Waitakere Site Inspection Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add location
  Address

• Select date

  Date

• Add media

  Media

• Select from range

GENERAL

• B. Hazard Identification carried out and controls in place?

  Safe

  At Risk

  N/A

• C. Daily Pre-Start completed with all staff signed onto including visitors and sub-Contractors?

  Safe

  At Risk

  N/A

• E. Site Inductions

  Safe

  At Risk

  N/A

• F. Permits carried out for significant works - Notifiable works?

  Safe

  At Risk

  N/A

WORK AREAS

• A. General Housekeeping

  Safe

  At Risk

  N/A

• B. Walking - Working Surfaces

  Safe

  At Risk

  N/A

• C. Unprotected Sides or Holes

  Safe

  At Risk

  N/A

• D. Impalement Hazards

  Safe

  At Risk

  N/A

• F.. Water -- Trash Receptacles

  Safe

  At Risk

  N/A

• G. Material Storage/Lay Down

  Safe

  At Risk

  N/A

• H. General public and motorists

  Safe

  At Risk

  N/A

HEALTH/FIRST AID

• A. CPR/First AidTraining

  Safe

  At Risk

  N/A

• B. First Aid Kit (No Expired Items)

  Safe

  At Risk

  N/A

• D. Access to Eye Wash

  Safe

  At Risk

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• A. Hard Hats

  Safe

  At Risk

  N/A

• B. Safety Glasses

  Safe

  At Risk

  N/A

• C. Face Shield / Goggles (If Required)

  Safe

  At Risk

  N/A

• D. Respiratory Protection (If Required)

  Safe

  At Risk

  N/A

• E. Hearing Protection (If required)

  Safe

  At Risk

  N/A

• F. Clothing - long sleeves and trousers

  Safe

  At Risk

  N/A

• G. Gloves

  Safe

  At Risk

  N/A

• H. Laced Steel Toe Caps

  Safe

  At Risk

  N/A

TOOLS AND EQUIPMENT

• A. In Good Condition

  Safe

  At Risk

  N/A

• B. Inspected <br>

  Safe

  At Risk

  N/A

EXCAVATIONS

• A. Permit issued and received? - PTW No. 4 for deeper than 300 mm & PTW No. 5 for greater than 1.5m.

  Safe

  At Risk

  N/A

• A. Trained Personnel (Competent Person)

  Safe

  At Risk

  N/A

• C. Soil Condition

  Safe

  At Risk

  N/A

• D. Water Accumulating

  Safe

  At Risk

  N/A

• F. Barricades

  Safe

  At Risk

  N/A

RIGGING AND HOISTING

• A. Capacity Tags

  Safe

  At Risk

  N/A

• B. Hooks and Latches

  Safe

  At Risk

  N/A

• E. Inspected/Tagged

  Safe

  At Risk

  N/A

• G. Damage

  Safe

  At Risk

  N/A

PLANT/EQUIPMENT

• A. Daily Plant Checklists carried out?

  Safe

  At Risk

  N/A

• B. Operator Qualified and Certified and Competent to Operate (CTO)

  Safe

  At Risk

  N/A

• D. Proper setup and use

  Safe

  At Risk

  N/A

• E. Insulated tools available

  Safe

  At Risk

  N/A

TRAFFIC MANAGEMENT

• A. Approved TMP on site?

  Safe

  At Risk

  N/A

• B. Signs and cones set up correctly according to TMP?

  Safe

  At Risk

  N/A

• D. Regular checks been carried out and signed off on log sheet?

  Safe

  At Risk

  N/A

• C. STMS and TC Staff on site and cetified trained?

  Safe

  At Risk

  N/A

HAZCOM

• B. MSDS on Site

  Safe

  At Risk

  N/A

• D. Proper Storage of Chemicals

  Safe

  At Risk

  N/A

• E. Proper PPE for Handling Chemicals

  Safe

  At Risk

  N/A

Comments/Recommendations

• Enter any corrective actions that will be undertaken

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• Site Supervisor

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