Title Page
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Document No.
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Subtitle
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Conducted on
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Client :
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Prepared by
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Location
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Personnel Attending
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Subcontractor Company
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Activity
Site Entry Box
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Are the site contacts displayed and up to date? Is there specific information to relevant site rules , and PPE?
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Is there a copy of the site prestart in the box? Have all workers signed onto daily prestart (view document and ascertain signatures)<br><br>
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Are all the site hazards listed?
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Is there a haul road management plan as to where plant is operating and plant movement rules that apply to haul roads?
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Is there an emergency plan with information as to assembly area?
Site portacom facilities
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Are there adequate facilities for staff?<br>Lunchroom, toilet, hand washing all in clean condition?
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Is there a notice board that is currently updated with safety and site information.<br>Are all contacts displayed?
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Are all the site hazards listed?
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Is there an emergency plan with information as to assembly area?
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Is there compliant emergency equipment available I.e. First aid kits, fire extinguishers.<br>Working emergency horn.
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Is there information displayed as to general site hazards and risks?
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Is the housekeeping up to an acceptable standard?
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Is the lock out tag board current?
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Hydration-is there quality drinking water available?<br>In summer is there an adequate supply of ice to cool water containers?
Risk Management
Risk Management
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Is the current Work Instruction and Operational Risk Register available at the location of works and and all workers have signed on they clearly understand the tasks and risk?
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Have all workers in the crew signed on to the site specific pre-start and have a clear understanding of the tasks at hand and risks associated?
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Can workers demonstrate the site specific controls for the hazards/risks associated with the activity? Give examples and evidence
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Can workers explain and demonstrate their understanding of the "Golden Rules" applicable to their task at the time of this visit and applying the rules e.g. Operating plant mandatory requirements
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Up to date, valid & coloured service plans available on site including asbuilts and asset owners?
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Is there a current an up to date Traffic Management Plan in place and a qualified STMS on site where required?
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Are the relevant Permits available for critical activities and controls being followed?
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Structures: are all safety handrails/work platforms displaying a current scarf tag?
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Are all excavations being managed (trench shields, battered back, benched holes covered)
General Site Observations
General Site Observations
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Are amenities clean and tidy?
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Are personnel undertaking good ergonomic practices; not over stretching or twisting body
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Personnel wearing the minimum personal protective equipment/clothing e.g. Hard hat;safety lace up boots:safety eyewear;long pants and long sleeve shirts, clean and zipped up orange hi-vis vest (unless STMS) and carrying gloves for manual activity tasks
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Additional PPE available for specialised activities e.g. Double eye protection for cutting or grinding, chaps etc.
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Are tools and equipment in good condition, no obvious defects (if not tag out and remove from site immediately?)
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Are all electrical tools/equipment, leads, RCD devices being used currently tested and tagged by a competent person?
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Are all leads off the ground and not causing a potential trip hazard?
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Is the lifting chains/strops D shackles and equipment displaying a current test/tag?
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Are harnesses/lanyards tested and tagged, showing no signs of deterioration and stored safely when not in use?
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Housekeeping up to standards, no visible trip hazards, facilities clean and tidy, rubbish bins provided and not overflowing?
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Are compliant emergency equipment available and on site e.g. First aid kits/fire extinguishers
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Is the worker displaying an induction sticker on helmet? ( Confirm name and number)<br>Has the worker produced CONSTRUCTSAFE card.
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Are haul roads being managed appropriately with watering so risks are minimised?
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Are there any activities being undertaken that require checklists/permits? Is there evidence that these have been signed by foreman and operators?
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Are site speed limits being adhered to ( use camera for checks)
Plant/Equipment/Vehicles
Plant/Equipment/Vehicles
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Do operators have valid licenses, e.g. Full drivers licence, WTR endorsed? Photo required.
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Have operators completed a daily plant pre-checklist prior to operating the plant/equipment?
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Have you observed operators, drivers of light vehicles and passengers wearing seatbelts in moving vehicles?
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Has the plant been Project inducted and Risk Assessed and displaying an<br>induction sticker?
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Is there current 'Certified Safe' sticker displayed on the cab window?
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Are vehicles parked safely e.g reverse parking where practicable? Parked against bunds or in V drains if not chocks in place.
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Are exclusion zones set up where practicable using flags cones hit sticks and spotters standing in a safe place where required?
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Are seat belts being worn in moving plant.
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Is plant using orange flashing lights?
Environment
Environment
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Are erosion and Sediment controls in place and effective?
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Spill kits available?<br>Are they stocked?<br>Are there any signs of leaks or spills
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Is dust and noise and waste being managed?
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Are hazardous substances stored safely in bunded trays and containers labelled correctly?
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Are the Safety Data Sheets available and current (within 5 years) and are crews aware of the control measures?
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Are sediment ponds/exavations retaining water visible to the public fenced and signage displayed?
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Are consents in place and being complied with.
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Are environmental hazards and controls specified on hazard ID?
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Trees and waterways check that runoff from site doesn't enter waterways. Trees not to be impacted without correct authorisation.
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Are all activities involving concrete,lime, or cement being managed to prevent runoff or pollution?
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Is weather being monitored for any risky activities?
Critical Risk Non-Compliance
If any of the following safety critical areas are not compliant then work must stop until the issue is resolved. Please provide non-compliance brief description and how you mitigated the risk to prevent recurrence.
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Permits not in place e.g Working at Heights, B4UDig, Confined Spaces, Hot Works etc.
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Add media
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Work Training Competencies - If any certificates are out of date or crew are undertaking work for which they hold no valid training qualification
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Add media
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Traffic Management Plan not being followed / members of the public safety at risk
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Add media
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Breach of Work Instructions/Golden Rules (not following procedures)
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Add media
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Unsafe behaviour/act/conditions e.g. Horseplay, operating faulty machinery, disobeying site rules
Action/Recommendations
Any other Actions/Recommendations
Positive Behaviours Identified
Sign Off
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Site Representative Agreed Actions
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Add signature
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Add signature