Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Client / Site
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Region
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Contractor/s
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Job Description
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Date
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Time
1. Health & Safety Site Risk Management Assessment
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Has a worksite induction been conducted?
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Have all work party members including contractors (e.g. Traffic Management) been inducted onto the site and signed onto the JSA?
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Have all visitors been requested to sign onto the JSA?
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Have all Hazards & Control measures been identified? (TFB (Permits), Hazardous manual handling activities, (Gloves)etc
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Has the Traffic/Pedestrian Management Plan been identified/created and available on site and documented on the JSA?
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Does the JSA cross refernce with any other JSEA on the worksite? E.g. Traffic control.
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Does the JSA list SWMS numbers?
2. Personnel Protective Equipment
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Is approved PPE clothing worn and is wrist to ankle coverage maintained?
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Is high Vis worn?
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Check Hard Hat issue & in test date.
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Check condition of safety footwear
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Is there a sunshade brim available for the hard hat?
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Are hard working gloves available & in good condition?
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Are Safety Glasses AS/NZ standard rated?
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Are Face shield/goggles available and in good condition?
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Is Sunscreen protection 30+ available for use?
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Is respirator/dust mask available & in good condition?
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Other.
3. Traffic and Pedestrian Management
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Has the appropriate Traffic and Pedestrian Management Plan been identified, and does it meet all requirements?
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Does the actual traffic/pedestrian layout reflect the onsite Traffic/Pedestrian Management Plan?
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Is pedestrian traffic safely controlled through the worksite?
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Are traffic signs and devices legible and undamaged?
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Are suitable barriers provided to protect the public from the work site?
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Are traffic management personnel wearing high visibility PPE?
4. Forms/Documentation
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Is there a job file available on site?
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Is there a current UE AIM available onsite for referencing?
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Are there hard copies of Customer notification & defect letters available for issue? (As in Doc UE MA 2620)
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Is there a vehicle folder and what does it contain? (Auditor to list).
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If applicable, have fire permits been obtained and issued for use during bushfire season?
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Is there a weeds and seeds policy & management procedure available onsite?
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Other.
6. Skills and Competency
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Do all personnel have Passports on site?
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Is all training and are all authorisations current for the functional role of the Passport holder?
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Do all personnel have select Solutions or client ID card available?
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Are apprentices adequately supervised?
7. Vehicles/Plant
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Are all plant operators/Drivers licenses current?
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Are logbooks available for all plant on site and have they been maintained appropriately?
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Have pre-start checklists been completed?
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Are all vehicles on site registered?
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Are all vehicles/plant within their service range?
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What is the general condition of the vehicles/plant (cleanliness)?
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Is all equipment carried on vehicles adequately secured?
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Is there appropriate Co branding identification on contractor vehicles?
8. First Aid
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Is there an intact First Aid kit?
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Is the kits location marked on the vehicle?
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Do the contents appear to be complete, in good condition and within expiry dates?
9. Tools and Equipment: Testing and Condition
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Are all electrical tools and PETE items within their test date range? E.g. Modiwark, Multimeter.
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Is there a fire extinguisher available and date test tag current?
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If applicable is there fresh drinking water available onsite?
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If applicable is there hand washing water available onsite?
10. Environment and Hazardous Goods
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Are environmental risks and controls identified on the JSA?
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Are the environmental controls identified on the JSA being implemented on site?
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Is bushfire mitigation equipment available and ready to use (e.g. knapsack full of water, rakes,)
12. Worksite/Work Practices
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If applicable is an effective Safety Observer in place?
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Are Safe Approach Distances maintained?
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Are appropriate tests being carried out (e.g. Safe to approch, Safe to touch test.)?
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Is all equipment appropriately rated for primary voltage?
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Is the site tidy with no obvious tripping or other hazards?
13. Hazards Identified
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Biological - Potential for harm caused by exposure to biological hazards, e.g. flora , fauna, marine, bacteria, livestock, flu
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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
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Electrical - Potential for harm or damage equipment/ assets resulting from exposure to electrical sources e.g. HV, LV, ELV, induction, static, magnetic fields
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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
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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
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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
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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
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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
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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
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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
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Noise - Potential for harm resulting from prolonged exposure to excessive noise e.g. noise from continuous sources & via impact
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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
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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
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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
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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
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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
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Comments
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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