Transpower Safe As v2

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Project information

• PROJECT NUMBER

• PROJECT or MAINTENANCE ACTIVITY

• DATE:

  Date

• TIME:

  Date

• SITE or LINE

• RECORDED BY:

• AUDIT TYPE

  SAFE AS

  SAFETY MEETING

  TAILGATE ATTENDANCE

  PROJECT START UP

• ATTENDEES:

• Consider/Question - Is the site well organised?

• What risks have been identified and what are the controls?

• Observe - behaviours

People and People's Actions

• Applying Safe Work Practices/Halting works if unsafe

  Yes

  No

  N/A

• Fit for Work/Competent

  Yes

  No

  N/A

• Recipient/Supervisor/Person in Charge

  Yes

  No

  N/A

• Pre-work planning/Hazard ID/Worksite Safety Plan (Tailgate)

  Yes

  No

  N/A

• Working at Height/Climbing

  Yes

  No

  N/A

• Use of Vehicles/Mobile Plant

  Yes

  No

  N/A

• Isolations/Earthing/Bonding

  Yes

  No

  N/A

• MAD/MAR/Safety Observer/Live Work

  Yes

  No

  N/A

• Site Security/Access/Induction to Site

  Yes

  No

  N/A

• Emergency Procedures, first aid kits and equipment

  Yes

  No

  N/A

• Facilities - Water/Toilets/Meal/Smoking Areas

  Yes

  No

  N/A

• Signage/Notice Boards/Housekeeping

  Yes

  No

  N/A

• Observations

• Add photos

  Media

Environmental

• Measures/Consents/Permits

  Yes

  No

  N/A

• Waste Management/Noise control

  Yes

  No

  N/A

• Dirt/Soil Erosion//Site Run-Off/Dust Minimisation

  Yes

  No

  N/A

• Vegetation Control/Fire Risk Managed

  Yes

  No

  N/A

• Cement/Concrete

  Yes

  No

  N/A

• Hazardous Substances-MSDS Transport/Storage/Response

  Yes

  No

  N/A

• Observations

• Add photos

  Media

Procedures

• Adequate/Available/Known/Understood

  Yes

  No

  N/A

• Permits in place/Notified works

  Yes

  No

  N/A

• Sufficient level of supervision

  Yes

  No

  N/A

• Observations

• Add photos

  Media

• Oil spill kit on site and is an adequate size

  Yes

  No

  N/A

PPE

• Head, eyes, face and ears

  Yes

  No

  N/A

• Hands, arms, trunk, legs and feet

  Yes

  No

  N/A

• Respiratory System/Other

  Yes

  No

  N/A

• Appropriate for Task

  Yes

  No

  N/A

• Condition of PPE

  Yes

  No

  N/A

• Observations

• Add photos

  Media

Tools and Equipment

• Correct for the job

  Yes

  No

  N/A

• Fit for Use/Tagged/Tested

  Yes

  No

  N/A

• Used Correctly/Safe Condition

  Yes

  No

  N/A

• Ladders used safely

  Yes

  No

  N/A

• Gas Cylinders Restrained

  Yes

  No

  N/A

• Observations

• Add photos

  Media

Vehicles/Plant

• Clean, Tidy Condition

  Yes

  No

  N/A

• Certified/Warranted

  Yes

  No

  N/A

• Observations

• Add photos

  Media

• ADDITIONAL OBSERVATIONS/RECOMMENDATIONS:

• Add photos

  Media

• Auditor Signature

  Sign