Work Site / Crew HS&E Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL HEALTH AND SAFETY

• First Impression and general housekeeping

  Safe

  At Risk

  N/A

• Tikanga Safety Rules are being followed

  Yes

  No

  N/A

• Site Hazard ID completed and all controls inplace

  Yes

  No

  N/A

• Daily Pre-Start Tailgate completed and all staff signed on including subcontactors

  Yes

  No

  N/A

• TMP set up correctly and effectively controlling traffic and pedestrians

  Safe

  At Risk

  N/A

• Plant Prestarts completed with good history

  Yes

  No

  N/A

• Relevant SWMS / JSA's and OFI books available on site

  Yes

  No

  N/A

• Correct PPE worn by everyone and in good condition

  Yes

  No

  N/A

• Sanitary Facilities available including water and sun protection

  Safe

  At Risk

  N/A

• Electrical Equipment protected from damage, tagged and within test. RCDs in use

  Safe

  At Risk

  N/A

• Manual Handling risks identified and managed

  Yes

  No

  N/A

• Lifting equipment tagged and within test

  Yes

  No

  N/A

ENVIRONMENTAL - HSNO

• Adequate Environmental Management Plan on site and resource consent conditions are understood and being complied with

  Yes

  No

  N/A

• Sediment and run off control and measures are adequate and effective

  Safe

  At Risk

  N/A

• Fuels, Chemicals and Contaminates stored safely and MSDS sheets readily available

  Safe

  At Risk

  N/A

• Spill kits appropriate type and size for the volume of products on site

  Yes

  No

  N/A

• Waste and Energy minimisation measures are being followed

  Yes

  No

  N/A

EMERGENCY MANAGEMENT, SIGNAGE AND COMMUNICATIONS

• Exits, Entry and Assembly Points clearly marked and clear of hazards

  Yes

  No

  N/A

• Fire Extinguishers in place and within test

  Yes

  No

  N/A

• First Aid Kits in place and well stocked

  Yes

  No

  N/A

• Emergency Response Procedures' noted on Prestart and understood

  Yes

  No

  N/A

COMMENTS AND RECOMMENDATIOS

• Enter corrective actions that will be undertaken

SIGN OFF

• Auditor

  Sign

• Site Supervisor

  Sign