Project SHE Site Inspection Checklist - APAC



APACProject SH&E Site Inspection ChecklistS3[APAC]-216-FM1This form is to be used to conduct and record the results of a project specific SH&E site inspection. Any issues arising must be discussed with the Project Manager, and the Project Manager is to ensure issues identified during the inspection are rectified. Completed copies of this form are to be provided to the Project Manager, Regional Safety Manager, and filed in the project file in accordance with Project Document and Records Control Procedure (Q3AN-222-PR1).Inspection Conducted By FORMTEXT ?????Contractor/Sub-Contractor Participants FORMTEXT ?????Project Manager FORMTEXT ?????Project Location FORMTEXT ?????Project Number FORMTEXT ?????Date of Inspection FORMTEXT ?????N/A – Not Applicable NC – Non-conformance CO – Corrected C – ConformingChecklistN/ANCCOCActions / Comments1.0Risk Management 1.1AECOM SHEMP or SWMS available and approved by relevant parties (PM, SH&E Manager etc.)? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????1.2All AECOM personnel on site have signed SWMS and been inducted to AECOM SHEMP (where one is in place)? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????1.3AECOM personnel have either completed and documented a daily pre-start for the works or signed onto the principal’s toolbox talk/pre-start? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????1.4The work area is clearly defined and takes into account other on and off-site activities? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????1.5Identified and agreed risk control measures are in place (e.g. compliance with SWMS) and effective? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????1.6Change is being managed on site through updates to SWMS/SHEMP and/or completion of Step Back Cards? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????2.0Site Access and Visitors2.1Site inductions were completed upon arrival at site? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????2.2The induction included information on site hazards, emergency evacuation, site amenities, sensitive environmental receptors and minimum SH&E training and PPE requirements? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????3.0Emergency Response3.1Emergency numbers have been included in the SWMS/SHEMP? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????3.2A muster point or assembly area has been identified and all workers are aware of its location? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????3.3Appropriate number of first aiders on site?(1:25 workers in high risk workplace, 1:50 for low risk) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????3.4First aid room and occupational first aider available if required (High risk workplace with 100+ workers, low risk workplace with 200+) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????3.5A first aid kit is available at the site in close proximity to the work area and available to all workers at the site? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????3.6The first aid kit is adequately stocked, contents are in date and appropriate for the activities being conducted? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????3.7Where required, appropriate types of fire extinguishers are available in the work area and are in good condition with current inspection tags? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????3.8Where required, appropriate pollution response equipment (e.g. spill kit) is readily available on-site? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????4.0Amenities4.1Field staff has access to clean drinking water and toilets? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????5.0Housekeeping5.1Site is clear of slip/trip hazards? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????5.2Sufficient number of bins available? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????6.0Communication Plan6.1A communication plan has been documented in the SWMS/SHEMP and there is evidence of field staff complying with it on site? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????6.2The frequency, time and method(s) of communication are clearly identified in the plan? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????7.0Permits7.1Permits required at the site to undertake the proposed work activities are in place, current and signed? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????7.2The controls identified in the permits have been put into place and working effectively? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????7.2Regulatory high risk work notifications have been made? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????8.0SH&E Training Requirements8.1Minimum SH&E training requirements or licence requirements to undertake the work have been identified in the SWMS/SHEMP and evidence of completion can be demonstrated? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????8.2Trainees and visitors at the site are being effectively supervised? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????9.0Contractors and Subcontractors9.1Contractors have documented SWMS to identify and mitigate the hazards associated with their work? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????9.2Contractors SWMS are site specific, have been developed in consultation with workers and include information and instruction? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????10.0PPE10.1Minimum PPE requirements outlined in the SWMS/SHEMP are appropriate for the hazards at the worksite? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????10.2All personnel at the site, including visitors are wearing the minimum required standard of PPE and it is in good condition? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????10.3Task specific PPE worn as required (e.g. cut resistant gloves for manual handling activities)? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????11.0Hazard Identification and Controls11.1Hazards identified in the SWMS/SHEMP are consistent with the scope of works and hazards present at the work site? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????11.2Appropriate control measures have been identified for each of the hazards and are being implemented on site? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????11.3Control measures reflect any relevant specific legislative, client, and company requirements and adequately consider the hierarchy of controls? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????11.4Implemented risk control measures are effectively reducing risk to an acceptable level? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????12.0Hazardous Chemicals12.1Chemicals of potential concern, combustible gas and other atmospheric hazards have been identified in the SWMS/SHEMP? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????12.2Current SDS (< 5 years old) is available at the work site for each chemical? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????12.3Monitoring requirements are identified in the SWMS/SHEMP? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????12.4Chemical Hazard & LEL action levels have been identified in the SWMS/SHEMP and are appropriate and practical for the site? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????12.5Monitoring equipment is calibrated and records of calibration are available and fully completed? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????13.0Ground Disturbance Works13.1AECOM controlled ground disturbance works are being completed in accordance with SIC Procedure? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????13.2SIC checklist is available on site and has been filled out appropriately? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????13.3AECOM Excavation/Drilling permit is available on site and has been filled out appropriately? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????14.0 Working at Height/ Fall Prevention14.1Ladders secured and only used for access/egress (unless platform ladder)? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????14.2Scaffold integrity adequate and routinely checked and tagged? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????14.3Live edges barricaded (min 2m from edge) or fixed handrail installed? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????14.4Workers using EWPs have completed a formal work at height training course, are using harnesses (in good condition) and are connected to designated anchor points? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????14.5Exclusion zone established around all work at height activities? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????15.0Plant and Equipment15.1Plant and equipment operators are trained and licensed? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????15.2Pre-start checks of plant and equipment have been completed and all required maintenance is up to date? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????15.3Adequate exclusion zones have been established around operating plant and equipment? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????16.0Electrical16.1Permits available for live electrical work? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????16.2Lock out procedures implemented as required? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????16.3Electrical leads are elevated off ground and insulated from metal objects? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????16.4Electrical equipment tested and tagged as per AECOM procedures? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????17.0Lifting Operations17.1Lift plan completed and appropriate for complexity of lift? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????17.2All lifting equipment has SWL clearly marked and load is within capacity? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????17.3Competent rigger/dogman used for slinging/ controlling loads? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????17.4Lift areas clearly delineated and exclusion zone established? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????18.0Environmental Management18.1Sediment controls in place, adequate and maintained? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????18.2Dust suppression systems in place and adequate? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????18.3Noise and vibration controls adequate and in accordance with any consent conditions? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????18.4Watercourses protected from work activities? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????19.0Confined Space Entry19.1CSE permit is available on site and has been prepared by a competent person? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????19.2Documented CSE risk assessment available? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????19.3All services connected to the space have been isolated? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????19.4All workers assigned duties related to the CSE have completed an accredited CSE training course? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????19.5Appropriate signage and standby person/s are in place? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????19.6Communication and safety monitoring (e.g. atmospheric monitoring) systems are in place? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????19.7Emergency and rescue procedures are in place and understood by all? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????20.0Other Issues Noted FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????Copied to: FORMCHECKBOX Project Manager FORMCHECKBOX Regional Safety Manager FORMCHECKBOX Project FileSummary of ResultsNOTE: Once you have completed this inspection form, please ensure you:Discuss the findings with AECOM project personnel (and any contractors where relevant) including non-conformances and any immediate corrections required;Document major non-conformances including corrective actions and persons responsible in the summary below;Submit required corrective actions into IndustrySafe database and assign to the relevant responsible party;Provide completed inspection form to Regional SHE Manager; andMaintain a copy of the inspection in the project file.Item No.NC IdentifiedAgreed Corrective ActionResponsible PersonAgreed completion dateIndustrySafe Reference Number FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Inspector Signature: __________________________________Date: FORMTEXT ????? ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download