Title Page
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Client / Site
-
Region
-
Contractor/s
-
Job Description
-
Date
-
Time
1. Health & Safety Site Risk Management Assessment
-
Has a worksite induction been conducted?
-
Have all work party members including contractors (e.g. Traffic Management) been inducted onto the site and signed onto the JSA?
-
Have all visitors been requested to sign onto the JSA?
-
Have all Hazards & Control measures been identified? (TFB (Permits), Hazardous manual handling activities, (Gloves)etc
-
Has the Traffic/Pedestrian Management Plan been identified/created and available on site and documented on the JSA?
-
Does the JSA cross refernce with any other JSEA on the worksite? E.g. Traffic control.
-
Does the JSA list SWMS numbers?
2. Personnel Protective Equipment
-
Is approved PPE clothing worn and is wrist to ankle coverage maintained?
-
Is high Vis worn?
-
Check Hard Hat issue & in test date.
-
Check condition of safety footwear
-
Is there a sunshade brim available for the hard hat?
-
Are hard working gloves available & in good condition?
-
Work Gloves Neoprene/Chemical available & in good condition?
-
Are Insulating Gloves issued & in test date?
-
Are Safety Glasses AS/NZ standard rated?
-
Are Face shield/goggles available and in good condition?
-
Are Ear Muffs/Plugs issued and in good condition?
-
Is Sunscreen protection 30+ available for use?
-
Is a Sharps container provided?
-
Is respirator/dust mask available & in good condition?
-
Other.
3. Traffic and Pedestrian Management
-
Has the appropriate Traffic and Pedestrian Management Plan been identified, and does it meet all requirements?
-
Does the actual traffic/pedestrian layout reflect the onsite Traffic/Pedestrian Management Plan?
-
Is pedestrian traffic safely controlled through the worksite?
-
Are traffic signs and devices legible and undamaged?
-
Are suitable barriers provided to protect the public from the work site?
-
Where site is to be left overnight, are adequate protection measures, lighting and night guidance provided?
-
Are traffic management personnel wearing high visibility PPE?
4. Forms/Documentation
-
Is there a job file available on site?
-
Does the job file contain a Dial before You Dig information?
-
Is there a current UE AIM available onsite for referencing?
-
Are MSDS's available and less than 5 years old from issue date?
-
Are any permits required to complete works? (Electrical, road, other?)
-
Are there hard copies of Customer notification & defect letters available for issue? (As in Doc UE MA 2620)
-
Is there a vehicle folder and what does it contain? (Auditor to list).
-
If applicable, have fire permits been obtained and issued for use during bushfire season?
-
Is there a weeds and seeds policy & management procedure available onsite?
-
Other.
5. Access Authorities
-
Is there a permit on issue for this work and are all sections completed correctly?
-
Is suppression required and if yes, has an Application for HV Suppression been made?
6. Skills and Competency
-
Do all personnel have Passports on site?
-
Is all training and are all authorisations current for the functional role of the Passport holder?
-
Do all personnel have select Solutions or client ID card available?
-
Are apprentices adequately supervised?
7. Vehicles/Plant
-
Are all plant operators/Drivers licenses current?
-
Are logbooks available for all plant on site and have they been maintained appropriately?
-
Have pre-start checklists been completed?
-
Are all vehicles on site registered?
-
Are all vehicles/plant within their service range?
-
What is the general condition of the vehicles/plant (cleanliness)?
-
Is all equipment carried on vehicles adequately secured?
-
Is there appropriate Co branding identification on contractor vehicles?
8. First Aid
-
Is there an intact First Aid kit?
-
Is the kits location marked on the vehicle?
-
Do the contents appear to be complete, in good condition and within expiry dates?
9. Tools and Equipment: Testing and Condition
-
Are all electrical tools and PETE items within their test date range? E.g. Modiwark, Multimeter.
-
Is all electrical test and measurement equipment in test date?
-
Has any test equipment been modified? (e.g. probes extended)
-
Are LV rubber mats available for use as required?
-
Are masts in test date?
-
Are sticks in test date?
-
Is there a fire extinguisher available and date test tag current?
-
Are the gas bottles within expiry date and stored appropriately?
-
Is the generator in service date?
-
If applicable is there fresh drinking water available onsite?
-
If applicable is there hand washing water available onsite?
10. Environment and Hazardous Goods
-
Are environmental risks and controls identified on the JSA?
-
Are the environmental controls identified on the JSA being implemented on site?
-
Are all fuels and/or chemicals properly marked?
-
Are all fuels and/or chemicals stored in containers that are in good condition (i.e. no leaks present)?
-
If apllicable, are erosion and/or sediment control structures in place and stable?
-
If apllicable, are erosion and/or sediment control structures located between source (i.e. spoil) and receptor (i.e. drain)?
-
If applicable (i.e. if works will take longer than 24hrs), is waste (inc. soil) stored suitably (i.e. sealed, covered, bunded)?
-
Is the waste area well maintained and tidy?
-
If applicable, are dust generating activities (i.e. cutting), being managed correctly i.e. water hoses attached to cutting equipment?
-
Is bushfire mitigation equipment available and ready to use (e.g. knapsack full of water, rakes,)
12. Worksite/Work Practices
-
If applicable is an effective Safety Observer in place?
-
Are Safe Approach Distances maintained?
-
Are appropriate tests being carried out (e.g. Safe to approch, Safe to touch test.)?
-
Is all equipment appropriately rated for primary voltage?
-
Is the site tidy with no obvious tripping or other hazards?
13. Hazards Identified
-
Biological - Potential for harm caused by exposure to biological hazards, e.g. flora , fauna, marine, bacteria, livestock, flu
-
Climate - Potential for harm or damage to equipment/ assets resulting from exposure to an extreme climatic event e.g. drought, fire, flood, winds, rain, snow, lightning, fog
-
Electrical - Potential for harm or damage equipment/ assets resulting from exposure to electrical sources e.g. HV, LV, ELV, induction, static, magnetic fields
-
Manual Handling / Ergonomics - Potential for harm associated with physical stress on the human body i.e. exertion, excessive repetitive movement; poor posture e.g. load handling, bending, twisting, repetitive workplace task
-
Gravity - Potential for harm or damage equipment/ assets resulting from a person/object falling or moving unexpectedly e.g. fall at level / heights/ depth, falling object, slope stability
-
Land / Water - Potential impact on the natural environment due to the use/ management of land / water e.g. modification/change to natural environment, pollution, land closure, vegetation clearing, water diversion
-
Mechanical - Potential for harm or damage to equipment/ assets resulting from exposure to sources of mechanical energy e.g. cutting, grinding, rotating equipment, projectile, pinch point, stored energy
-
Behavioural Actions - Potential for harm to people and equipment/assets associated with undesired behavioural actions e.g. not following policies/procedures, wilful misbehaviour, alcohol/drug use, fatigue, shift work
-
Pressure - Potential for harm to people and equipment/assets associated with the sudden release of a source of pressure e.g. compressed air or gas , hydraulics
-
Radiation - Potential for harm to people and equipment/assets associated with exposure to or contact with radiation waves from either natural or manufactured sources e.g. UV, infrared, X-Ray, laser, radioactive dust
-
Compliance /Cultural - Potential for harm to people and equipment/assets associated with not complying with internal, external & legal expectations and social-cultural expectations e.g. legal, business & stakeholder expectations, economic, cultural heritage
-
Noise - Potential for harm resulting from prolonged exposure to excessive noise e.g. noise from continuous sources & via impact
-
Substances - Potential for harm to occur as a result of exposure to chemicals whose properties are normally controlled e.g. asbestos, lead, SF6, Oils, dust (inhalable/respirable). Refer to chemical Inventory if required
-
Fire / Thermal - Potential for harm or damage to person or equipment/ assets resulting from exposure to fire / hot surfaces e.g. fire from ignition of bush land/ equipment, explosion, combustible materials, gas / acetylene torches
-
Vehicle / Transport - Potential for harm or damage to person or equipment/ assets resulting from the use/operation of vehicles or any mode of transpiration e.g. vehicles, aircraft, construction and maintenance vehicles including cranes and forklifts
-
Waste - Potential impact on the environment due to the inadequate management/disposal of waste e.g. hazardous/prescribed waste (e.g.: asbestos, oil, contaminated water), non hazardous waste, office paper/cardboard, biological
-
Work Environment - Potential for harm resulting from hazards associated with workplace conditions e.g. housekeeping, inadequate design, impact to pedestrian (broken ground, slippery conditions, demarcation), ventilation, confined space, travel health
-
Comments
-
Overall Audit Rating
- 1
- 1.5
- 2
- 2.5
- 3
- 3.5
- 4
- 4.5
- 5
- 5.5
- 6
- 6.5
- 7
- 7.5
- 8
- 8.5
- 9
- 9.5
- 10