Workplace Inspection HS

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Start

• JHA on the job, in date and completed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Work area demarked and sign posted

  Yes

  No

  N/A

• Clear access/egress to work area

  Yes

  No

  N/A

• Supervisor to crew ratio suitable (Span of Control)

  Yes

  No

  N/A

Housekeeping

• Materials neatly stacked

  Yes

  No

  N/A

• Work areas unobstructed

  Yes

  No

  N/A

• Suitable hose management

  Yes

  No

  N/A

• Correct signage in place and legible

  Yes

  No

  N/A

• Access ways throughout work area clear

  Yes

  No

  N/A

Traffic Management

• Segregation of LV and SME

  Yes

  No

  N/A

• Park up area correctly designed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Speed limits posted correctly

  Yes

  No

  N/A

• Windrows correct height for traffic

  Yes

  No

  N/A

• Roadway design to standard for traffic

  Yes

  No

  N/A

Lifting

• Prestart, pre lift assessment and log book completed

  Yes

  No

  N/A

• Cranes set up correctly and suitable for task

  Yes

  No

  N/A

• Barricading in place for lift and slew zones

  Yes

  No

  N/A

• Loads tied off and/or secure

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Crane operator assessed as competent

  Yes

  No

  N/A

• Dogman / rigger following procedure

  Yes

  No

  N/A

• Lifting gear inspected, tagged and certified

  Yes

  No

  N/A

• Weather and ground conditions assessed

  Yes

  No

  N/A

Working at Heights

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

  Yes

  No

  N/A

• FIPS inspected, tagged and certified

  Yes

  No

  N/A

• EWP operations following procedure

  Yes

  No

  N/A

• Spotters trained and in place

  Yes

  No

  N/A

Electrical/Isolations

• HV access permit

  Yes

  No

  N/A

• ECO barricading in place during erection and dismantling of scaffold

  Yes

  No

  N/A

• Drop zone barricading in place

  Yes

  No

  N/A

• Dropped objects prevention in place

  Yes

  No

  N/A

• WAH Permit valid for task

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• ELCB/RCD used for portable tools

  Yes

  No

  N/A

• Leads and plugs condition to standard

  Yes

  No

  N/A

• Suitable lead management (stands/hooks etc)

  Yes

  No

  N/A

• Isolations in place

  Yes

  No

  N/A

• Isolation points labelled and lockable

  Yes

  No

  N/A

• Isolation Permit in place and followed

  Yes

  No

  N/A

Mechanical/Guarding

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

  Yes

  No

  N/A

• Safety clips fitted to hoses

  Yes

  No

  N/A

• Discs used in grinders applicable to task

  Yes

  No

  N/A

• Guards fitted to machinery/tools

  Yes

  No

  N/A

• Power tools condition to standard and fitted with Deadman switch

  Yes

  No

  N/A

• Whip checks and hose couplings fitted on HP hoses

  Yes

  No

  N/A

Confined Space

• CS Permit in place and followed

  Yes

  No

  N/A

• Sentry trained and in place at entry point

  Yes

  No

  N/A

Excavations and Penetrations

• Excavation benched / battered

  Yes

  No

  N/A

• Barricading and signage to standard

  Yes

  No

  N/A

• Access / egress to standard

  Yes

  No

  N/A

• PPE to standard for task

  Yes

  No

  N/A

• Digging methodology meets Permit conditions

  Yes

  No

  N/A

• Caps on star pickets and rebar

  Yes

  No

  N/A

• Excavation and Penetration Permit in placed and followed

  Yes

  No

  N/A

PPE

• Appropriate PPE available at the worksite

  Yes

  No

  N/A

• Appropriate PPE in use

  Yes

  No

  N/A

Occupational Health

• Exposure to noise controlled

  Yes

  No

  N/A

• Fibrous material controls meets standard

  Yes

  No

  N/A

• Vibration controls in place for task

  Yes

  No

  N/A

Vehicles and Mobile Equipment

• Vehicles reverse parked or drive through

  Yes

  No

  N/A

• Road rules are being followed

  Yes

  No

  N/A

• Vehicle approved and meets FRCS standard

  Yes

  No

  N/A

• Vehicle daily pre start checks completed

  Yes

  No

  N/A

• Flashing lights and headlights on

  Yes

  No

  N/A

• Spotter used

  Yes

  No

  N/A

• Radio procedures being followed

  Yes

  No

  N/A

Scaffolding

• Erected by competent person

  Yes

  No

  N/A

• Scafftag fitted and current

  Yes

  No

  N/A

• Access ways clear with gates or drop bars fitted

  Yes

  No

  N/A

• Platforms not overloaded

  Yes

  No

  N/A

Hot Work

• Hot Work Permit in place and followed

  Yes

  No

  N/A

• Hazardous areas identified and controlled

  Yes

  No

  N/A

• Cutting / welding equipment to standard

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Loading and Unloading

• Loading / Unloading assessment checklist used

  Yes

  No

  N/A

• No over centre binders

  Yes

  No

  N/A

• Delivery driver inducted to site

  Yes

  No

  N/A

Training and Competency

• Personnel inducted to site (including visitors)

  Yes

  No

  N/A

Night Work

• Personnel trained in fatigue management

  Yes

  No

  N/A

• Works outside 0600 to 1800 hrs approved

  Yes

  No

  N/A

• Lighting meets lux requirement

  Yes

  No

  N/A

Crib Room Health and Safety

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Potable hot / cold water available

  Yes

  No

  N/A

• HSE Noticeboards erected and to standard

  Yes

  No

  N/A

• Buildings are suitably rated and secured for wind region rating

  Yes

  No

  N/A

• Electrical appliances inspected and tagged

  Yes

  No

  N/A

Emergency Rspoense

• Fire fighting equipment in place and fit for purpose

  Yes

  No

  N/A

• Access to fire fighting equipment

  Yes

  No

  N/A

• First aid facilities in place and fit for purpose

  Yes

  No

  N/A

• Emergency assembly area(s) clear

  Yes

  No

  N/A

• Fire breaks in place and adequate

  Yes

  No

  N/A

• Minimum one person in crew Senior FA trained

  Yes

  No

  N/A

• Personnel know the ER procedure

  Yes

  No

  N/A

Comments

• Enter comments <br><br>

  Safe

  At Risk

  N/A

Non Compliance and Recommendations

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Inspector Name:

• Safe

  At Risk

  N/A

• Select date

  Date

EPCM Rep Name:

• Safe

  At Risk

  N/A

• Select date

  Date

Contractor Rep Name:

• Safe

  At Risk

  N/A

• Select date

  Date