Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Project Name:
-
Project Reference Number:
-
Company/Cotractor:
-
Date of Inspection
-
Time Inspection Started.
-
Time Inspection Completed.
-
Person completing Inspection:
HEALTH SAFETY AND ENVIRONMENT SYSTEMS
-
Sign In / Sign Out book ?
-
Injury report book / forms?
-
"If you are injured" poster?
-
Hazard reporting forms ?
-
Job Safety Analysis forms (each day) ?
-
Site Inductions for all who enter ?
-
Daily Tool Box Meeting minutes ?
-
Contractor Health & Safety Plan (copy) ?
-
Construction work = Red Card ( sight) ?
-
Environmental Management Plan (copy)
-
Environment included in site induction?
HOUSEKEEPING AND WASTE MANAGEMENT
-
Waste Management Plan?
-
Waste Storage and Disposal?
-
Recycling Practices?
-
Work areas free from rubbish ?
-
Areas free of slip and trip hazards ?
-
Penetrations and openings covered ?
-
Stock/ material, stored safely & secured ?
-
Prescribed Waste Management?
ELECTRICAL
-
Certificate of Electrical Safety on the wall in the amenities room ?
-
No broken plugs, sockets, switches ?
-
No frayed or defective leads ?
-
Power tools in good condition ?
-
Power tools and leads tagged ( 3 monthly) ?
-
No lead or cable trip hazards ?
-
Lead supported above ground ?
-
Lock out for unsafe equipment in place ?
SWITCHBOARDS - Amenities and Power Access
-
Circuit Breaker switches identified ?
-
Circuit Breaker covered and locked ?
-
Main Isolation identified and lockable ?
-
RCD ( safety switches ) installed ?
MOBILE PLANT AND EQUIPMENT
-
Daily safety inspections completed ?
-
Plant free from oil/fluid leaks?
-
Operators trained and licensed ?
-
Warning lights and alarms operational ?
-
Fire extinguishers installed ?
-
Design envelope displayed in the cabin ?
-
Lifting chains / slings maintained and marked with Safe Weight Limit ?
-
Lifting attachment points marked with SWL where used as crane ?
-
Doors of equipment closed ( where fitted ) ?
-
Seatbelt's being worn by operators ?
CHEMICALS
-
Register of all chemicals on site ?
-
Material Safety Data Sheets available ?
-
Chemical introduction forms completed ?
-
Containers labelled with contents ?
-
There is storage ventilation ?
-
HAZCHEM sign ( example petrol > 250L ) ?
-
Fuels/Chemicals correctly contained and/or bunded?
-
Refueling procedures in place including spill response?
-
Spill kits available?
HOT WORK SAFETY
-
Gas cylinders securely fixed ?
-
Flash back arresters fitted to hoses ?
-
Area well ventilated for fumes ?
-
Fire fighting equipment available ?
-
Hot work permits used ?
ASBESTOS REMOVAL
-
Removalist trained (sight) ?
-
AC Removal Plan (evidence) ?
-
Licensed Removal Operators ?
-
Neighboring Businesses informed ?
-
Disposal controls in place ?
-
Warning signs displayed ?
MECHANICAL EXCAVATIONS (trenches, shafts, pits greater than 1.5 meters deep)
-
Ground support in place ?
-
Worksafe notified (evidence) ?
-
Excavation is protected from public ?
-
Excavation supervisor on site ?
-
Edges battered, spoil 500mm from edge ?
-
Clear access around excavation ?
-
Ladder access and secured ?
-
Hard hats worn ?
-
"Dial before you Dig" current?
-
Services identified and located?
-
Access to existing services maintained?
-
Contact details for service providers available?
WORKING AT HEIGHT
-
Work platforms have secure handrails, guarding or fence panels ?
-
Fall protection when working at height ?
-
Ladders being used are industrial type ?
PERSONAL PROTECTIVE EQUIPMENT
-
PPE in good and clean condition ?
-
PPE provided and worn ?
-
PPE signage at entrance site ?
SITE ACCOMMODATION & FIRST AID
-
Toilet facilities provided ?
-
Toilets clean and tidy ?<br>
-
Sufficient paper and hand cleaner ?
-
Meal room or shaded area provided ?
-
Meal room clean and tidy ?
-
Cool drinking water available ?
-
First aid cabinet clean and Orderly?
-
First aider on site when working ?
-
Site drainage and plumbing is appropriate ( erosion control, sanitary facilities, etc.)
TRAFFIC CONTROL & PUBLIC PROTECTION
-
Barricades, fencing in place to restrict unauthorized access ?
-
Traffic management plan in place ?
-
Traffic control and signage in position ?
-
Footpaths clean of debris ?
-
Site access controlled ?
-
Road Authorities notified ?
-
Principal Contractor details at the entrance ?
CONFINED SPACES
-
Safety equipment in good condition ?<br>
-
CS Entry trained (evidence) ?
-
Entry Permits and Logs (evidence) ?
-
JSA completed (evidence) ?
EMERGENCIES & FIRE CONTROL
-
Extinguishers, correct type (water for combustibles, Dry Chemical for flammables and electricity) ?
-
Extinguisher tagged (6 months) ?
-
Emergency procedures displayed ?
-
Emergency phone numbers displayed ?
SCAFFOLDING
-
Load rating displayed ?
-
Is the scaffold stable ?
-
Scaffolding planks appropriate, no trip ?
-
Ladder access secured top and bottom ?
-
Ladder extends 900mm above platform ?
-
>2m guardrails, mistrials & toeboards ?
-
>4m competent erector ?
-
Handover certificate available ?
POWERLINES
-
Horizontally no closer than 4.6m ?
-
Vertically 5m from lines ?
FLORA AND FAUNA
-
Sensitive Flora and Fauna identified?
-
Flora and Fauna protection in place and maintained?
LAND CONTAMINATION
-
Plant and equipment cleaned prior to entry to site?
-
Appropriate hygiene controls for weed and soil pathogen control?
-
Weed management controls in place?
WATER QUALITY
-
Stockpiles away from waterways and drains?
-
Sedimentation controls in place?
-
Management of discharge of chlorinated water?
-
Management of discharge of groundwater/drainage water?
NOISE
-
Works within local bylaws relating to noise?
-
Plant fitted with noise suppression?
AIR QUALITY
-
Dust suppression in place ?
-
Odour controls in place ?
-
"burning off" in accordance with local bylaws?
CULTURAL HERITAGE
-
Is a CHMP in place for works?
-
Does Site induction include Cultural Heritage?
-
A copy of CHMP on site?
SIGNATURES
-
Project Superintendents Representative:
-
Wannon Water Project Manager
-
Contractor Representative
COMMENTS
-
Sketch Pad
TRIM INFORMATION
-
Select date
-
Folder Number:
-
TRIM Number: