Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Work Order Number

  • Contractor

TRAFFIC MANAGEMENT

  • TMP On Site

  • Clearly Designated Go/No Go Areas

  • Pedestrian Areas Well Defined & Safe

  • STMS Available

  • Comments

TAILGATE & HAZARD ID

  • Well Defined Work Location & Work Description

  • Hazards Identified, E.I.M. Appropriate Control Measures Identified & In Place

  • Site Supervisor Identified & Site Induction Completed

  • Emergency Procedures & Methods Of Stopping Work Discussed

  • Emergency Contact Numbers Identified

  • All Personnel Signed On

  • Comments

PERSONAL & SITE SAFETY

  • Permission Granted From Owner To Enter Dwelling & Property

  • Correct PPE Used As Required For The Work Being Undertaken And In Good Condition

  • Hard Hats AS/NZ Compliant

  • Hearing Protection Used When Required

  • Safety Glasses

  • Company Full Body Overalls

  • Low Voltage Gloves On

  • Work Gloves On

  • Safety Footwear

  • Comments

COMPETENCY

  • Wel Induction & Competency Book Completed / Signed And Onsite

  • Appropriate Licence & Registration For The Work Undertaken Onsite

  • SMEI Part 1 / 2 & LV Working Onsite Onsite

  • Comments

WORK METHOD STATEMENTS / PROCEDURES

  • Safe Operating Procedures Understood & Undertaken

  • Workgroup Guided By Work Plan

  • Work Procedures Adhered To

  • Written Procedure Used

  • Field Action Report Booklet Onsite

  • Comments

PORTABLE EQUIPMENT & TOOLS

  • Correct Tool For The Task Undertaken

  • In Safe Working Order

  • Calibration And In Current Test Date

  • Comments

RESCUE KIT

  • In Test

  • Contents Complete And In Good Order

  • Available Onsite

  • Correct Kit For Task Undertaken

VEHICLE ROAD USE

  • Current Registration

  • Current WOF

  • Current Road User Mileage

  • Comments

PROJECT MANAGER ACTIONS / FOLLOW UPS

  • Comments

GENERAL

  • Actions Taken To Acknowledge/Reinforce Safe Behaviours/Conditions

  • Actions Taken To Confront/Correct Unsafe Behaviours/Conditions

  • General Comments

  • Recommendations

  • Audit Results & Recommendations Discussed With Site Supervisor

  • Site Supervisor

  • Audit Completed By

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