1. Working at Heights

1.1. Fall risks? (including voids, pits, and trenches)

1.2. Lack of edge protection?

1.3. Unsafe or incomplete edge protection?

Section Score (1 non compliant - 10 Fully Compliant)
2. Plant and Equipment

2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)

2.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)

2.3. Unsafe or incompatible attachments used with plant/equipment?

2.4. Unlicensed operators?

2.5. Lack of safe work instructions?

2.6. Lack of training in safe operation, clean-up and maintenance?

2.7 Lack of inspection regime?

Section Score (1 non compliant - 10 Fully Compliant)
3. Scaffolds

3.1. Unlicensed persons erecting scaffold above 4m?

3.2. Unsafe or incomplete scaffold?

3.3. Lack of inspection protocol for scaffold?

3.4. Incompatible scaffold components? Unlabelled or do not meet AS?

3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

3.6 Trestles and bandstands assembled correctly (including edge protection)

Section Score (1 non compliant - 10 Fully Compliant)
4. Lifting Equipment

4.1. Unsafe or damaged plant?

4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

4.3. Lack of maintenance, testing and inspection?

4.4. Lack of SWL information displayed?

4.5. Lack of daily inspection protocol?

4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

4.7. Lifting equipment unlabelled, does not meet AS, no SWL displayed?

4.8. Unlicensed operators?

4.9. Lack of LOTO procedures for cleaning, servicing and maintenance?

4.10. SWL of plant or any lifting equipment exceeded?

Section Score (1 non compliant - 10 Fully Compliant)
5. Harness and Equipment

5.1. Unsafe or damaged harness or equipment?

5.2. Incompatible hooks/equipment?

5.3. Unlabelled or does not meet required standard or inspection frequency

5.4. Unsafe or uncertified anchor points?

5.5. Lack of inspection protocol for equipment?

5.6. Lack of or inadequate formal training for operators?

Section Score (1 non compliant - 10 Fully Compliant)
6. Ladders

6.1. Unsafe or damaged ladders?

6.2. Unsafe positioning of ladders?

6.3. Ladder not properly secured?

6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

Section Score (1 non compliant - 10 Fully Compliant)
7. Manual Handling

7.1. Lack of identification hazardous manual handling tasks?

7.2. Lack of assessment of hazardous manual handling tasks?

7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

Section Score (1 non compliant - 10 Fully Compliant)
8. Hazardous Chemical (including fuel and oil)

8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

8.2. Incompatible chemicals stored near each other?

8.3. Inadequate spill containment equipment?

8.4. Safety Data Sheets not accessible on site?

8.5. Lack of emergency procedures for injury/spills/fire etc?

8.6. Excessive quantities stored on site or in vehicles?

8.7. Insufficient ventilation?

8.8. Insufficient, or incorrect, PPE?

8.9. Unsuitable storage containers? (unlabeled or stored in food containers)

Section Score (1 non compliant - 10 Fully Compliant)
9. Emergency Response

9.1. Lack of, or no emergency plans for site?

9.2. Emergency procedures not displayed at site?

9.3. Lack of training and rehearsal of emergency plans?

9.4. Lack of, or inadequate first aid kits aid equipment for site?

9.5. Insufficient access to formally trained First Aiders for all shifts?

9.6. Unsuitable or inadequate communication equipment?

9.7 Accidents reported since last visit?

Section Score (1 non compliant - 10 Fully Compliant)
10. Traffic Management

10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?

10.2. Lack of training in TMP for all persons on site?
(contractors and visitors)

10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

Section Score (1 non compliant - 10 Fully Compliant)
11. Personal Protective Equipment (PPE)

11.1. Lack of, or inadequate PPE (including sun protection)

11.2. Lack of system to issue, inspect, replace and monitor PPE?

11.3. Lack of training in safe use, clean-up and inspection of PPE?

Section Score (1 non compliant - 10 Fully Compliant)
12. Work Environment

12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

12.2. Insufficient lighting?

12.3. Inadequate housekeeping?

12.4. Lack of, or inadequate noise/ vibration control?

Section Score (1 non compliant - 10 Fully Compliant)
13. Electrical Hazards

13.1. Unsafe electrical leads? (damaged, out of test date or untested)

13.2. Lack of RCD protection?

13.3. Contact with underground assets?

13.4. Contact with overhead electrical lines?

13.5. Overloading outlets?

13.6. Leads placed on ground or on metal structures?

13.7. Electrical equipment near water?

13.8. Electrical equipment near flammables?

13.9. Electrical equipment near chemicals that could cause damage?

13.10. Electrical leads that may be damaged from contact with moving machinery parts?

13.11. Electrical leads on work surfaces?

13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

Section Score (1 non compliant - 10 Fully Compliant)
14. Environmental Hazards

14.1. Lack of/or inadequate Environmental Management plan (EMP)?

14.2. Lack of/or inadequate, dust suppression system?

14.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

14.4. Lack of water re-use systems?

Section Score (1 non compliant - 10 Fully Compliant)
15. Administrative Procedures

15.1. Lack of/or inadequate Site Safety Plan?

15.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

15.3. Lack of, or inadequate, induction for workers, contractors, visitors?

15.4. Lack or, or inadequate, supervisory arrangements?

15.5. Lack of/or inadequate training, licenses, skills, experience?

15.6. Lack of/or inadequate method statements or risk assessments.

15.7. Lack of, or inadequate system to review SWMS as needed?

15.8. Lack of/or inadequate incident notification procedures?

15.9. Lack of, or inadequate, routine inspections, monitoring, audits?

15.10. Lack of/or inadequate consultative arrangements?

15.11 Fortnightly toolbox talk conducted and recorded?

Section Score (1 non compliant - 10 Fully Compliant)
16. Fire Safety

16.1 compliant with LPC Code of Practice for Fire Safety on Construction Sites

16.2 Fire risk assessment in place?

16.3 Fire extinguishers appropriately positioned?

16.4 Extinguishers serviced and within inspection date?

16.5 Hot works system in place and working effectively?

Section Score (1 non compliant - 10 Fully Compliant)
Corrective Actions

Enter any corrective actions that will be undertaken

Sign Off
On site representative
Auditor's signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.