Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add media

1. Working at Heights

  • 1.1. Fall risks of 2m or more? (including voids, pits, and trenches)

  • 1.2. Lack of edge protection?

  • 1.3. Unsafe or incomplete edge protection?

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 LOTO procedures for cleaning, servicing and maintenance?

  • 2.8. Lack of inspection regime?

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. Has the mobile scaffold erection been approved by Dan Miller?

4. Swing Stage/Abseil/EWP

  • 4.1 Are all workers tickets/Permits up to date and in folder?

  • 4.2 Have all checklists been filled out correctly?

  • 4.3 Are all exclusion zones locked and completed correctly?

  • 4.4 Status/Condition of swing stage - Add Comment

  • 4.5 Unsuitable or inadequate communication equipment?

5. Harness and Equipment

  • 5.1. Unsafe or damaged harness or equipment?

  • 5.2. Incompatible hooks/equipment?

  • 5.3. Unlabelled or does not meet AS?

  • 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?

7. Hazardous Manual Tasks

  • 7.1. Lack of identification hazardous manual tasks? (Safety Training and Manual Handling Handout)

  • 7.2. Lack of assessment of hazardous manual tasks? (Manual Handling Questionnaire)

  • 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?

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 and not in safety folder?

  • 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? (Bunding required?)

9. Emergency Response

  • 9.1. Lack of, or no emergency plans for site, In safety folder and site office/shed wall?

  • 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?

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. Are all Usher and Son employees wearing the correct uniforms and are neatly presented?

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?

13. Electrical Hazards

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

  • 13.2. Lack of RCD protection?

  • 13.3. Electrical register filled out in safety folder and up to date?

  • 13.5. Contact with overhead electrical lines?

  • 13.6. Overloading outlets?

  • 13.7. Leads placed on ground or on metal structures?

  • 13.8. Electrical equipment near water?

  • 13.9. Electrical equipment near flammables?

  • 13.10. Electrical equipment near chemicals that could cause damage?

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

  • 13.12. Electrical leads on work surfaces?

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 Environmental wash out facility on site?

15. Methodology and Quality of work

  • 15.1. Is the correct Usher and Son methodology being undertaken on site? <br>

  • 15.2. Is the quality of work to the high level of Usher and Son standards.

16. Administrative Procedures

  • 16.1. Lack of/or inadequate Site Safety Plan?

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

  • 16.3. Is the client's program on site?<br>When was the last revision?<br>Is it behind program?

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

  • 16.5. Lack or, or inadequate, supervisory arrangements?

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

  • 16.7. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  • 16.8. Lack of, or inadequate system to review SWMS as needed? Are the SWMS up to date?

  • 16.9. Lack of SWMS signatory of all Usher and Son employees/management on site?

  • 16.10. Lack of/or inadequate incident notification procedures?

  • 16.11. Lack of, or inadequate, routine inspections, monitoring, audits?

  • 16.12. Lack of/or inadequate subcontractor/ safety committee meetings held by the builder/principle contractor?

  • 16.13. Is there a site Safety Representative?

17. Ladders/Trestles

  • 17.1. Unsafe or damaged ladders?

  • 17.2. Unsafe positioning of ladders?

  • 17.3. Ladder not properly secured?

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

Immediate/Urgent Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Add signature

  • Are budget hours on the shed wall

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.