Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Region

  • Contractor/s

  • Job Description

  • Date

  • Time

1. Site Risk Management

  • Is a relevant SWMS available and a Site Risk Assessment (JSA) completed for the work?

  • Has the JSA been signed and dated daily and the SWMS identified?

  • Have sub-contractors (e.g. Traffic Management) been inducted onto the site and signed onto the JSA?

  • Has the Traffic/Pedestrian Management Plan been identified/created and available on site and documented on the JSA?

  • Overall, is the JSA adequate for the worksite?

2. Personnel Protective Equipment

  • Is approved PPE clothing worn and is wrist to ankle coverage maintained?

  • Is approved safety footwear worn?

  • Is other appropriate PPE utilised and in good condition? (e.g. hard hats, hearing and eye protection)?

3. Traffic and Pedestrian Management

  • Has the appropriate Traffic and Pedestrian Management Plan been identified, and does it meet all requirements?

  • Does the actual traffic/pedestrian layout reflect the Traffic/Pedestrian Management Plan?

  • Is pedestrian traffic safely controlled through the worksite?

  • Are traffic signs and devices legible and undamaged?

  • Are suitable barriers provided to protect the public from the work site?

  • Where site is to be left overnight, are adequate protection measures, lighting and night guidance provided?

  • Are traffic management personnel wearing high visibility PPE?

4. Forms/Documentation

  • Is there a job file available on site?

  • Does the job file contain a daily job sheet / work instruction?

  • Does the job file contain an Application for EAP / HV Suppression?

5. Access Authorities

  • Is there a permit on issue for this work and are all sections completed correctly?

  • Is suppression required and if yes, has an Application for HV Suppression been made?

6. Skills and Competency

  • Do all personnel have Passports on site?

  • Is all training and are all authorisations current for the functional role of the Passport holder?

  • Are all personnel licensed/registered for their functional role?

7. Vehicles/Plant

  • Are all plant operators licensed as required?

  • Are logbooks available for all plant on site and have they been maintained appropriately?

  • Are EWPs within the electrical test due date?

  • Are EWPs within the weight test due date?

  • Have pre-start checklists been completed?

  • Are all vehicles on site registered?

  • Are all vehicles/plant within their service range?

  • What is the general condition of the vehicles/plant (cleanliness)?

  • Is all equipment carried on vehicles adequately secured?

  • Is there appropriate identification on contractor vehicles?

8. First Aid

  • Is there an intact First Aid kit?

  • Is the kits location marked on the vehicle?

  • Do the contents appear to be complete, in good condition and within expiry dates

9. Tools and Equipment: Testing and Condition

  • Are sticks and hydraulic saws, in test date (where required)?

  • Are other pieces of equipment e.g. petrol chainsaws operational and in good working order?

10. Environment and Hazardous Goods

  • Are there any chemicals in use and is there a MSDS available for the chemical??

  • Are any hazardous materials and dangerous goods separately stored and labelled?

  • Are environmental risks identified and controlled in the JSA?

  • Are there effective erosion and/or sediment controls in place?

  • Are there any control measures to manage spills and leaks? (e.g. spill kit)

  • Is Bushfire mitigation equipment available? (e.g. knapsack, rakes permit)

11. Working at Heights

  • Is the correct fall prevention equipment used?

  • Are harnesses, pole belts, lanyards and any other fall prevention equipment in test date?

  • Are Rescue Kits available, in test and in position?

  • Are ladders in use in an adequate condition?

  • Are ladders in use setup correctly?

12. Worksite/Work Practices

  • Effective Safety Observers in place?

  • Plant and equipment appropriately set up? (e.g. trucks earthed / bonded, outriggers in use, etc.)

  • Are Safe Approach Distances maintained?

  • Do the crew members have knowledge of cutting cycles/programs, required vegetation clearances and regrowth allowances?

  • Are final cuts in line with AS 4373 Pruning of amenity trees?

  • Are the crew removing unsuitable trees where appropriate and are stumps cut to ground level and poisoned?

  • Are crew aware of process for trees that they are unable to clear to compliance?

  • Have the crew left the work site clean tidy and safe?

  • Is the site tidy with no obvious tripping or other hazards?

  • Comments

  • Overall Audit Rating

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.