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Worksite Safety Inspection V5
Worksite Safety Inspection V5
Peter Brunt

Worksite Safety Inspection V5

Check for workplace compliance

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Free Worksite Safety Inspection V5 Checklist

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Audit / Inspection Details

  • Title of Compliance Audit

  • Audited/Inspected by:

  • Department / Client (PCBU)

  • Contact Name and Details (PCBU)

    • Contacts

  • Department Manager

  • Team Leader

  • Worksite Supervisor

  • Health and Safety Representative (HSR)

  • Date and time of compliance inspection

  • Location

1. Worksite Access (Road and signs)

    1. Worksite Access (Road access and signage)

  • 1.1 Is there sufficient signage in place advertising work in progress?<br>

  • 1.2 Are traffic controller ahead signs in place (Stop / Slow)?

  • 1.3 Are flashing hazard lights being used and working?

  • 1.4 Are sufficient traffic cones or bollards in use?

  • 1.5 Are all access and side tracks secured from unauthorised public entry?

  • Other safety issues

    • Safety issue

  • 1.6 Safety Issues

    • 2. Worksite Entry and Traffic Control (Vehicle and Pedestrian)

  • 2.1 Is signage in place for "No Unauthorised Entry"?<br>

  • 2.2 Are all persons must report to site office or site controller displayed?

  • 2.3 Is PPE required for site displayed?

  • 2.4 Worksite speed limit displayed?

  • 2.5 Site contact names and numbers displayed?

  • 2.6 Is the site secure from unauthorised entry of vehicles and/or traffic?

  • 2.7 Are spotters provided to control and direct pedestrian and vehicle traffic (where required)?

  • 2.8 Is a formal traffic management plan (TMP) available for the worksite (If required)?

  • Other safety issues

    • Safety issue

  • 2.9 Safety Issues

3. Site Office / Crib Hut

3. Site Office / Crib Hut

  • 3.1 Are there designated parking areas for plant, workers and visitors?

  • 3.2 Is there a WHS notice board displayed?

  • 3.3 WHS policy displayed, signed by senior management and current?

  • 3.4 Is a site induction conducted?

  • 3.5 Are responsible persons names and titles displayed?<br>Site Manager<br>Superintendent<br>WHS Officer<br>Worker Safety Representative<br>Work Health and Safety Representative (HSR)<br><br><br>

  • 3.6 entry and exits clearly marked?

  • Other safety issues

    • Safety issue

  • 3.7 Safety Issues

4. Visitor Controls

4. Visitor Controls

  • 4.1 Are visitors required to formally sign-in and out?

  • 4.2 Is the visitor to be escorted at all times while on site? (If yes, a basic induction is only required).

  • 4.3 Is a means of identifying visitors implemented?

  • 4.4 Are visitors advised of emergency procedures?

  • 4.5 Are areas where visitors are not permitted clearly identified / explained?<br><br><br>

  • 4.6 Is suitable PPE provided to visitors?

  • Other safety issues

    • Safety issue

  • 4.7 Safety Issues

5. Sub Contractors

5. Sub Contractors

  • 5.1 Are contractors made aware of company WHS policies and rules before commencing work<br>

  • 5.2 Do engaged contractors provide adequate insurances (Workers Compensation and Public Liability to 20 Million)?

  • 5.3 Are sub-contractors safety systems and consultation arrangements harmonised with the engaging PCBU?

  • 5.4 Are sub-contractors management systems provided to the principle PCBU?

  • 5.5 Are checks made of the contractors plant and equipment for compliance and safety?

  • Other safety issues

    • Safety issue

  • 5.6 Safety Issues

6. Emergency Procedures

6. Emergency Procedures

  • 6.1 Are emergency procedures displayed?

  • 6.2 Emergency services 000 and PCBU names and numbers?

  • 6.3 Site map available?

  • 6.4 Are training drills conducted periodically, verbally at toolbox talk and practically exercised (6 monthly)?

  • 6.5 Is there an effective alarm system in place?

  • 6.6 Muster / Assembly point identified?

  • 6.7 Fire equipment available and tagged for currency?

  • Other safety issues

    • Safety issue

  • 6.8 Safety Issues

7. Communication

7. Communication

  • 7.1 Is communication available (Phone, radio, satellite)?

  • 7.2 Does the worksite have agreed radio contact numbers for various locations?

  • 7.3 Do all workers on-site know the radio numbers for locations?

  • 7.4 Do workers understand basic hand signals (i.e. Stop)?

  • Other safety issues

    • Safety issue

  • 7.5 Safety Issues

8. First Aid

8. First Aid - First Aid Code of Practice

  • 8.1 Qualified first aid names displayed (First aid level).

  • 8.2 Medical supplies checked for currency and expiry date?

  • 8.3 First aid kits for workers on-site within easy access?

  • 8.4 Medical supplies and facilities are adequate for the nature, location and composition of workers on site?

  • Other safety issues

    • Safety issue

  • 8.5 Safety Issues

9. Workplace Amenities

9. Workplace Amenities

  • 9.1 Toilets available on site?

  • 9.2 Are toilets provided for each gender?

  • 9.3 Washing facilities provided?

  • 9.4 Are toilets and shower areas cleaned regularly?

  • 9.5 Are sufficient consumables made available in washrooms and toilets?

  • 9.6 Are sufficient tables and chairs provided?

  • 9.7 Are lunchroom, kitchen facilities clean and hygienic?

  • 9.8 Is clean drinking water provided?

  • Other safety issues

    • Safety issue

  • 9.9 Safety Issues

10. Consultation (Pre-start briefs, toolbox talks)

10. Consultation (Pre-start briefs, toolbox talks)

  • 10.1 Is there a WHS project or site specific plan in place?

  • 10.2 Do all workers have their General Construction Card on-site?

  • 10.3 Are pre-start shift meetings conducted?

  • 10.4 Are toolbox talks conducted periodically to discuss safety issues between worker and management?

  • 10.5 Are there worker safety representatives I.e. HSR

  • 10.6 Do workers understand the PCBUs legal responsibilities for consultation?

  • Other safety issues

    • Safety issue

  • 10.7 Safety Issues

11. Personal Protective Equipment (PPE)

11. Personal Protective Equipment (PPE)

  • 11.1 PPE allocated to workers specific to activities (Australian Standard)?

  • 11.2 Workers wearing PPE required by company policy?<br>

  • 11.3 High visibility clothing?

  • 11.4 Hard hat and wide brim hat?

  • 11.5 Fully enclosed footwear?

  • 11.6 Are signs displayed where specified PPE must be worn?

  • 11.7 Is PPE fitted correctly, serviceable and in good condition?

  • 11.8 Do workers wear PPE when mandated in SWMS?

  • Other safety issues

    • Safety issue

  • 11.9 Safety Issues

12. Manual Handling

12. Manual Handling (Hazardous Manual Tasks Code of Practice)

  • 12.1 Is a risk assessment conducted for manual tasks (heavy lifting or strenuous work)?

  • 12.2 Are workers trained in lifting practices?

  • 12.3 Do workers request assistance for heavy or awkward lifting tasks?

  • 12.4 Do workers warm before heavy lifting to avoid strain injuries?

  • 12.5 Are adequate rest breaks allocated to allow workers time to recover?

  • Other safety issues

    • Safety issue

  • 12.6 Safety Issues

13. Safety Issue, Hazard Reporting and Controls

13. Safety Issue, Hazard Reporting and Controls (Hierarchy of control)

  • 13.1 Are safety issue / hazard and near miss reporting forms available on-site

  • 13.2 Do workers understand the procedure for reporting safety concerns (Stop work, apply control or report to supervisor)?

  • 13.3 Are risk assessments conducted to identify site hazards with controls implemented?

  • 13.4 Do workers know and refer to the hierarchy of control?

  • Other safety issues

    • Safety issue

  • 13.5 Safety Issues

14. Incident Reporting and Investigation

14. Incident Reporting and Investigation

  • 14.1 Are incident / injury forms available on site?

  • 14.2 Do workers report all incidents ASAP?

  • 14.3 Are all incidents fully investigated and effective remedial action implemented?

  • 14.4 Are WorkCover NSW "Notifiable Incidents and Preservation Site", regulations clearly understood by the PCBU?

  • Other safety issues

    • Safety issue

  • 14.5 Safety Issues

15. Safe Work Method Statements (SWMS)

15. Safe Work Method Statements (SWMS) - Code of Practice for Construction Work

  • 15.1 Have workers been inducted and consulted, in the development of SWMS?

  • 15.2 Are SWMS systematic with steps, hazards and controls?

  • 15.3 Are SWMS specific to the activity and easy for workers to understand?

  • 15.4 Do all workers understand SWMS and are they signed off?

  • 15.5 Are SWMS monitored and reviewed for effectiveness?

  • 15.6 Are SWMS provided to the principle contractor?

  • 15.7 Do SWMS meet the minimum standards required by applicable Codes of Practice?

  • Other safety issues

    • Safety issue

  • 15.8 Safety Issues

16. Plant (General)

16. Plant (General) - (Evidence required i.e. documentation)

  • 16.1 Has plant been assessed as safe to use and complaint to Australian standards?

  • 16.2 Are operators trained and Verified as Competent (VOC); is evidence available?

  • 16.3 Are daily pre-start checklist completed and faults reported?

  • 16.4 Are repairs and maintenance conducted in a timely manner (Risk rated)?

  • Other safety issues

    • Safety issue

  • 16.5 Safety Issues

17. Safe Operating Procedures (SOP) & (VOC)

17. Safe Operating Procedures (SOP & VOC)

  • 17.1 Are worker safe operating procedures (SOP) in place specific to plant?

  • 17.2 Are operators provided with periodic checks on SOPs?

  • 17.3 Are operators verified as competent (can evidence be provided)?

  • Other safety issues

    • Safety issue

  • 17.4 Safety Issues

18. Plant used to Lift Loads

18. Plant used to Lift Loads

  • 18.1 Loads requiring calculation must be slung by a competent person i.e a licensed dogman?

  • 18.2 Are all ropes, slings, chains and lifting attachments inspected daily before use?

  • 18.3 Are loads properly calculated before lifting commences?

  • 18.4 Does the Crane operator and Dogman communicate effectively?

  • Other safety issues

    • Safety issue

  • 18.5 Safety Issues

19. Isolation: Tag-out, Lockout

19. Tag-out, Lockout Procedure (SWMS)

  • 19.1 Do operators understand the initial tag-out procedure?

  • 19.2 Are tags available in the machine or location?

  • 19.3 Do mechanics apply their own locks when working on machinery?

  • 19.4 Are all locks issued to a person keyed identically?

  • 19.5 Are operators notified of return to service?

  • 19.6 Are there procedures or SWMS for Isolation, tag-out and lock-out.

  • Other safety issues

    • Safety issue

  • 19.7 Safety Issues

20. Environmental Controls

20. Environmental Controls

  • 20.1 Is there an environmental plan in place?

  • 20.2 Are work practices designed to reduce impacts to the environment?

  • 20.3 Are sediment barriers used around perimeters of earthworks and waterways?

  • 20.4 Is dust suppression available (E.g. Water carts)?

  • 20.5 Are vehicles and plant purchased and maintained to reduce emission levels?

  • 20.6 Are procedures available for the disposal of waste and used hazardous substances E.g. Safety Data Sheets?

  • 20.7 Does the company have a recycling policy?

  • Other safety issues

    • Safety issue

  • 20.8 Safety Issues

21. Plant Exclusion Zones

21. Plant Exclusion Zones

  • 21.1 Permit completed?

  • 21.2 Signs in place to identify exclusion zone?

  • 21.3 Exclusion zones secured?

  • Other safety issues

    • Safety issue

  • 21.4 Safety Issues

22. Storm Water Run-off

22. Storm Water Run-off

  • 22.1 Weather monitored to implement controls to minimise soil erosion?

  • 22.2 Silt control fences in place or other?

  • 22.3 Waterway traps inserted to contain and remove contaminants?

  • Other safety issues

    • Safety issue

  • 22.4 Safety Issues

23. Occupational Noise

23. Occupational Noise

  • 23.1 Have all areas been assessed for the presence of harmful noise levels?

  • 23.2 Are all workers in the presence of harmful noise levels wearing hearing protection?

  • 23.3 Are noise hazard locations identified by safety signs or stickers?

  • 23.4 Are workers wearing hearing protection provided with hearing tests (Every 2 years if wearing hearing protection)?

  • Other safety issues

    • Safety issue

  • 23.5 Safety Issues

24. Site Rehabilitation

24. Site Rehabilitation

  • 24.1 Are work plans available to include procedures for re-instatement of work sites?

  • 24.2 Are all locations rehabilitated to meet EPA standard?

  • 24.3 Bin location prominent, adequate and emptied regularly?

  • 24.4 All materials removed from sites?

  • 24.5 No litter strewn around site ?

  • 24.6 Laydown (repairs and maintenance) areas defined with fluids properly disposed of?

  • Other safety issues

    • Safety issue

  • 24.7 Safety Issues

25. Hazardous Substances (Chemicals)

25. Hazardous Substances (Chemicals) - Code of Practice for Hazardous Substances

  • 25.1 Are hazardous materials identified and control measures implemented?

  • 25.2 Are Safety Data Sheets available for all substances used in the workplace?

  • 25.3 Are all safety data sheets current (not over 5 years old)?

  • 25.4 Have risk assessments been conducted to eliminate or minimise the type of chemicals used?

  • 25.5 Are workers trained in the safe handling and application of hazardous chemicals?

  • 25.6 Do workers follow SDS procedures when handling chemicals?

  • 25.7 Are chemicals stored properly ( E.g. 110% bunded and in-compatible separation)?

  • 25.8 Are all containers used for handling chemicals labeled correctly?

  • 25.9 Is the product identified correctly?<br>- Australian address, business telephone number and manufacturer / import identified?<br>- hazardous chemical pictograms consistent with correct classification?<br>

  • 25.10 Are first aid treatment and emergency procedures available relevant to the chemical?

  • 25.11 Do workers using hazardous chemicals require health monitoring (Refer chemical)?

  • 25.12 Are workers wearing PPE as prescribed by the safety data sheet (SDS) for chemical used?

  • Other safety issues

    • Safety issue

  • 25.13 Safety Issues

26. Electrical and Power Tools

26. Electrical and Power Tools

  • 26.1 Is electrical equipment tagged and tested for currency?

  • 26.2 Is the site shed protected by Residual Current Device (RCD) Electrical circuit breaker?

  • 26.3 Are power boards used (no double adaptors or piggy backs)?

  • 26.4 Do portable power tools have RCDs?

  • 26.5 Are leads inspected daily for damage (Hostile environment)?

  • Other safety issues

    • Safety issue

  • 26.6 Safety Issues

27. Portable Power Tools

27. Portable Power Tools?

  • 27.1 Are power tools in good condition?

  • 27.2 Are adequate storage facilities provided?

  • 27.3 Are all guards in place?

  • 27.4 Is hearing protection worn if over 85dB?

  • Other safety issues

    • Safety issue

  • 27.5 Safety Issues

28. Hotwork

28. Hotwork

  • 28.1 Permit to conduct hot work (Usually encompasses a risk assessment)?

  • 28.2 Have risk assessments been conducted where hot work presents a risk?

  • 28.3 Is fire fighting equipment available for fire prone locations?

  • 28.4 Are flammables or explosive substances removed from location prior to hot work?

  • 28.5 Spotter available if required within permit?

  • 28.6 is correct PPE being worn for task?

  • 28.7 Welding screens and fire blankets in place?

  • Other safety issues

    • Safety issue

  • 28.8 Safety Issues

29. Gas Cylinders

29. Gas Cylinders (Oxy and Acetylene etc)

  • 29.1 Are gas cylinder properly stored (chained and secured)?

  • 29.2 Gas cylinders properly turned off and hoses wound up?

  • 29.3 PPE available and used for welding or oxy cutting?

  • 29.4 Cylinders secured, gauges operative, flashback arresters fitted and hoses in good condition?

  • 29.5 LPG - Is the LPG cylinder stamped as current (Within 5 years) and in serviceable condition?

  • Other safety issues

    • Safety issue

  • 29.6 Safety Issues

30. Working at Heights

30. Working at Height (Generic)

  • 30.1 Risk assessment conducted?

  • 30.2 Are workers trained in working at heights?<br> - Evidence provide e.g. tickets?

  • 30.3 Height of work and regulations checked?

  • 30.4 Is there electricity power cables in close proximity to the work?<br>- Have effective controls been implemented?<br>- Essential energy notified 13 20 80 to conduct preliminary risk assessment if required?

  • 30.5 Correct edge protection in place and to a structural strength?<br>AS/NZS 1576 Scaffold Series?

  • 30.6 Fall protection device includes AS/NZS 1891.1<br>- a secure fence<br>- edge protection<br>- working platforms and;<br>- covers

  • 30.7 Surfaces are structurally capable of supporting all persons and things that may be located or placed on it?

  • 30.8 Surface materials not brittle?<br>- skylights identified?<br>

  • 30.9 Pitch of roof assessed?<br>- less than 15 degrees?<br>- worker no closer than 3 metre from edge?<br>- how is this controlled?

  • 30.10 If no edge protection and the roof is flat and is less than 15 degrees the following applies:<br>1. Conduct a risk assessment?<br>2. Floor sound and not slippery?<br>3. No person is to be within 3 metres of the edge?<br>4. Optional - 3 metre line is identified with a barrier or adequate controls that ensures a person cannot cross?

  • 30.11 Loose objects secured from falling?

  • Other safety issues

    • Safety issue

  • 30.12 Safety Issues

31. Portable Ladders

31. Portable Ladders

  • 31.1 AS/NZS 1892 Portable Ladder?

  • 31.2 Load rating of 120kg?

  • 31.3 Ladder placed at 1:4 or no more than 1:6 slope?

  • 31.4 Is the ladder secure at top and bottom?

  • 31.5 Does ladder extend 900mm to 1 metre above the landing platform?

  • 31.6 Fall protection at stepping of point?

  • 31.7 Are temporary ladders not > 6 metres between successive ladder landings?

  • Other safety issues

    • Safety issue

  • 31.8 Safety Issues

Compliance Officer, Managment, Supervisor Comments

    Compliance Officer

Compliance Officer, Managers, Supervisor Comments

  • Overall summary and rating

  • Comments

  • Name and signature of person conducting compliance audit

    • Team Leader

Team Leader

  • Comments

  • Name and signature

    • Line Manager

Line Manager

  • Comments

  • Name and signature

    • Site Supervisor

Site Supervisor

  • Comments

  • Name and signature of person in charge of worksite

Worker Names, Titles and Signature

Workers On-site, Names, Titles and Signature

  • Worker name, title and signature

    • Worker name

  • Name of worker and signature (Add title if required)

Sketch/Draw Details

  • Sketch/Draw Details (If required)

    • Sketch detail

  • Section and sub-section details

  • Date and time

  • Sketch details

  • Location

  • Photo

  • Name and signature

Worksite Safety Inspection V5
Peter Brunt

Worksite Safety Inspection V5

Check for workplace compliance

Use this Template
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