Home
NZLH EMPLOYEE
NZLH SUBCON
NZLH SICK LEAVE
NZLH ANNUAL LEAVE
NZLH Site Safe
NZLH SITE SAFE AUDIT 011220
Step 1 of 4
25%
Audit
A Health and Safety audit is a proactive approach to ensure your safety management system is effective and complying with Health & Safety Regulations.
Visit Date
dd/mm/yyyy
Post Image
Client Name
Site Address
Is this the FIRST Site Safety Visit
Yes
No
INDUCTIONS
Are Health & Safety inductions provided to our staff before starting work?
Yes
No
This will raise a WARNING flag to management, please inform client this is not acceptable and our workers need to stop work and be inducted, or leave site
Inducted
Removed
Neither
Please explain !
HAZARDS
Identify hazards
Is there a Hazards Register ?
Yes
No
This will raise a WARNING flag to management, please give comments !
When was the last update of the hazards register
Less than 7 days
More than 7 days
Minimum is once a week or whenever a significant risk , near miss or accident occurs.
Are there serious hazards that are missing
Yes
No
Have a toolbox meeting and inform client this is unacceptable.
Following the toolbox tools, are you comfortable with the client process, for identifying and communicating hazards?
Yes
No
REMOVE WORKER(S) ! - Flag will be raised
INCIDENTS /ACCIDENTS
Have there been any recent incidents or near misses relevant to (a) the area where our employee is working or (b) the work our employee is undertaking ?
Yes
No
If reports are available, please take images to attach below.
Image 1
Image 2
Are any of our workers in immediate danger?
Yes
No
This will raise a WARNING flag to management - remove our workers immediately !
Have the risks been Eliminated?
Yes
Sufficiently Minimized
No
This will raise a WARNING flag to management, either remove workers from site, or explain why you are keeping them onsite.
Do you keep an Accident / Incident register on site?
Yes
No
This will raise a WARNING flag to management, please explain why there is no register.
TOOLBOX TALKS
Do you hold Toolbox Talks at least once a week that our staff attend?
Yes
No
Is there another way hazard changes and incidents / near misses are communicated?
Yes
No
Remove workers ASAP this client is high risk
This will raise a WARNING flag to management, please give comments !
Have this been sighted?
Yes
No
PLEASE SIGHT !
TASKS BEING PERFORMED
Are any of our employees performing any extra tasks outside the initial job order, or using plant, equipment they are not competent, trained and/or qualified to use which may increase risk of injury or incident?
Yes
No
Please inform worker and client, this is unacceptable. We need to informed BEFORE any of these happen
Actioned?
Yes
No
Unacceptable. This will raise a WARNING flag to management, please explain, remove worker or complete an assessment.
Are you satisfied the increase in risk is sufficiently minimized, and this wont happen again?
Yes
No
Remove workers ASAP this client is high risk
REMOVE worker or ask client to STOP using workers in that way
If our employee is operating any plant or equipment, have risk assessments been performed on these recently?
Yes
No
Unacceptable. This will raise a WARNING flag to management, please explain, remove worker or complete an assessment.
PPE
Are our staff abiding by Site PPE Requirements?
Yes
No
Have a Toolbox Talk before leaving on appropriate PPE usage and remove anyone not complying . Update candidate file
HIGH RISK ACTIVITIES
Are any of our staff exposed to a Working at Heights risks ?
Yes
No
Remove workers or re assign different tasks . Inform client UNACCEPTABLE. This will raise a WARNING flag with management, please explain!
Are any staff working with Unguarded Plant or Equipment ?
Yes
No
Remove workers or re assign different tasks . Inform client UNACCEPTABLE. This will raise a WARNING flag with management, please explain!
Are any staff working in Confined Spaces without current qualification?
Yes
No
Remove workers or re assign different tasks . Inform client UNACCEPTABLE. This will raise a WARNING flag with management, please explain!
Are any staff at risk of being exposed to Hazardous Material? (Such as Asbestos, Solvents, Lead, Hazardous waste)
Yes
No
Remove workers or re assign different tasks . Inform client UNACCEPTABLE. This will raise a WARNING flag with management, please explain!
NZLH REPRESENTATIVE
Please enter your email below,to complete this form. On completion of this form a copy will be sent to the below emails
NZLH Representative - EMAIL
Client Representative - EMAIL (Optional)
{all_fields}
Name
This field is for validation purposes and should be left unchanged.
