Veolia site Inspection

• Location
  Address

• Conducted on

  Date

• Prepared by

• Person/s consulted during the inspection.

1 Use this checklist to carry out an inspection of a site or area. 2 All comments must define what is to be done , by when and be allocated to a person.

INDUCTION

• All Inductions complete for onsite personnel ?

  Yes

  No

  N/A

• Sign in completed for for contractors and visitors currently on site ?

  Yes

  No

  N/A

Pre-Start checks and Risk Assessments

• Take 5s are being undertaken ?

  Safe

  At Risk

  N/A

• Hazard identification is evident and appropriate controls are in place eg Correct PPE , Signs , Cones / Cone Bars , Barriers ?

  Yes

  No

  N/A

• Risk Register on site maintained and reviewed to ensure all tasks are captured ?

  Yes

  No

  N/A

• Equipment & Vehicle pre-inspection checklist completed ?

  Yes

  No

  N/A

• JSEA completed and Signed on by all workers demonstrating hierarchy of controls ?

  Yes

  No

  N/A

• Work place set up as per JSEA ?

  Yes

  No

  N/A

• Workers are following JSEA ?

  Yes

  No

  N/A

Test and TAg

• Electrical equipment inspected and tagged , list the date of last inspection ?

  Yes

  No

  N/A

• Are there any damaged leads or electrical equipment ? Are they quarantined ?

  Yes

  No

  N/A

• Power marked in orange

  Yes

  No

  N/A

• Are all electrical distribution boards securely locked at all time ?

  Yes

  No

  N/A

• Are all machines guarded and in safe working condition as per the relevant New Zealand standard ?

  Yes

  No

  N/A

• Emergency stop accessible and in working order ?

  Yes

  No

  N/A

• All lifting and working at heights equipment is listed on a register and is currently within the required inspection time-frame ? list the date of the last inspection List Date in Comments Section

  Yes

  No

  N/A

• Safe working load noted on plant used for lifting onsite and current certification up to date ( plant can mean any lift points, mezzanine floors, pallet racks and overhead, cranes. ) list last date of inspection in comments section.

  Yes

  No

  N/A

Isolation's - Lock out

• LOTO Process observed<br>- Permit understood, completed and signed on<br>- Personnel locking out has been trained<br>- Locks are locked<br>

  Yes

  No

  N/A

Personal protective equipment

• correct PPE provided and PPE Register maintained.

  Yes

  No

  N/A

• PPE worn correctly and in good condition.

  Yes

  No

  N/A

• Is PPE signage clearly visible upon entry to the site and work areas

  Yes

  No

  N/A

House Keeping

• Are floors, walkways and under benches clean and tidy

  Yes

  No

  N/A

• Are floor coverings in good condition

  Yes

  No

  N/A

• Are there any unattended pits & unprotected pits present in the work area

  Yes

  No

  N/A

• All Hand rails/guardrails are in good condition and comply with safety requirements

  Yes

  No

  N/A

• Storeroom in neat and tidy with all parts in correct location

  Yes

  No

  N/A

• All vehicles have been inspected in the month, List date of last inspection in the comments section

  Yes

  No

  N/A

• Tools , Vehicles, Plant and equipment are stored / parked appropriately

  Yes

  No

  N/A

• Hatches and lids are locked / secured from unauthorised entry

  Yes

  No

  N/A

• Grounds and fences are tidy

  Yes

  No

  N/A

Traffic management

• Image of the TMP Signage and setup on site.

  Media

• The CAR NOTICE is on site.

  Yes

  No

  N/A

• CAR IS VALID FOR THE SITE

  Yes

  No

  N/A

• TMP. Is set up according to those TMP approved in the CAR.

  Yes

  No

  N/A

• STMS CONTACT details recorded on site.

  Yes

  No

  N/A

• Equipment and plant setup inside the TMP zones?

  Yes

  No

  N/A

Sign off Audit

• Contractor/Team Leaders signature

  Sign

• Site Supervisors signature.

  Sign