1.0 Previous Audit

1.1. Have all outstanding actions from the previous audit been closed out?

2.0 Site Entry/Exit

Does this section relate to the project at the time of this audit?

2.1 Are fences in place and in good condition?

2.2 Is the Universal Corporation project information board installed and up to date?

2.3 Are site signage appropriate and in place?

2.4 Is the site shed identified/accessible and can visitors find it easily?

2.5 Is the Emergency Evacuation Point identified, marked and sign installed if placed outside the fence boundary?

2.6 Can Emergency Services access the site if required?

2.7 Are the Universal's policies listed?

2.8 Is there Fire Equipment located within the compound/site shed?

3.0 Site Amenities / Facilities

Does this section relate to the project at the time of this audit?

3.0 Site Amenities / Facilities
3.1 Lunch Room / Kitchen Facilities

3.1.a. Is the lunchroom clean and in good condition?

3.1.b. Has the lunchroom RCD Box been tagged within the last month?

3.2 Toilets / Bathroom Facilities

3.2.a. Are the toilets clean and in good condition?

3.2.b. Are there adequate supplies available?

3.3 First Aid Facilities

3.3.a. Is there a First Aid kit in place?

3.3.b. Are the First Aid items regularly checked and restocked?

3.3.c. Are the contact details for the First Aider/s on or near the kit?

3.3.d. Is there clean running water available?

4.0 Administration

Does this section relate to the project at the time of this audit?

4.1. All permits (i.e. council, Work Zone/Construction Zone, EPA, Electrical, Confined Space etc) have been obtained and approved for use?

4.2. Is the 'If your're injured' poster on display with the correct contact details?

4.3. Are Evacuation Plans displayed?

4.4 HSEQ Site Folders are in place, set up correctly and being used?

4.5. Have Induction Forms been completed for all persons signed in on day of audit?

4.6. Adequate supervisory arrangements in place?

4.7. Safe Work Method Statements (SWMS) for high- risk work submitted and reviewed?

4.8 Are SWMS specific to the task (not generic)?

5.0 Trenching & Excavation

Does this section relate to the project at the time of this audit?

What is the purpose of the Excavation/Trench works onsite?

5.1. Have all underground services been located?

5.2. Is earth moving plant being used safely?

5.3. Are workers protected from trench collapse?

5.4. Are confined space precautions needed?

5.6. Are people safeguarded from falling into excavations (i.e. webbing/temp fencing barriers installed)?

5.7. Is there safe access to trenches and shafts?

5.8. Is someone else always present when a worker is below ground?

5.9. Is placement of excavated materials/spoil appropriate?

5.10. Is there any evidence of surface cracking?

5.11. Are walkways and bridges in good condition?

6.0 Plant and Equipment

Does this section relate to the project at the time of this audit?

Inspected Plant #

UC - Plant Identification Number:

Plant Type?

6.1. Has operator correctly filled out & completed the Daily Pre-Start Logbook?

6.2. Are 'Owner/Operator Manual' located with plant?

6.3. Is the 'Plant Risk Assessment' available & up to date ?

6.4. Are 'maintenance records' available & up to date?

6.5. Are any incompatible attachments being used with the plant/equipment?

6.6. Does the operator have a copy of the SWMS?

6.7. Operated by trained/licensed person appropriate for that plant?

6.8. Equipment regularly inspected and maintained?

6.10. Are clear work areas/exclusion zones defined?

6.11. Is a flashing beacon fitted to plant in good condition & functioning as designed?

6.12. Is squawker/beeper fitted to plant functioning as designed?

6.13. Cabin in good & clean condition?

6.14. Plant 'Safe Working Load' (SWL) displayed?

Observation (i.e. hazards and/or faults, ) No.

Observation details:

7.0 Electrical Hazards

Does this section relate to the project at the time of this audit?

7.1. Are electrical tools and extension leads in good condition and compliant? (damaged, out of test date or untested)

7.2. Are the RCD's correctly secured and locked?

7.3. Contact with underground assets?

7.4. Contact with overhead electrical lines?

7.5. Overloading outlets?

7.6. Leads placed on ground or touching metal?

7.7. Electrical equipment near water?

7.8. Electrical equipment near flammables?

7.9. Electrical equipment near chemicals that could cause damage?

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

8.0 Cranes / Lifting Equipment

Does this section relate to the project at the time of this audit?

8.1. Has the plant been checked to ensure it is not unsafe or damaged?

8.2. Are loads lifted over persons, close proximity to obstacles incl. overhead power lines?

8.3. Is the lifting equipment in good condition?

8.4. Is the SWL information displayed?

8.5. Is there a daily inspection protocol?

8.6. Have ropes, slings, chains & hooks been checked to ensure they are in good condition?

8.7. Lifting equipment labelled?

9.0 Harness and Equipment

Does this section relate to the project at the time of this audit?

9.1. Unsafe or damaged harness or equipment?

9.2. Incompatible hooks/equipment?

9.3. Unlabelled or does not meet AS?

9.4. Unsafe or uncertified anchor points?

9.5. Lack of inspection protocol for equipment?

9.6. Lack of or inadequate formal training for operators?

10.0 Work Environment & Housekeeping

Does this section relate to the project at the time of this audit?

10.1. Adequate amenities for the amount of workers on site?

10.2. is there clear access throughout the project?

10.3. Is the ground stable and at a condition where it will not present a hazard for anyone working on site?

10.4. Slip/trips hazards addressed?

10.5. Sharp edges capped?

10.6. Is rubbish/debris being removed frequently?

10.7. Trenches and pits are barricaded/shored/battered?

10.8. Is rubbish being stockpiled and not interfering with access?

11.0 Hazardous Manual Handling

Does this section relate to the project at the time of this audit?

12.1. Has hazardous manual handling tasks been identified?

12.2. Has the manual tasks been assessed?

12.3. Risk controls in place (examples: job rotation, lighter loads, trolleys, lifting equipment, etc)?

12.4. Have workers been trained in risk controls and safe lifting/ team lifting techniques?

12.0 Hazardous Chemicals / Dangerous Goods

Does this section relate to the project at the time of this audit?

12.1. Safe storage location (e.g. flammables not near ignition sources, spills entering stormwater drains, etc)?

12.2. Incompatible chemicals not stored near each other?

12.3. Is spill containment equipment required for the chemicals present on site?

Is the spill containment equipment on site?

12.4. MSDS's available on site?

12.5. Emergency procedures for injury/spills/fire etc?

12.6. Excessive quantities stored on site or in vehicles?

12.7. Is there sufficient ventilation?

12.8. Is the correct type of PPE available for the types of chemicals stored on site?

12.9. Suitable storage containers (unlabeled or stored in food containers)?

13.0 Emergency Response

Does this section relate to the project at the time of this audit?

13.1. Is there an emergency plan or procedure for the site?

13.2. Evacuation Point is communicated during the induction?

13.3. Emergency wardens identified and introduced to all personnel?

13.4. Communication equipment working?

13.5. Emergency Numbers are displayed in prominent positions?

14.0 Traffic Management

Does this section relate to the project at the time of this audit?

14.1. Traffic Management Plan (TMP's) in place?

14.2. TMP's communicated to all persons on site (contractors and visitors)?

14.3. TMP's controls in place (physical barriers, bollards, speed limits, flashing lights, spotters, etc)?

15.0 Personal Protective Equipment (PPE)

Does this section relate to the project at the time of this audit?

Are all workers wearing the Following;

15.1. High Visibility Tops?

15.2. Safety Boots?

15.3. Hearing Protection when excessive or prolonged noise is generated?

15.4. Dust Masks when hazardous cutting is being undertaken?

15.5. Eye protection when there is a chance of foreign bodies entering the eyes?

15.6. Is UV protection required?

Is UV protection being used either by sunscreen or by protective clothing?

15.7. Hard hats are worn?

16.0 Environmental Hazards

Does this section relate to the project at the time of this audit?

16.1. Is there an Environmental Management plan (EMP)?

16.2. Adequate, dust suppression system?

16.3. Adequate systems to prevent contaminants entering storm-water drains?

16.4. Are there emergency procedures for injury/spills/fire etc?

16.5. Insufficient ventilation?

16.6. Are current MSDS's (material safety data sheets) for all hazardous materials/chemicals on site and easily accessible?

16.7. Insufficient, and/or incorrect safety equipment/PPE?

16.8. Are workers correctly supervised and trained in the handling of hazardous materials/chemicals?

17.0 Other safety items identified and/or to be addressed.

17.1. Are there any other safety items that need to be addressed which have not been identified in the audit?

Please list other safety items required to be addressed.

Further Observations, Notes & Comments:

Auditors notes / comments

18.0 Complete & Signed Audit

18.1. Project Team Sign Off
Site Supervisor/HSR
18.2. Auditor Sign Off
Auditor
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.