for the scope of work

  Compliant

  Non-Compliant

  N/A

• Part of formal and informal performance appraisal

  Compliant

  Non-Compliant

  N/A

• Managers and supervisors should be formally held accountable for WH&S performance of their workers

  Compliant

  Non-Compliant

  N/A

Safe Work Method Statements (SWMS) Safe work practices and Procedures

• Contractors Construction Safety Plan

  Compliant

  Non-Compliant

  N/A

• Copy of a Construction Project Plan relevant to this type of work including Safe Work Method Statements for high risk construction work – Examples of High Risk Construction Work

• Involves a risk of a person falling more than 2m; or

  Yes

  No

  N/A

• Is carried out on a telecommunication tower; or

  Yes

  No

  N/A

• Involves demolition of a structure that is load bearing or otherwise related to the physical integrity of the structure; or

  Yes

  No

  N/A

• Involves, or is likely to involve the disturbance of asbestos; or

  Yes

  No

  N/A

• Involves structural alterations or repairs that require temporary support to prevent collapse; or

  Yes

  No

  N/A

• Is carried out in or near a confined space; or

  Yes

  No

  N/A

• Is carried out in or near a shaft or trench with an excavated depth greater than 1.5m; or a tunnel; or

  Yes

  No

  N/A

• Involves the use of explosives; or

  Yes

  No

  N/A

• Is carried out on or near pressurised gas distribution mains or piping; or

  Yes

  No

  N/A

• Is carried out on or near chemical, fuel or refrigerant lines; or

  Yes

  No

  N/A

• Is carried out on or near energised electrical installations or services; or

  Yes

  No

  N/A

• Is carried out in an area that may have a contaminated or flammable atmosphere; or

  Yes

  No

  N/A

• Involves tilt up or precast concrete; or

  Yes

  No

  N/A

• Is carried out on, on or adjacent to a road, railway, shipping lane or other traffic corridor that is in use by traffic other than pedestrians; or

  Yes

  No

  N/A

• Is carried out in an area at a workplace in which there is any movement of powered mobile plant; or

  Yes

  No

  N/A

• Is carried out in an area in which there are artificial extremes of temperatures; or

  Yes

  No

  N/A

• Is carried out in or near water or other liquid that involves a risk of drowning; or

  Yes

  No

  N/A

• Involves diving work; or

  Yes

  No

  N/A

• Other statements where the PC concludes an activity could result in death or bodily harm

Safe Work Procedures

• The tenderer should be able to demonstrate safe work procedures which:

• Are relevant to the business operations and scope of work

  Compliant

  Non-Compliant

  N/A

• Demonstrate the process in which the business collects the relevant Safe Work Method Statements (SWMS) risk assessments, job safety analysis (JSA) Permits to work, prestart and other relevant documents, prior to commencing work

  Compliant

  Non-Compliant

  N/A

• Demonstrate how documents are filed and retained for any site or future reference

  Compliant

  Non-Compliant

  N/A

• Contain a description of the tasks, job steps and any associated hazards

  Compliant

  Non-Compliant

  N/A

• Outline control measures and methods to eliminate or, reduce to as low as reasonably practicable any WH&S risks

  Compliant

  Non-Compliant

  N/A

• PCBU can refer to any relevant Queensland Legislation, Codes of Practice or Australian Standards applicable to the scope of work being undertaken

  Compliant

  Non-Compliant

  N/A

Work Permits

• Where relevant, the tenderer should be able to demonstrate work permits for the following types of work:

• Excavation Permit

  Compliant

  Non-Compliant

  N/A

• Hot Work (Hot Work Permit)

  Compliant

  Non-Compliant

  N/A

• Lockout Permits (plant, electrical system, hydraulic etc)

  Compliant

  Non-Compliant

  N/A

Incident Reporting and Investigation

• Tenderers should be able to provide evidence of the following:

• Incident report and investigation form

  Compliant

  Non-Compliant

  N/A

• Incident investigation procedure

  Compliant

  Non-Compliant

  N/A

• Evidence of a standard Incident Report form

  Compliant

  Non-Compliant

  N/A

Plant Safety

• The tenderer should have mechanisms and procedures in place for the identification of hazards, assessment of risks and the implementation of control measures associated with plant

• Documented risk assessments for relevant plant or the PCBU risk assessment procedure

  Compliant

  Non-Compliant

  N/A

• Copy of plant operator licences, permits

  Compliant

  Non-Compliant

  N/A

• Register of plant requiring relevant registration

  Compliant

  Non-Compliant

  N/A

• List of persons responsible for undertaking plant risk assessments

• Plant maintenance, service and inspections forms

  Compliant

  Non-Compliant

  N/A

• Pre-start daily safety inspection forms for plant

  Compliant

  Non-Compliant

  N/A

• Plant prestart inspection check sheets for the plant audible and visual safety devices or systems (Reversing alarm, start-up alarm, amber lights, etc)

  Compliant

  Non-Compliant

  N/A

• Plant fault reporting system and forms

  Compliant

  Non-Compliant

  N/A

• Storage and the parking up process of plant while stood down, or while not in use

  Compliant

  Non-Compliant

  N/A

• Plant security and the process used to ensure the plant remains safe while unattended on site

  Compliant

  Non-Compliant

  N/A

Hazardous Substances

• Tenderer should provide evidence demonstrating safe handling and storage of hazardous substances:

• Manifest or register of chemicals used by the company

  Compliant

  Non-Compliant

  N/A

• Safety Data Sheets (SDS) for any chemicals to be used

  Compliant

  Non-Compliant

  N/A

• Safe handling procedures, including use of personal protective equipment

  Compliant

  Non-Compliant

  N/A

• Relevant Haz Sub training documentation

  Compliant

  Non-Compliant

  N/A

• PCBU process for oil or other spill management including spill kits and relevant PPE

  Compliant

  Non-Compliant

  N/A

Manual Handling

• The tenderer should be able to demonstrate evidence of:

• Documented risk assessments for manual handling hazards

  Compliant

  Non-Compliant

  N/A

• Systems used to control manual handling risks (eg. Lifting aids, work procedures)

  Compliant

  Non-Compliant

  N/A

Risk Assessment

• Copies of any risk assessments relevant to the work (relevant generic risk assessments accepted for initial review)

Personal Protective Equipment (PPE)

• List of PPE provided (policy and/or procedure)

• PPE correct use training

  Compliant

  Non-Compliant

  N/A

• Outline what PPE is required for a particular task and how it is monitored for correct use

Workplace Health and Safety Training

Training

• Tenderer should be able to demonstrate evidence of:

• Records of training and competencies of workers (licences, permits, certificates)

  Compliant

  Non-Compliant

  N/A

• Records of ‘on the job’ training

  Compliant

  Non-Compliant

  N/A

• Toolbox meetings conducted

  Compliant

  Non-Compliant

  N/A

• Induction training program including any site specific

  Compliant

  Non-Compliant

  N/A

• Record of all training and induction programs

  Compliant

  Non-Compliant

  N/A

• Induction and training records An example is the required Construction Industry Induction card

  Compliant

  Non-Compliant

  N/A

• Assess the competency of workers

  Compliant

  Non-Compliant

  N/A

• Competency tests

  Compliant

  Non-Compliant

  N/A

• Verification of competency check sheets

  Compliant

  Non-Compliant

  N/A

• Certificates

  Yes

  No

  N/A

• List of relevant certificates of competencies / licences for the work / earlier OHS certification / RII competencies

  Yes

  No

  N/A

WH&S Inspections

Regular Inspections

• Tenderer should provide evidence of:

• Workplace inspection schedules

  Compliant

  Non-Compliant

  N/A

• Completed inspection reports

  Compliant

  Non-Compliant

  N/A

• Hazard Reporting procedure

  Compliant

  Non-Compliant

  N/A

• Hazard Reporting form

  Compliant

  Non-Compliant

  N/A

Health and Safety Consultation

• Work Health and Safety Committee

  Compliant

  Non-Compliant

  N/A

• Evidence may include records which demonstrate and show:

  Yes

  No

  N/A

• Structure of committee

  Compliant

  Non-Compliant

  N/A

• Meeting schedule

  Compliant

  Non-Compliant

  N/A

• Minutes of meetings

  Yes

  No

  N/A

Worker Consultation

• Documented procedures for consultation and dissemination of information

  Compliant

  Non-Compliant

  N/A

• Worker involvement in inspections, accident investigations, plant and work area audits

  Compliant

  Non-Compliant

  N/A

• Work Health and Safety Representatives (HSRs)

  Yes

  No

  N/A

• List of HSRs

• List of their duties (functions)

Safety Personnel

• List of Safety Personnel

• Their WHSQ accreditation if a HSR or certificate or statement of attainment if trained in some form of safety duty

  Yes

  No

  N/A

WH&S Performance Monitoring

Safety Performance Statistics

• Evidence may include:

• Reports on company WH&S injury trend data

  Yes

  No

  N/A

• Performance targets established (example - Lost time injuries, person days lost)

  Yes

  No

  N/A

WH&S Performance Information

• Evidence of information provided to workers:

• Records of who receives reports

  Yes

  No

  N/A

• Types of reports produced

  Yes

  No

  N/A

• Improvement or Prohibition Notices

  Yes

  No

  N/A

• Number of notices issued

• Time frame for correcting the issues

  Yes

  No

  N/A

• Controls methods for rectifying the issues

  Yes

  No

  N/A

Work Health and Safety Offence

• If conviction reported, determine:

• Nature and circumstances of incident

• Corrective actions undertaken

• Insurances

  Yes

  No

  N/A

• Professional Indemnity Insurance Certificate of Currency

  Yes

  No

  N/A

• Public Liability Insurance Certificate of Currency

  Yes

  No

  N/A

• Workers Compensation Number

• ABN Number / ACN