Information
-
Location
-
Document No.
-
Audit Title
-
Project Name
-
Conducted on
-
Prepared by
-
Location
-
Personnel present during inspection
General Observations
-
General Observations
-
Hazard Categories
- Amenities require clean/Stock
- Chemical Storage Inadequate
- Electrical DB not compliant
- Electrical leads on ground
- Electrical Test Tag missing
- Fall Protection Inadequate
- Fence Panel missing
- First Aid Supply inadequate
- Formwork debris scattered
- Hard Hat - no compliance
- Housekeeping unacceptable
- Ladder not suitable
- Lift cage unsecured
- Material - Rubbish on scaffold
- Penetration not secured
- Penetration open
- Reo-Bar caps missing
- Scaffold 30 day Inspection due
- Scaffold requires modification
- Signage missing
- Slip - Trip Hazard
- Work at Heights unsafe
- Work permit not in place
- Fire Extinguisher Missing
- Nurse Call missing
- Light Not Working
- Light Missing
- Access way not Clear
- DB not Secured
- Scaffold lap board missing
- Scaffold plank missing
- Scaffold Handrail missing
- Penetration not highlighted
- Temp light lead not in mechanical protection
- Scaffold kick board missing
- Fence panel not secured
- Access delineation tape not in place
- Nurse call test
- Exclusion Zone missing
- Exclusion Zone damaged
- scaffold tie missing
- scaffold brace missing
- Temp light not mounted correctly
- lead damaged
-
Location
- External
- Car Park Lv 1
- Car Park Lv 2
- Level 3 Podium
- Level 5
- Level 6
- Level 7
- Level 8
- Level 9
-
Applicable Contractor/Trade
- A&T ELECTRICAL
- Poletti Formworkers
- Grays plumbing services
- Interspan
- CLASSIC LININGS
- CLASSIC PAINTING
- ELITE SCAFFOLDING
- GEOSEAL
- KONE ELEVATORS
- NSW STEEL FIXING
- HD Projects
- Wilack Door Installation
- Wallace Pumping
- Concrete Enterprises
- Render Design
- AHV
- Email Louvres
-
Rectification Required
- Clean & Re-stock ASAP
- Clean off scaffold
- CLEAN UP ASAP!
- Clean up hazard
- Comply with hard hat policy
- Cover & Secure Peno
- Electrical test tag required
- Establish exclusion zone
- Inspection / Test electrical DB
- Install appropriate Signage
- Install Bar Caps
- Install Fall Prevention measures
- Install Fence Panel
- Lead Stand- hooks required
- Obtain Work Permit
- Provide Suitable Access
- Remove Formwork Rubbish
- Remove from site
- Restock First Aid
- Scaffolder to inspect
- Scaffolder to Rectify
- Secure / Lock Cage
- Secure Peno / Bolt Down
- Store Chemicals Securely
- Install fire extinguisher ASAP
- Repair light
- Install Light ASAP
- Clean and clear accessway ASAP
- Bolt down and secure DB
- Install lap board
- Install scaffold plank
- Install scaffold handrail
- spray paint 'PENO' on top of penetration
- Install mechanical protection on lead
- Secure fence panel
- Install access delineation tape ASAP
- Test response positive
- not working address issue imediatley
- Install Exclusion zone
- Fix Damaged exclusion zone
- install scaffold tie
- install scaffold brace
- mount light securely off ground
- remove lead off site
-
Close Out By
-
Signed off by -<br><br>Signature -
-
Additional Comments
-
Add Media/Photos
Site Compound & Signage
-
Site Identification signage- security, PPE and Toga branding in place? <br>
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial actions to be completed by.
-
Site fencing secure and stable?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial actions to be completed by.
-
Site office clearly marked and identified?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Controlled entry (e.g. 'Digi-pad' or swipe card/turnstile?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Overhead and public protection certified (e.g. Hoarding)?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Site entry register (Form 6) on-site and in use?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
First Aid location signposted and names of Toga First Aiders clearly displayed?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
First Aid kit clearly identified and adequately stocked?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Amenities adequate for the site and code compliant?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Drinking water - adequate fresh supply?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Are lighting levels acceptable throughout the site?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Is battery back up lighting installed on the site?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Access and Egress - clear designated pathways and signage?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Lasers- warning signage on site?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Designated smoking areas and signage indicating areas?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
Notice Board
-
Site Notice Board tidy and in good order?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Toga Policies and Site Rules displayed?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Emergency Evacuation Plan/ Emergency Contact List displayed on the notice board?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Toolbox Talks posted on the notice board?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Site Consultation Statement displayed, signed?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
Safety
-
Previous Site HSE Inspection displayed on the notice board and required actions closed-out?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Toga Safety Alerts displayed on the notice board?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
PPE
-
Site Induction stickers visible on worker hard-hats?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Sunscreen/UV protection readily available?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Hard Hats, Boots, Gloves in use?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
High Vis Vests/Shirts worn by all workers?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
PPE compliance with Toga Site Rules?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
Electrical & Fire
-
Fire Extinguishers or Hose Reel service identified and tagged as current?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Hot-work permit/ flashback arresters/ fire extinguisher/ clothing/ PPE?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Main Electrical Switchboard locked after hours?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Electrical sub-boards and equipment inspected, tagged as current and connected through an RCD?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Electrical extension leads tested and tagged?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Electrical lead stands isolated cables and maintain 2m minimum clearance? <br>
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
Materials
-
Hazardous Goods/Chemicals stored in a secure ventilated area?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Tools and Materials secure/stored neatly on site and not against walls or fencing?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Safety Data Sheet (SDS) available for stored materials?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
Plant
-
Plant/ Maintenance Logs/ WorkCover registration completed and inspected?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Plant has warning devices & registration where required?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Lifting Gear: Man-boxes, Cages, Bins, Chains, Slings... tagged and lifting gear register maintained?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Manual Handling, mechanical aids available for use?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Is Plant locked and secured after hours?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Is Plant & Equipment excessively loud?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
Excavations & Falls
-
Are Excavations-Services identified/ depth/ barricades/ shoring/ restricted access?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Excavation - Access and escape from adequate?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Slip and Trip hazards identified and controlled?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Reinforcing- Starter Bars protected with bar caps?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Penetrations- identified, covered and secured?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Are lift penetrations caged/ bundled at openings?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Are Ladders Industrial rated, and in good condition? (platform type preferred)
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Formwork- Are catch decks installed and minimum two plank platforms?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Scaffold handover and 30 day inspections available and current?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Toga Scaffold Coordinator appointed and nominated at site inductions?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Toga Scaffold Coordinator conducting "Monitoring" periodically on the scaffold?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Scaffold and deck edge protection - hand and mid rails, toe boards, bracing in place?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Scaffolding - Mobile - complete with guardrails, bracing and safe ladder access?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
If harnesses are being used on site, are the workers trained in harness use?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Are Safety Lines, Anchor Points adequate and installed by competent persons?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
Environment
-
Any DA/ client specific controls required and are they implemented?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Controls listed in EMP implemented?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Traffic Management Plan adequate and displayed?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Water use permit displayed where required?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Perimeter silt fencing in place and adequate?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Drains & Pits protected from potential contaminants and soil/ storm water run-off?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
External public roads and footpaths free from soil/ mud/ debris?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Dust- Water cart hosing in use to minimise dust on site?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Concrete trucks - no washout or dedicated wash out area with signage?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Paint - captive washout system and appropriate waste disposal in place?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Hazardous Chemicals stored to prevent spills- cabinets, cage, bundling?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Oil/ Fuel spills evident on site?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Toga Spill Kit & Fire Extinguishers located in appropriate areas and sign posted?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Flora- protected by Tree preservation Order identified? Street tree protection required?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Fauna- protection. If required, is this implemented?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Noise Disturbance- any noisy works/ monitoring/ complaints requiring follow-up?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
-
Recycling and Waste bins adequate and properly transported?
-
Please provide person responsible for remedial action.
-
Please provide remedial action, if appropriate.
-
Please provide date remedial action to be completed by.
10
People present during this inspection - list below
-
HSE Manager
-
Site Manager
-
Project Manager
-
Site Safety Officer
-
Site Safety Committee
-
Foreman
-
Subcontractor 1
-
Subcontractor 2