Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job Start

  • JHA on the job, in date and completed

  • CRM - Critical risks and critical controls identified on JHA and in place

  • Take 5'son the job, in date and completed

  • Work area demarked and sign posted

  • Clear access/egress to work area

  • Supervisor to crew ratio suitable (Span of Control)

Housekeeping

  • Materials neatly stacked

  • Work areas unobstructed

  • Suitable hose management

  • Correct signage in place and legible

  • Access ways throughout work area clear

Traffic Management

  • Segregation of LV and SME

  • Park up area correctly designed

  • Traffic management and/or control plans in place, publicized and followed

  • Speed limits posted correctly

  • Windrows correct height for traffic

  • Roadway design to standard for traffic

Lifting

  • Prestart, pre lift assessment and log book completed

  • Cranes set up correctly and suitable for task

  • Barricading in place for lift and slew zones

  • Loads tied off and/or secure

  • Pre lift assessment / lift study / calculation sheet in place and followed

  • Crane operator assessed as competent

  • Dogman / rigger following procedure

  • Lifting gear inspected, tagged and certified

  • Weather and ground conditions assessed

Working at Heights

  • (FIPS) Suitable mode (restraints/LLF) applied to task. FIPS secure and used correctly

  • FIPS inspected, tagged and certified

  • EWP operations following procedure

  • Spotters trained and in place

Electrical/Isolations

  • HV access permit

  • ECO barricading in place during erection and dismantling of scaffold

  • Drop zone barricading in place

  • Dropped objects prevention in place

  • WAH Permit valid for task

  • Equipment (portable, welders, lighting plant, etc) inspected and tagged

  • ELCB/RCD used for portable tools

  • Leads and plugs condition to standard

  • Suitable lead management (stands/hooks etc)

  • Isolations in place

  • Isolation points labelled and lockable

  • Isolation Permit in place and followed

Mechanical/Guarding

  • Grinder(s) fit for purpose and used to standard

  • Safety clips fitted to hoses

  • Discs used in grinders applicable to task

  • Guards fitted to machinery/tools

  • Power tools condition to standard and fitted with Deadman switch

  • Whip checks and hose couplings fitted on HP hoses

Confined Space

  • CS Permit in place and followed

  • Sentry trained and in place at entry point

Excavations and Penetrations

  • Excavation benched / battered

  • Barricading and signage to standard

  • Access / egress to standard

  • PPE to standard for task

  • Digging methodology meets Permit conditions

  • Caps on star pickets and rebar

  • Excavation and Penetration Permit in placed and followed

PPE

  • Appropriate PPE available at the worksite

  • Appropriate PPE in use

Occupational Health

  • Exposure to noise controlled

  • Fibrous material controls meets standard

  • Vibration controls in place for task

Vehicles and Mobile Equipment

  • Vehicles reverse parked or drive through

  • Road rules are being followed

  • Vehicle approved and meets FRCS standard

  • Vehicle daily pre start checks completed

  • Flashing lights and headlights on

  • Spotter used

  • Radio procedures being followed

Scaffolding

  • Erected by competent person

  • Scafftag fitted and current

  • Access ways clear with gates or drop bars fitted

  • Platforms not overloaded

Hot Work

  • Hot Work Permit in place and followed

  • Hazardous areas identified and controlled

  • Cutting / welding equipment to standard

  • Flashback arresters secured at both ends of hose, inspected prior to use and annually

Loading and Unloading

  • Loading / Unloading assessment checklist used

  • No over centre binders

  • Delivery driver inducted to site

Training and Competency

  • Personnel inducted to site (including visitors)

Night Work

  • Personnel trained in fatigue management

  • Works outside 0600 to 1800 hrs approved

  • Lighting meets lux requirement

Crib Room Health and Safety

  • CRAW posted in crib room and reflects current scope of works, CRM embeded

  • Storage of food hygienic with refrigeration, heating equipment function and clean

  • Potable hot / cold water available

  • HSE Noticeboards erected and to standard

  • Buildings are suitably rated and secured for wind region rating

  • Electrical appliances inspected and tagged

Emergency Rspoense

  • Fire fighting equipment in place and fit for purpose

  • Access to fire fighting equipment

  • First aid facilities in place and fit for purpose

  • Emergency assembly area(s) clear

  • Fire breaks in place and adequate

  • Minimum one person in crew Senior FA trained

  • Personnel know the ER procedure

Comments

  • Enter comments <br><br>

Non Compliance and Recommendations

  • Action:<br>Assign to:<br>Closeout date:

  • Action:<br>Assign to:<br>Closeout date:

  • Action:<br>Assign to:<br>Closeout date:

  • Action:<br>Assign to:<br>Closeout date:

Inspector Name:

  • Select date

EPCM Rep Name:

  • Select date

Contractor Rep Name:

  • Select date

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. You should independently determine whether the template is suitable for your circumstances.