VR Safe Behaviour & Compliance Audit

• VR Safe Behaviour & Compliance Audit

• Site Name:

• Audit conducted by:

• Select date

  Date

INSTRUCTIONS AND COMMENT

• This form will be used by the nominated site supervisor or manager to carry out an audit of the behaviour of workers, employees and contractors in respect to safety issues. Each audit shall last a minimum of one hour with all findings to be recorded on this form. A Vault 'Audit' record is to be raised and a copy of the completed audit is to be uploaded to the Vault record.

ITEM / ISSUE

• 1. Appropriate PPE is being worn as per site requirements and activity being assessed ?

  Yes

  No

  N/A

• 2. Pedestrians are keeping to walkways. ie. No one seen taking short-cuts?

  Yes

  No

  N/A

• 3. PME and Pedestrian interaction rules being followed. 3m for Forklifts and 10m for Loaders ?

  Yes

  No

  N/A

• 4. AAA and Loading / Unloading Area SWP requirements are being followed?

  Yes

  No

  N/A

• 5. Boom gates are operational and close automatically?

  Yes

  No

  N/A

• 6. Forklifts operators are wearing seat belts, driving in reverse where visibility would otherwise be impaired, at a suitable speed, in a safe manner?

  Yes

  No

  N/A

• 7. Confirm pre-start checks are carried out for forklifts, loaders, skid steers,<br>EWP, scissor lifts that are currently operating on site.

  Yes

  No

  N/A

• 8. Isolation and lockout procedure in place and being followed correctly?

  Yes

  No

  N/A

• 9. Contractors, labour hire and employees are inducted and signed in. ( Verify at least 4 - where possible ) ?

  Yes

  No

  N/A

• 10. Licenses / certificates available for specialised work eg. Forklift, Skid- steer, FEL, EWP, Electrical, etc.? (Verify at least 2)

  Yes

  No

  N/A

• 11. Stop & Think and Maintenance Checklist completed as applicable? (Challenge one of each)

  Yes

  No

  N/A

• 12. Risk Assessments / JSEAs completed and available as applicable ?

  Yes

  No

  N/A

• 13. Applicable permits filled out and authorised such as Hot Work and Confined Space? Verify.

  Yes

  No

  N/A

• 14. Work at height of >2m is performed from a work surface with adequate fall protection, elevated work platform, scaffolding or when a safety harness is secured at all times?

  Yes

  No

  N/A

• 15. Safe manual handling practices taking place ?

  Yes

  No

  N/A

• 16. Safe transport management pre-departure declaration forms are<br>completed for all outbound loads. Where applicable, check pre-unload<br>forms for inbound loads .Verify

  Yes

  No

  N/A

ACTIONS TO BE TAKEN

• Add signature

  Sign