WHSE Inspection Checklist - Active Development

• Conducted on

  Date

• Prepared by

• This Monthly WHSE Inspection Checklist is to be completed for each development site where civil works is occurring. Any hazards or risks identified in this monthly inspection is to be recorded on this document and then sent to the National HSE Manager.

1. WHSE Documentation

• 1.1 Does the development have an up to date AVID Project WHSE Management Plan? (reviewed in last six months - only required to be checked six monthly)

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 1.2 Is there an induction register kept by the civil contractor listing all workers inducted into the site? (only required to be checked three monthly)

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 1.3 Does the construction site have appropriate health and safety signage located at all entrances?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 1.4 Does the civil contractor have a register of Safe Work Method Statements (SWMS) for all high risk activities occurring on the project (including activities conducted by subcontractors)? (Pick one high risk activity each month and request to see the SWMS)

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 1.5 Does the civil contractor have a first aid kit available for use? (only required to be checked six monthly)

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 1.6 Are emergency procedures and contact numbers displayed in the site office?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 1.7 Has the Principal Contractor provided AVID with a monthly WHSE Report for the previous month outlining hazards identified, incidents that have occurred and upcoming high risk activities on the project?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

2. Safety Hazards

• 2.1 Is the site secure via the provision of temporary fences (or similar) to prevent access by unauthorised persons?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.2 Is stock/materials in the site compound stored safely so as not to create a trip hazard?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.3 Are access paths clear and free from other slip/trip hazards?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.4 Amenities available for workers (toilets, lunch rooms etc) and are they clean?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.5 Are all excavations greater than 1m in depth appropriately barricaded?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2. 6 Are all excavations appropriately benched, battered or shored with spoil located at least 1m away from the edge?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.7 Plant and Equipment on site is appropriate (power tools, hand tools etc) and adequately guarded?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.8 Traffic Control Plan implemented appropriately?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.9 Mobile Plant issues addressed (public and vehicle separation, daily log books completed, reversing lights and beepers in operation, safety pins inserted in excavator quick hitches)?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.10 Impalement hazards appropriately capped?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.11 PPE being worn appropriately (e.g. Hi vis clothing, eye protection, safety boots, UV protection, hard hats if applicable)?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.12 Are the risks of contacting overhead or underground electrical services appropriately controlled? (If any digging/excavating has been conducted within close proximity to services, has the appropriate Permit been completed by the contractor).

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.13 Does the Principal Contractor have a COVID Safe Plan and are they adhering to its requirements?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 2.14 Any other hazards not previously identified? (e.g attractive nuisances such as derelict buildings, pits, shafts, manholes etc.)

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

3. Environmental Hazards

• 3.1 Are all sediment fences inspected on the day installed to control run off and in good working order?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 3.2 Where there is a risk of run off, are material stockpiled behind sediment fences and stockpiles of loose/fine material covered?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 3.3 Has a rumble pad been installed at the entrance and exit to the site and in good working order?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 3.4 Is the roadway clean and free of mud/dirt, dust and debris?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 3.5 Are gully pits covered with filter cloth and protected with filter socks/dams and in good working order?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

4. Post Construction

• 4.1 Has any stage in the development been completed in the last month? If so, has an inspection identified any non-conforming issues that need to be addressed?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

• 4.2 Any actions from previous inspections still not closed out?

  Select Compliant Closed Non-Compliance Open Non-Compliance Not Applicable Improvement Opportunity Not Assessed

  • Compliant
  • Closed Non-Compliance
  • Open Non-Compliance
  • Not Applicable
  • Improvement Opportunity
  • Not Assessed

5. Lag Indicators

• 5.1 Total number of incidents reported since previous inspection?

• 5.2 Total number of Injury/Incidents reported since previous inspection?

• 5.3 Total number of Lost Time Incidents reported since previous inspection?

• 5.4 Total number of Major Incidents reported since previous inspection?

• 5.5 Total Number of regulatory notices from councils or workplace regulators since previous inspection?

Comments

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• Development/Project Manager

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Corrective Actions

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• On completion of this monthly WHSE Inspection Checklist please send/export the document to the National HSE Manager.

Version Control - V3 -11/01/2021