VE Reticulation HSE Compliance Audit

• Project Name

• Conducted on

  Date

• Prepared by

• Location
  Address

Documentation

• Index to OHS File<br>

  Yes

  No

  N/A

• Scope of Work

  Yes

  No

  N/A

• Notification of Construction Work

  Yes

  No

  N/A

• 37.2 Agreement

  Yes

  No

  N/A

• Contractor Appointment CR 5 (1) (k)

  Yes

  No

  N/A

• Client OHS Specifications

  Yes

  No

  N/A

• Letter of Good Standing

  Yes

  No

  N/A

• OHS Plans

  Yes

  No

  N/A

• Method Statements

  Yes

  No

  N/A

• Risk Assessments

  Yes

  No

  N/A

• Emergency Response Plans

  Yes

  No

  N/A

• Emergency Numbers

  Yes

  No

  N/A

• OHS Policies

  Yes

  No

  N/A

• Organizational Chart

  Yes

  No

  N/A

• Medical Certificates

  Yes

  No

  N/A

• CV's & Competency

  Yes

  No

  N/A

• Site Induction

  Yes

  No

  N/A

• Accident/ Incident Management

  Yes

  No

  N/A

• Access, Traffic Control & Public Safety Management

  Yes

  No

  N/A

• Permits

  Yes

  No

  N/A

• DSTI & SWP's

  Yes

  No

  N/A

• Toolbox Talks

  Yes

  No

  N/A

Legal appointments

• Company CEO. 16 (1)

  Yes

  No

  N/A

• Contract Manager. 16 (2)

  Yes

  No

  N/A

• Construction Manager. CR 8 (1)

  Yes

  No

  N/A

• Construction Supervisor. CR 8 (7)

  Yes

  No

  N/A

• Risk Assessor. CR 9

  Yes

  No

  N/A

• Fall Protection Plan Developer. CR 10

  Yes

  No

  N/A

• HSE Officer. CR 8 (5)

  Yes

  No

  N/A

• Health and Safety Representative. Section 17 0f OHSA

  Yes

  No

  N/A

• Health and Safety Committee Member. Section 19

  Yes

  No

  N/A

• Incident Investigator. GAR 9

  Yes

  No

  N/A

• Emergency Coordinator. GSR 3

  Yes

  No

  N/A

• First Aiders. GRS 3

  Yes

  No

  N/A

• Fire Prevention Officer. CR 29

  Yes

  No

  N/A

• Fire Fighting Equipment Inspector. CR 29

  Yes

  No

  N/A

• Hazardous Chemical Substance Supervisor. HSCR

  Yes

  No

  N/A

• Ladder Inspector. GSR 13 (a)

  Yes

  No

  N/A

• Excavation Supervisor. CR 13 (1)

  Yes

  No

  N/A

• Electrical Installations Supervisor. CR 24

  Yes

  No

  N/A

• Electrical Machinery Inspector. CR 24 (e)

  Yes

  No

  N/A

• Hand Tool Inspector

  Yes

  No

  N/A

• Scaffold Supervisor. CR 16 (2)

  Yes

  No

  N/A

• Scaffold Erector. CR 16 (2)

  Yes

  No

  N/A

• Scaffold inspector. CR 16 (2)

  Yes

  No

  N/A

• Temporary Work Supervisor. CR 12 (a)

  Yes

  No

  N/A

• Temporary Work Inspector. CR 12 (e) & (f)

  Yes

  No

  N/A

• Temporary Work Designer. CR 12 (e) & (f)

  Yes

  No

  N/A

• Construction Vehicle Operator. CR 23 (d)

  Yes

  No

  N/A

• Construction Vehicle Inspector. CR 23

  Yes

  No

  N/A

• Supervision of Machinery. GMR 2 (1)

  Yes

  No

  N/A

• Stacking and Storage Supervisor. CR 28 (a)

  Yes

  No

  N/A

• Suspended Platform Operator. CR 17

  Yes

  No

  N/A

• Suspended Platforms Supervisor and Inspector. CR 17

  Yes

  No

  N/A

• Welding and Flame cutting Supervisor. GSR 9

  Yes

  No

  N/A

• Concrete mixer Operator and Inspector. GMR 4

  Yes

  No

  N/A

• Lifting Equipment Operator. DMR 18

  Yes

  No

  N/A

• Lifting Equipment Inspector. DMR 18

  Yes

  No

  N/A

• Lifting Equipment Supervisor. DMR 18

  Yes

  No

  N/A

• Banksman, Rigger and Slinger. GMR 4

  Yes

  No

  N/A

• Material Hoist Operator. CR 19 (6)

  Yes

  No

  N/A

• Material Hoist Inspector. CR 19 (8)

  Yes

  No

  N/A

• Safety Harness Inspector. CR 10 (2) (d)

  Yes

  No

  N/A

• Rope Access Supervisor. CR 18 (a)

  Yes

  No

  N/A

• Rope access Operator. CR 18 (c)

  Yes

  No

  N/A

• Covid-19 Compliance Officer. DMA 27 (2)

  Yes

  No

  N/A

• Covid-19 Compliance Manager. C (19) OSHA

  Yes

  No

  N/A

Inspections and registers

• Construction Vehicle

  Yes

  No

  N/A

• Mobile Crane

  Yes

  No

  N/A

• Earth Leakage

  Yes

  No

  N/A

• Electrical Installation

  Yes

  No

  N/A

• Electrical Equipment

  Yes

  No

  N/A

• Excavations

  Yes

  No

  N/A

• Fall Protection Equipment

  Yes

  No

  N/A

• Safety Harness

  Yes

  No

  N/A

• Fire Fighting Equipment

  Yes

  No

  N/A

• First Aid Box

  Yes

  No

  N/A

• Temporary Works

  Yes

  No

  N/A

• Hand Tools

  Yes

  No

  N/A

• Hazardous Chemical Substances

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Stacking and Storage

  Yes

  No

  N/A

• Ladders

  Yes

  No

  N/A

• Lifting Equipment

  Yes

  No

  N/A

• Office Equipment

  Yes

  No

  N/A

• Machinery Safety Inspection

  Yes

  No

  N/A

• Materials Hoist

  Yes

  No

  N/A

• Scaffolding

  Yes

  No

  N/A

• Forklift

  Yes

  No

  N/A

• Barricading

  Yes

  No

  N/A

• Hygiene

  Yes

  No

  N/A

• PPE

  Yes

  No

  N/A

• Facilities Management (male/ female)

  Yes

  No

  N/A

OHS Inspections & Audits

• PC

  Yes

  No

  N/A

• Client/ OHS Agent

  Yes

  No

  N/A

• Safety Rep Report

  Yes

  No

  N/A

Site Walk Visual Inspection

• Emergency telephone numbers displayed on site?

  Yes

  No

  N/A

• Emergency assembly point identified and sign displayed?

  Yes

  No

  N/A

• Are required safety notices and signs displayed on site? Warning signs, information signs and instruction signs?

  Yes

  No

  N/A

• Sufficient drinking water provided by the employer?

  Yes

  No

  N/A

• Sufficient toilet facilities available on site, both male and female if required?

  Yes

  No

  N/A

• All plant, equipment, tools in safe working order?

  Good

  Fair

  Poor

  N/A

• Required road safety notices, signs displayed at work area?

  Yes

  No

  N/A

• Good housekeeping, site clean and no waste or unused items lying around? No wood with protruding nails, items causing tripping hazards?

  Yes

  No

  N/A

• Site work areas, excavations correctly barricaded?

  Safe

  At Risk

  N/A

• Unsafe practices observed on site?

  Safe

  At Risk

  N/A

• Employees wearing required PPE?

  Compliant

  Non-Compliant

  N/A

Legal Requirements

• Is the current OHS act available

  Yes

  No

  N/A

• Are all the applicable regulations available

  Yes

  No

  N/A

• Designs/ Drawings

  Yes

  No

  N/A

• Record Keeping Management (Audits, Inspections)

  Yes

  No

  N/A

• File approved

  Yes

  No

  N/A

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• Name & Surname:

  Sign

• Name & Surname:

  Sign

• Date:

  Date