Worksite Safety Inspection & Environmental Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

WEATHER INFORMATION

• Today's estimated weather temperature

• Current weather temperature at time of audit.

• Today's weather conditions

  Sunny

  Cloudy

  Rain

  Overcast

GENERAL

• Do personnel on-site have an Industry White Card or equivalent.

  Yes

  No

  N/A

• Dose the operator hold a current or better OHS Competency or Duty of Care card for the plant being used on site.

  Yes

  No

  N/A

• Hazards to safety being controlled on-site (refer to SWMS)?

  Yes

  No

  N/A

• Site and general organisational inductions completed and records available?

  Yes

  No

  N/A

• Incidents/accident forms available on-site?

  Yes

  No

  N/A

• Evidence of a Job Risk Assessment for various project activities and task?

  Yes

  No

  N/A

• Appropriate safety documents available, Safety plan and / or safety procedures and instruction available for use by the personnel?

  Compliant

  Non-Compliant

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

GENERAL SITE HOUSEKEEPING

• Is tool storage acceptable?

  Yes

  No

  N/A

• Are materials on-site stored appropriately?

  Yes

  No

  N/A

• Are chains and slings in good condition and tested and tagged?

  Yes

  No

  N/A

• Is the site free from slips and trip hazards?

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

PERSONAL PROTECTIVE EQUIPMENT:- Check that appropriate PPE is at hand for all employees and is in good condition and is being used as required

• Road safety apparel including hi-visibility clothing

  Yes

  No

  N/A

• Head protection

  Yes

  No

  N/A

• Safety footwear

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Sun protection

  Yes

  No

  N/A

• Eye protection

  Yes

  No

  N/A

• Respiratory equipment

  Yes

  No

  N/A

• Hand protection

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

WORKZONE TRAFFIC MANAGEMENT

• Does at least one person on-site have current WorkZone Traffic Management (WZTM) certification?

  Yes

  No

  N/A

• Has a specific or generic (eg. contractor developed diagram referenced to DTEI field guides or AS 1743.3) traffic management plan for the site been completed?

  Yes

  No

  N/A

• Is the signage for traffic management set up on-site correct and are the signs in good condition and readable?

  Yes

  No

  N/A

• Are daily records kept for the placement and removal of traffic control devices used on site?

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

FIRST AID (Code of Practice - Occupational First Aid in the Worksite)

• Is there a well stocked First Aid Kit available on-site?

  Yes

  No

  N/A

• First Aider appointed on-site (where applicable)?

  Yes

  No

  N/A

• Is the First Aid kit usage and incident recorded?

  Yes

  No

  N/A

• Is the First Aid kit been update/current

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

ELECTRICAL

• Has all electrical equipment been tagged and tested by a qualified/competent person?

  Yes

  No

  N/A

• Have all plugs, sockets or switches free of damage or burn marks?

  Yes

  No

  N/A

• Are all electrical cords free of knots and in good condition?

  Yes

  No

  N/A

• Is all portable equipment protected by a RCD (Residual Current Device)?

  Yes

  No

  N/A

• Are all RCD's checked at least annually by a qualified person using a RCD tester?

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

MACHINERY AND EQUIPMENT

• Is the earthmoving and mechanised plant on-site in good condition?

  Yes

  No

  N/A

• Are Standard Operating Procedures on-site and training/competency assessment current?

  Yes

  No

  N/A

• Are hand tools in good working condition and fit for purpose?

  Yes

  No

  N/A

• Do plant operators have the appropriate class of licence / ticket on-site?

  Yes

  No

  N/A

• Are ladders being used on-site? If so what type? What is there condition? Do they comply to current legistration?

  Yes

  No

  N/A

• Are daily plant inspection records available?

  Yes

  No

  N/A

• Is then SWL of lifting / carrying plant displayed?

  Yes

  No

  N/A

• Are all warning / reversing beepers operational?

  Yes

  No

  N/A

• Is all plant maintenance up to date?

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

CONFINED SPACE?

• Are risk assessments undertaken?

  Yes

  No

  N/A

• Has a Confined Space Permit been completed and signed off?

  Yes

  No

  N/A

• Are gas detectors on-site?

  Yes

  No

  N/A

• Have gas detecting records been documented?

  Yes

  No

  N/A

• Is safety equipment available? Is equipment in good working order? Is safety equipment being worn/used correctly?

  Yes

  No

  N/A

• Has a rescue plan been put in place?

  Yes

  No

  N/A

• Have employees been suitably trained?

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

FIRE PREVENTION AND CONTROL

• Are flammable materials kept to a minimum, stored and handled properly?

  Yes

  No

  N/A

• Are appropriate warning signs for flammable materials displayed?

  Yes

  No

  N/A

• Are appropriate extinguisher in place, and appropriately signed?

  Yes

  No

  N/A

• Is fore fighting equipment serviced / tagged?

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

EMERGENCY SYSTEMS AND FACILITIES

• Are emergency contact numbers prominently display?

  Yes

  No

  N/A

• Where appropriate is there an evacuation plan with assembly locations prominently displayed?

  Yes

  No

  N/A

• Are emergency procedures in place and understood by all employees?

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

MANUAL TASKS

• Have manual tasks (MT) risks been identified and documented?

  Yes

  No

  N/A

• Is mechanical assistance available where required?

  Yes

  No

  N/A

• Where MT risks observed during this site inspection i.e. poor handling practice?

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

HAZARDOUS AND DANGEROUS SUBSTANCES

• Is a register of Hazardous and Dangerous Substances available on-site?

  Yes

  No

  N/A

• Are Safety Data Sheets (SDS) for the substance in the register available on-site?

  Yes

  No

  N/A

• Is appropriate Hazardous and Dangerous substance signage displayed? (Refer relevant SDS)

  Yes

  No

  N/A

• Are ALL Hazardous and Dangerous substancesstored appropriately and secured?

  Yes

  No

  N/A

• Are ALL Hazardous and Dangerous substance appropriately labelled?

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

PREVENTION OF FALLS

• Where workers are working at height has an assessment been undertaken to determine whether there is a risk of falling?

  Yes

  No

  N/A

• Do workers performing work at heights have the appropriate training, competence and experience prior to the commencement of work?

  Yes

  No

  N/A

• Has a firm level surface below the work area including the perimeter been prepared to facilitate the use of scissor hoist or rolling scaffold where it is intended that these be used?

  Yes

  No

  N/A

• Has the work area been inspected prior to the commencement of work to ensure that all platforms and surface are stable and structurally sound?

  Yes

  No

  N/A

• Is a system in place to ensure that the provision of personal protective equipment been considered to combat glare, thermal stress, noise and other physical hazards?

  Yes

  No

  N/A

• Is a system in place to ensure that equipment used for accessing elevated work, eg. Ladders are regularly checked and maintained in a safe condition?

  Yes

  No

  N/A

• Are specific risk areas clearly signposted?

  Yes

  No

  N/A

• Has provision been made to catch falling objects?

  Yes

  No

  N/A

• Is there barricading of work area to prevent public access.

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

EXCAVATION AND TRENCHING WORK

• Are all the service locations identified and Dial B4 U Dig plans available on-site?

  Yes

  No

  N/A

• Have all services been physically potholed?

  Yes

  No

  N/A

• Are engineer's reports for excavations available on-site?

  Yes

  No

  N/A

• Has a risk assessment been completed for excavation and trenching?

  Yes

  No

  N/A

• Where excavation is greater than 1.5m deep, is shoring, benching or battering in place?

  Yes

  No

  N/A

• Has SafeWork SA been notified if trench or excavation exceed 1.5m in depth?

  Yes

  No

  N/A

• Is the excavation well secured and appropriate warning signage displayed to prevent unauthorised entry.

  Yes

  No

  N/A

• Where applicable is spoil away from the trench / batter by a minimum of 0.6m?

  Yes

  No

  N/A

• Is there clear and safe access around excavation and separate access and egress points from excavation?

  Yes

  No

  N/A

• Is the excavation or trench inspected at least daily by a competent person and a written record available?

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High

ENVIRONMENTAL ISSUES

• Has an environmental risk assessment been undertaken (SWMS) and is it available on-site

  Yes

  No

  N/A

• Where applicable have the following environmental issues been addressed

  Yes

  No

  N/A

• Damage to vegetation

  Yes

  No

  N/A

• Spread of weeds

  Yes

  No

  N/A

• Interruption or modification to drainage

  Yes

  No

  N/A

• Soil and Water Contamination

  Yes

  No

  N/A

• Soil Erosion

  Yes

  No

  N/A

• Soil Compaction

  Yes

  No

  N/A

• Habit Disturbance

  Yes

  No

  N/A

• Disturbance of site of either natural or heritage significance

  Yes

  No

  N/A

• Litter / Waste / Refuse

  Yes

  No

  N/A

• Air Emissions

  Yes

  No

  N/A

• Fire Risk

  Yes

  No

  N/A

• Asbestos

  Yes

  No

  N/A

• Spills

  Yes

  No

  N/A

• Water Restrictions

  Yes

  No

  N/A

• Dust

  Yes

  No

  N/A

• Noise

  Yes

  No

  N/A

• Nuisance

  Yes

  No

  N/A

• Additional Comments/Instructions:

  Yes

  No

  N/A

• RATING<br>Must give reason on why?

  Acceptable

  Opportunity for Improvment

  Unacceptable

• RISK RATING. Time To Rectify: Hours/Days

  Low

  Moderate

  High