UTAS Contractor WHS Observation V2

• Document No.

WHSO - Contractor WHS Observation

• Audit Title: example of entry ( WHSO for WO 345673 )

• Client: example of entry ( Sparks Electrical Pty Ltd )

• Building and Campus / Site:

• Conducted on

  Date

• Audit Undertaken by:

  Select Barry Russell Alan Mason Troy Finearty Mark White Roger Wallis Greg Chandler Andrew Southorn Mike Bird Other Person

  • Barry Russell
  • Alan Mason
  • Troy Finearty
  • Mark White
  • Roger Wallis
  • Greg Chandler
  • Andrew Southorn
  • Mike Bird
  • Other Person

• if Other Person, then enter name in the space below:

• Contractors Personnel in Attendance:

1) Access, Egress & Housekeeping

• - Access and egress to work area is clear of obstruction and easily defined
  - Work areas are orderly and free from trip hazards (e.g. tools and rubbish)
  - Materials are stored in a neat and orderly state
  - General work area is clear of trip hazards and any rubbish or off-cuts
  - Waste bins are available for use and not overflowing, correctly used
  - Entry signs (if required) are located at appropriate locations to work area

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? if Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

2) Behaviour & Work Habits

• - Workers and assisting persons are wearing mandatory PPE
  - Workers are wearing task specific PPE as required
  - Worker are not taking any obvious risks
  - Workers are using the right tools for the task at hand

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

3) SQE Risk Management

• - All workers have been inducted
  - Take 5 assessment has been appropriately completed
  - SWMS documentation available for high risk tasks
  

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

4) Excavation & Trenching

• - The CSD Contact Officer has approved any Excavation/ Trenching/ Ground breaking / Penetrating work activities
  - Trench walls are appropriate battered, benched or shored
  - Spoil Stock piles are placed appropriate distance from edge
  - Barricades, fencing securing excavation adequate to prevent people from entering the immediate work area
  - Underground services identified, positively marked and isolated where possible
  - Safe means of access and egress maintained (ladders, stairs or ramps for excavations greater than 1.5m in depth.
  - Daily inspections carried out for all excavations over 1.5 metres in depth
  

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

5) Mobile Powered Plant

• - Daily Inspection completed and any faults recorded
  - SWMS documentation completed and available
  - Beacons and motion alarms are operational
  - Plant operations are appropriately isolated or separated from adjacent work activities
  - Spotter is in place for plant operations where plant operation can not be controlled by barricades or fencing
  - Plant operators are not operating when using a mobile phone
  - Operator holds applicable license / competency andcompetency has been verified
  - Plant has fire extinguisher
  - Appropriate traffic control signage in place
  - Overhead services and structures identified with appropriate control measures implemented to prevent collision by plant and vehicles
  - Pedestrian / vehicle crossing points clearly identified and controlled
  - Loading/unloading zones clearly delineated with controls to prevent unauthorised access
  - Effective communication between plant operators and ground controllers
  - Keys removed from plant when not in use

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

6) Tools & Equipment

• - Tools and Equipment are appropriate for the task being undertaken and free from obvious damage
  - Oxy / acetylene sets have flash back arresters fitted
  - Fixed / retractable blade knives are not being used (Stanley Knives)
  - Plant Fire Extinguishers have been tested tested in previous 6 months

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

7) Lifting Equipment & Operations

• - Lifting Equipment is appropriate to the task and ready to use
  - Lifting device is tagged / identified with SWL / WLL
  - Dogman / Rigger holds the relevant competency and has been verified
  - Cranes/lifting appliances regularly inspected, certified, tested and maintained.
  - Pre-start inspection and/or function test completed
  - Physical barriers and/or other suitable controls in place to exclude unauthorised persons from lifting operations.
  - No loads lifted or suspended over people or walkways
  - Ground conditions assessed with controls in place to stabilise equipment
  - Tag lines used on loads which are liable to swing whilst being hoisted
  - All rigging equipment kept in good order and condition and defective gear replaced or tagged and marked for repair.

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

8) Electrical & Lighting

• - Equipment is tagged and in test date
  - RCD is fitted to mains supply or portable generators in use
  - Leads are run out correctly off the ground and supported on insulated stands or hooks
  - No lead extends > 35 meters and are fitted with clear shrouded plugs with LED indicator
  - Access and / or task lighting is adequate and work lights have protective cage or diffuser
  - Electrical supply panels fixed and secured to prevent unauthorised access. RCD and circuit breakers locked
  - No piggybacking or double adapters

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

9) Hot Works & Welding

• - Hot Works Permit is current and available
  - Suitable fuel reduction and fire fighting provisions in place
  - Oxy and other bottles stored up right and secured
  - Oxy / Act bottles on trolley with flash back arrestors at bottle & torch + extinguisher
  - Welding signs are set out in appropriate locations

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

10) Working Platforms & Fall Protection

• - Incomplete scaffold sign posted
  - Scaffold tied in at regular intervals or mobile assembled correctly using check sheet
  - Toe boards fitted when > 2m high
  - Scaffold have base-plate or screw jacks
  - Scaffolds adequately braced
  - No gaps > 225mm between perimeter edge and scaffold. <6m metres from rail (fibre glass)
  - Edges are appropriately delineated and barricaded
  - Edge protection in place is appropriate for the protection required
  - Penetrations are covered, secured and handrailed with applicable signage
  - Platform ladders in good condition, Industrial rated (120kg) and set up correctly

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

11) Work at Heights

• - Personnel working at height are using the correct fall prevention equipment
  - Fall restraint / arrest equipment is certified and in date
  - Method of working at height follows the Hierarchy of Controls for working at height
  - Work at Height Permit has been issued and is in date
  - Work at Height / EWP Rescue Plan has been developed for the works
  - Personnel conducting work at height have been trained (within previous 2 years)
  - Penetrations, shafts and risers protected to prevent the fall of people and material. Covers must be robust, securely fastened and identified (signage)
  - Grid mesh or flooring material installed as per design requirements, secured at all stages of installation, and regularly inspected.
  - Roof mesh is not used as a primary means of fall protection.
  

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

12) Chemical & Dangerous Goods

• - MSDS documentation available on site
  - Hazardous Substances are stored correctly
  - Flammable substances stored in bundled area
  - Spill Kit is available at the work location
  - No evidence of spills

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

13) Environmental Management

• - Controls in place where there is a risk of pollution of waterways
  - Erosion and sedimentation controls in good working order
  - No evidence of polluted water or other substances leaving the work area

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

13) Emergency Procedures

• - Workers aware of evacuation procedures
  - Workers aware of First Aid Kit locations
  - First aid kits accessible and checked and re- stocked regularly
  - First aid posters displayed and contact details listed
  - First aid areas kept clean and tidy
  - Eye wash facilities available if required
  

• Are there issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category ? If Yes then list below.

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

Audit Sign Off

For UTAS:

• Select the Name of the person who completed the audit for UTAS. Then select "Sign"

  Select Barry Russell Alan Mason Troy Finearty Mark White Roger Wallis Greg Chandler Andrew Southorn Mike Bird Other Person

  • Barry Russell
  • Alan Mason
  • Troy Finearty
  • Mark White
  • Roger Wallis
  • Greg Chandler
  • Andrew Southorn
  • Mike Bird
  • Other Person

• if Other Person , then enter name in the space below who undertook the asudit and then select "Sign"

• UTAS auditor Signoff.

  Sign

For the Contractor:

• Contractors Representative Signoff. The following person, being a duly authorised representative of the contracting company, acknowledges the issues and actions required that are contained in this audit and will respond in an accountable manner to rectify the issues.

• Add name below and then "Sign"

  Sign