Monthly Site Safety Inspection

This form is to be used by ADG staff to conduct monthly project site safety inspections

Name

Email

Project Name *

CAPEX Number *

Contractor

Has the contractor completed a Permit to Commence Work (PERCOW) and signed off by ADG?

YesNo

JOBSITE GENERAL

Construction Signages: Is there adequate safety posters, signs and warnings? *

YesNoN/A

Actions Required / Comments

First Aid: Is there a first aid kit available, accessible, adequately stocked and there is a dedicated first aid qualified person? *

YesNoN/A

Actions Required / Comments

Emergency Contact: Is there site emergency contact details for relevant site personnel and emergency authorities? *

YesNoN/A

Actions Required / Comments

Lighting: Is there adequate lighting within the site area? *

YesNoN/A

Actions Required / Comments

Ventilation: Is there adequate ventilation for thermal comfort and general air quality? *

YesNoN/A

Actions Required / Comments

Foreign Object Debris (FOD) Controls in place *

YesNoN/A

It is essential that FOD not be released into the Airside area for aircraft safety

Actions Required / Comments

PUBLIC SAFETY

Risk of Interaction with Public: Is there a risk of interaction with the public during construction works and have appropriate controls to isolate the works away from the public been considered? *

YesNoN/A

Actions Required / Comments

Signage: Is signage required to communicate implications for the public been considered and planned for? *

YesNoN/A

Actions Required / Comments

FIRE PROTECTIONS AND EMERGENCIES

ADG Permit – Hot Works: Has the contractor completed a Hot Works Permit? *

YesNoN/A

Actions Required / Comments

ADG Permit – Fire Protection Impairment: Has the contractor completed a Fire Protection Impairment Notification Permit? *

YesNoN/A

Actions Required / Comments

Emergency Facilities: Is there an accessible fire extinguisher(s) on site? What type of fire extinguisher onsite? *

YesNoN/A

Actions Required / Comments

Fire Extinguishers: Are the fire extinguisher(s) test and tagged and up to date? *

YesNoN/A

Actions Required / Comments

Emergency Plans: Do emergency plans require development, update for construction and for post hand over? *

YesNoN/A

Actions Required / Comments

Emergency Routes and Exits: Have emergency routes and exits been considered? *

YesNoN/A

Actions Required / Comments

Emergency Vehicle Access: Has emergency vehicle access been considered? *

YesNoN/A

Actions Required / Comments

Flammable Liquids: Are flammable liquids in approved containers, correctly labelled and properly stored (bunded)? *

YesNoN/A

Actions Required / Comments

Gas Cylinders: Are gas cylinders adequately segregated, secured and restrained from falling? *

YesNoN/A

Actions Required / Comments

ELECTRICAL SAFETY

ADG Permit – Works on or near HV Electrical Equipment or Cables: Has the contractor completed a HV Electrical Access/Isolation Permit and a copy available onsite? *

YesNoN/A

Actions Required / Comments

ADG Permit – Performing any LV Electrical Works: Has the contractor completed a LV Electrical Access/Isolation Permit? *

YesNoN/A

Actions Required / Comments

Leads and Cables Are all leads and portable electrical devices tested and tagged and up to date? *

YesNoN/A

Red Tag – December to February. Green Tag – March to May. Blue Tag – June to August. Yellow Tag – September to November

Actions Required / Comments

Leads and Cables Routing Are approved lead stands used to ensure cables are not on the ground? *

YesNoN/A

Actions Required / Comments

Power Points: Are the number and location of power points adequate for the desired outputs? *

YesNoN/A

Actions Required / Comments

Surge Protection: Is an RCD used on all electrical appliances? *

YesNoN/A

Actions Required / Comments

Existing Underground and Overhead Cables: Has the location of underground and overhead cables been assessed and adequate controls put in place to prevent damage of these existing services? *

YesNoN/A

Actions Required / Comments

MOVEMENT OF PEOPLE AND MATERIALS

Access and Egress: Is there safe access and egress for all site personnel *

YesNoN/A

Actions Required / Comments

Loading Bays and Ramps Are loading bays and ramps appropriate for persons and vehicle interactions? *

YesNoN/A

Actions Required / Comments

Site Security: Has site security been considered and is it adequate for all construction phases? *

YesNoN/A

Actions Required / Comments

Traffic Management Plans: Have traffic management plans been developed for all construction phases? *

YesNoN/A

Actions Required / Comments

PLANT

Cranes: Has the impact on the Obstacle Limitation Surface (OLS) and NOTAMs allowed for? *

YesNoN/A

Actions Required / Comments

Lift Installations: Have lift installations been assessed with a lift plan in place? *

YesNoN/A

Actions Required / Comments

Mobile Cranes: Have mobile crane loads been assessed for weight-bearing capacity? *

YesNoN/A

Actions Required / Comments

Mobile Cranes: Are mobile cranes situated on an even and stable ground? *

YesNoN/A

Actions Required / Comments

Plant and Equipment: Access for maintenance of plant and equipment been risk assessed (including roof access, if required)? *

YesNoN/A

Actions Required / Comments

Refuelling: Will plant require refuelling and if so, has storage and refuelling processes been considered? Ensure a bunded area is established for refuelling with a spill kit available onsite. *

YesNoN/A

Actions Required / Comments

EARTHWORKS

Excavation Permit: Has the contractor completed the Airport Development Group Excavation Permit? *

YesNoN/A

Actions Required / Comments

Excavations: Have excavations (e.g. risks from collapse or engulfment) been assessed for structural integrity? *

YesNoN/A

Actions Required / Comments

Underground Services: Has the location of underground services been determined, located, assessed and appropriately treated to prevent damage? *

YesNoN/A

Actions Required / Comments

Excavations: Have excavations in excess of 1.5m been assessed with adequate controls in place? *

YesNoN/A

Actions Required / Comments

Stockpile: Is stockpile being management in accordance with the endorsed CEMP? If so, is there an approved “Application for stockpiling of materials” Permit? *

YesNoN/A

Actions Required / Comments

STRUCTURAL INTEGRITY

Load-Bearing: Does load-bearing meet engineering requirements? *

YesNoN/A

Actions Required / Comments

Steelwork and Concrete Frameworks: Has the erection of steelwork or concrete frameworks been assessed and adequate controls in place? *

YesNoN/A

Actions Required / Comments

Steel Work: Are any steel work considered structural and require welding and therefore welding procedures and qualified welders be required? *

YesNoN/A

Actions Required / Comments

Structure: Have the stability and integrity of structures been assessed and adequately controlled? *

YesNoN/A

Actions Required / Comments

MATERIAL HANDLING

Loading Docks and Storage Facilities: Has loading docks and storage facilities been assessed for optimal positioning? *

YesNoN/A

Actions Required / Comments

Material Handling: Are all materials inspected upon delivery onsite for any defects and/or damages? *

YesNoN/A

Actions Required / Comments

What is being done to rectify this issue? *

Prefabricated Fixtures and Fittings: Has the assembly and disassembly of prefabricated fixtures and fittings adequate? *

YesNoN/A

Actions Required / Comments

HAZARDOUS CHEMICALS

Contaminated Ground: Is there a risk of encountering contaminated ground and if so have controls been considered and deployed? *

YesNoN/A

Actions Required / Comments

Dust: Is there adequate ventilation and PPE when exposed to irritant, respirable dust and fumes? *

YesNoN/A

Actions Required / Comments

Hazardous Chemicals and Gasses Storage: Has storage and use of hazardous chemicals and gasses (battery charging), including cleaning products been assessed and adequately controlled? (bunding, MSDS Register, Flam Lockers etc) *

YesNoN/A

Actions Required / Comments

Organic Compounds: Has exposure to volatile organic compounds and off-gassing through the use of composite wood products or paints been assessed and adequately controlled? *

YesNoN/A

Actions Required / Comments

PFAS: Is there a risk of encountering PFAS contamination and if so, has there been a PFAS Risk Assessment developed and an ADG PFAS Statement Form completed? *

YesNoN/A

Actions Required / Comments

FALLS PREVENTION OR PROTECTION

Working at Heights Ticket: Do all personnel Working at Heights have their Working at Heights Ticket? *

YesNoN/A

Actions Required / Comments

Access: Has access to working spaces for construction, cleaning, maintenance and repairs been assessed and controlled to eliminate falls? *

YesNoN/A

Actions Required / Comments

Harnesses/ lanyards / Anchor Points: Where harnesses & lanyards are used are they set up for fall restraint Have anchorage points for building maintenance and cleaning been tested and do they meet engineering requirements? *

YesNoN/A

Actions Required / Comments

Roof Materials: Have roofing materials and surface characteristics such as fragility and slip resistance been assessed prior to working on the roof? *

YesNoN/A

Actions Required / Comments

Window Height and Cleaning: Has window height and cleaning been considered to reduce the risk of falls and provide safe access? *

YesNoN/A

Actions Required / Comments

NOISE EXPOSURE AND CONTROL

Noise and Vibration: Has exposure to noise and vibration from plant or other works on surrounding areas been assessed to be as low as reasonably practicable? *

YesNoN/A

Actions Required / Comments

Noise and Vibration: If there is a risk from noise and vibration to surrounding areas has this or will it be communicated prior to stakeholders commencing works? *

YesNoN/A

Actions Required / Comments

OTHER RISKS

Biological Hazards: Has exposure to biological hazards been assessed and adequately controlled? *

YesNoN/A

Actions Required / Comments

ADG Permit – Confined Spaces: Has the contractor completed the Airport Development Confined Space Permit? *

YesNoN/A

Actions Required / Comments

Confined Space/Restricted Access: Will confined & restricted spaces be required and have they been assessed (register, signage, access etc) and adequately controlled? *

YesNoN/A

Actions Required / Comments

Radiation: Has exposure to radiation (e.g. electromagnetic radiation) been assessed and adequately controlled? *

YesNoN/A

Actions Required / Comments

AIRSIDE PROJECTS (ONLY)

Security Access (ASIC/VIC) *

YesNoN/A

Actions Required / Comments

Works Safety Officer Available *

YesNoN/A

Actions Required / Comments

Additional Comments

Signature *

Draw signature|Type signatureClear

Date

Save and Complete Later