Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Project

  • Viscose/Job #:

  • VPL Site Manager

  • Contractor

  • Activity Being Undertaken

General

  • Risk assessment completed & offered for review prior to allowing access to site

  • Hazardous Substance Register completed and related MSDS's on site

  • Plant & Equipment Register complete and on site

  • Measuring & Test Equipment Calibration Register complete and on site

  • Incident Report Register on site and up to date

  • VPL/Chorus ID Current and Available

  • PPE selected and used adequate for activity and environmental hazards present.

  • SWMS available, and current, for all high risk construction activities

Worksite Management

  • General work site set up

  • Vehicle parked safely

  • Manhole guards/ safety barriers / signage adequate and in place

  • Work area (incl footpaths & roadway) clear and free from debris, rubbish and obstruction.

  • Slips / trips hazards managed

  • Unattended excavations backfilled, plated or fenced.

  • SNAG
  • Snag Description

  • Add media

Traffic Management

  • Does work site conform to approved TMP? Including unattended sites

  • Evidence of TTM training - TC/STMS on site

  • Pedestrian & vehicular traffic flowing freely & Safely

  • SNAG
  • Snag Description

  • Add media

Electrical Safety

  • Electrical equipment tested & tagged (leads, RCD , power tools)

  • Appropriate use of and site set up (RCD plugged direct into 230v supply, leads protected)

  • EPR mat in use if in EPR Zone

  • SNAG
  • Snag Description

  • Add media

Environmental Management

  • Global Tree Consent available on site

  • Site Specific Tree Plan on site and signed off by Authority

  • Noise / dust management

  • Spill response plan understood

  • Spoil containment & removal (including stock piles) managed

  • Stormwater sediment traps & gutter guards for water run-off in place

  • Concrete waste managed

  • Sediment Laden water management (Pump to grass or sucker truck)

  • SNAG
  • Snag Description

  • Add media

Fibre Jointing

  • Set up - lighting

  • Set up - ergonomics

  • Sharps & off cuts managed

  • SNAG
  • Snag Description

  • Add media

Work At Heights

  • Is the ladder appropriate for the job and in good condition?

  • Is the ladder in a safe working position and secured top and bottom (4:1)

  • Is ladder adequately supervised

  • Evidence that the pole been tested

  • Are safe clearances being observed

  • SNAG
  • Snag Desription

  • Add media

Hot Work

  • LPG bottle secured, if applicable

  • Use of flame retardant blanket / protection

  • Access to water (for immediate response to burn injury )

  • SNAG
  • Snag Description

  • Add media

Confined Space Entry

  • Evidence of Confined Space Training

  • Evidence of Risk Assessment, Confined Space Entry training, First Aid training & Emergency Plan (Permit)

  • Standby person in use and Confined Spaces trained?

  • Barriers in use and adequate

  • Type 4 Gas Detector being used correctly & calibrated

  • Harness system in good condition, tag current and in use as required by emergency response plan

  • SNAG
  • Snag Desription

  • Add media

Asbestos

  • Asbestos Identified and Managed

  • Disposal process understood and adhered to

  • SNAG
  • Snag Description

  • Add media

Excavation and Drilling

  • Excavation and drilling permit completed and available

  • Close approach consent obtained and available (when excavating near electrical poles)

  • All requirements of permit/s compliant

  • For excavation deeper than 1.5 meters, department of Labour notified

  • Adequate ground support system in place

  • Documented daily inspection of all ground support systems, for excavations over 1.5 meters available on site.

  • Spoil located a safe distance from the excavation

  • SNAG
  • Snag Description

  • Add media

Plant Management

  • Operator holds required endorsement

  • Plant Prestart inspection completed and available for reference.

  • Plant has been inspected and approved for use on VPL Sites

  • Close proximity permit available on site when working within 4 meters of overhead lines

  • Suitable no-go zone established and maintained from plant

  • Add media

  • Required Corrective/Preventative Actions:

  • Agreed date of completion:

  • Person Inspecting

  • Contractor Responsible on Site

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.