1. Working at Heights

  • 1.1. Fall risks of 2m or more? (including voids, pits, and trenches)

  • 1.2. Lack of edge protection?

  • 1.3. Unsafe or incomplete edge protection?

2. Plant and Equipment

  • 2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)

  • 2.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)

  • 2.3. Competent persons operating plant/equipment?

  • 2.4. Has daily log been filled out?

  • 2.5. Are maintenance records up to date?

3. Scaffolds

  • 3.1. Unlicensed persons erecting scaffold above 4m?

  • 3.2. Unsafe or incomplete scaffold?

  • 3.3. Lack of inspection protocol for scaffold?

  • 3.4. Incompatible scaffold components? Unlabelled or do not meet AS?

  • 3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

4. Lifting Equipment

  • 4.1. Unsafe or damaged plant?

  • 4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 4.3. Lack of maintenance, testing and inspection?

  • 4.4. Lack of SWL information displayed?

  • 4.5. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • 4.6. Lifting equipment unlabelled, does not meet AS, no SWL displayed?

5. Harness and Equipment

  • 5.1. Unsafe or damaged harness or equipment?

  • 5.2. Incompatible hooks/equipment?

  • 5.3. Unlabelled or does not meet AS?

  • 5.4. Unsafe or uncertified anchor points?

  • 5.5. Lack of or inadequate formal training for operators?

6. Ladders

  • 6.1. Unsafe or damaged ladders?

  • 6.2. Unsafe positioning of ladders?

  • 6.3. Ladder not properly secured?

  • 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

7. Hazardous Manual Tasks

  • 7.1. Lack of identification hazardous manual tasks?

  • 7.2. Lack of assessment of hazardous manual tasks?

  • 7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  • 7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

8. Hazardous Chemical (including fuel and oil)

  • 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 8.2. Incompatible chemicals stored near each other?

  • 8.3. Inadequate spill containment equipment?

  • 8.4. Safety Data Sheets not accessible on site?

  • 8.5. Lack of up to date Safety Data Sheet?

  • 8.6. Insufficient, or incorrect, PPE?

9. Emergency Response

  • 9.1. Lack of, or no emergency plans for site?

  • 9.2. Emergency procedures not displayed at site?

  • 9.3. Lack of training and rehearsal of emergency plans?

  • 9.4. Lack of, or inadequate first aid kits aid equipment for site?

  • 9.5. Insufficient access to formally trained First Aiders for all shifts?

10. Traffic Management

  • 10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  • 10.2. Lack of training in TMP for all persons on site?
    (contractors and visitors)

  • 10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

11. Personal Protective Equipment (PPE)

  • 11.1. Lack of, or inadequate PPE (including sun protection)

  • 11.2. Lack of system to issue, inspect, replace and monitor PPE?

  • 11.3. Lack of training in safe use, clean-up and inspection of PPE?

12. Work Environment

  • 12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 12.2. Insufficient lighting?

  • 12.3. Inadequate housekeeping?

  • 12.4. Lack of, or inadequate noise/ vibration control?

  • 12.5. Access and egress free from trip hazards?

  • 12.6. Lack of/or inadequate safety signage?

13. Electrical Hazards

  • 13.1. Unsafe electrical leads? (damaged, out of test date or untested)

  • 13.2. Lack of RCD protection?

  • 13.3. Contact with underground assets?

  • 13.4. Contact with overhead electrical lines?

  • 13.5. Overloading outlets?

  • 13.6. Leads placed on ground or on metal structures?

  • 13.7. Electrical equipment near water?

  • 13.8. Electrical equipment near flammables?

  • 13.9. Electrical equipment near chemicals that could cause damage?

  • 13.10. Electrical leads that may be damaged from contact with moving machinery parts?

  • 13.11. Electrical leads on work surfaces?

  • 13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

14. Environmental Hazards

  • 14.1. Lack of/or inadequate Environmental Management plan (EMP)?

  • 14.2. Lack of/or inadequate, dust suppression system?

  • 14.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  • 14.4. Lack of water re-use systems?

15. Administrative Procedures

  • 15.1.Has appropriate contractor book been signed?

  • 15.2. Are they wearing correct ID tag ?

  • 15.3. Are they carrying OHS induction card?

  • 15.4 Lack of logging on to CBC Help Desk?

  • 15.5. Lack of/or inadequate work report filled out?

  • 15.6. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  • 15.7. Lack of workers signed SWMS appropriate to task?

  • 15.8. Lack of/or inadequate system to review SWMS as needed?

  • 15.9. Lack of/or inadequate Site Safety Plan?

  • 15.10. Lack of/or inadequate toolbox talks ?

  • 15.11. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  • 15.12. Lack of/or inadequate, induction for workers, contractors, visitors?

  • 15.13. Lack of/or inadequate, supervisory arrangements?

  • 15.14. Lack of/or inadequate training, licenses, skills, experience?

  • 15.15. Lack of/or inadequate incident notification procedures?

  • 15.16. Lack of/or inadequate, routine inspections, monitoring, audits?

Comments

  • Enter any comments

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

Sign and date when corrective actions are complete

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.