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?

  • Are Safety Glasses AS/NZ standard rated?

  • Are Face shield/goggles available and in good condition?

  • Is Sunscreen protection 30+ available for use?

  • 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?

  • Are traffic management personnel wearing high visibility PPE?

4. Forms/Documentation

  • Is there a job file available on site?

  • Is there a current UE AIM available onsite for referencing?

  • 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.

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 there a fire extinguisher available and date test tag current?

  • 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?

  • 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

  • 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

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