3: CONTRACTOR HSMS COMPLIANCE AUDIT TOOL

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1 Title: This compliance tool is to be performed on Contractor HSMS plans. It can be used throughout the duration when the contractor submits the generic/specific WHS plan prior to arrival and desktop audit after the contractor has mobilised or during the work to ensure compliance to their WHS plan. CONTRACT/CONTRACTOR DETAILS: Callide A Station Kogan Creek A Station Wivenhoe Power Station Callide B Station Other (Please Specify): Callide C Station Contract/Project: Contractor/s: Audit Team Date: Management Systems and Registers Compliant Non-compliant N/A 1 Health, Safety and Environment (HSE) Policy (reviewed within the last 2 years) 2 OHS policy communicated to employees and sub contractors 3 Health and Safety Management System regularly updated (at least every 2 years) 4 Environmental Management Manual or Control Plan regularly updated (at least every 2 years)? 5 Workers have access to HSE systems and manuals 6 Does the company have specific rules that are pivotal to upholding the integrity of the company HSE Management System (I.e. golden rules, life savers, etc)? 7 HS related responsibilities and accountabilities clearly communicated 8 Safe systems for collecting, storing and disposing of excess /waste materials 9 An active HS committee 10 An active HS Representatives 11 A system developed for management of subcontractor HS Incident and Hazard Management Compliant Non-compliant N/A 1 HSE Management System covers incident notification? 2 HSE Management System covers reporting of hazards / near misses? 3 Performs incident investigations? 4 Injury reporting includes a requirement to notify their supervisor ASAP (24/7)? 5 Injury reporting includes notify the client (CS Energy) ASAP (24/7)? 6 A rehabilitation and return to work procedure? 7 Does the company injury management procedure include the supervisor being directly involved in the rehabilitation process? 8 Is there a system where pre-existing medical conditions are detected / reported to management (ie medicals)? Page 1 of 5

2 Title: Risk Management Compliant Non-compliant N/A 1 SWMS developed for high risk construction activities (WHS Regs 2011 s299) 2 Procedure for assessment, monitoring and review of SWMS of the workplace: Process for monitoring and review of control measures Identifies the high risk construction activities States the hazards and risks to health and safety associated with those hazards Specific controls measure proposed for the risks 3 Risks associated with site activities identified (Risk Register or the like) 4 Controls for known and potential risks (i.e. Risk Register or similar for project) 5 Safe housekeeping practices outlined in Risk Assessment 6 Effectiveness of practices monitored and reviewed 7 Electrical equipment register maintained 3A Operation of Plant and Equipment Compliant Non-compliant N/A 8 A register developed and maintained for the powered mobile plant on site 9 Mobile plant has been checked before being operated on site (check for compliance) 10 SWMS in place for the risks associated with the operation of plant: The plant overturning Things falling on the operator of the plant The operator being ejected from the plant The plant colliding with any person or thing Mechanical failure of pressurised elements of plant that may release fluids that pose a risk to H&S 3B Hazardous Chemicals Compliant Non-compliant N/A 11 Register maintained of hazardous chemicals 12 Register includes copies of current SDS 13 SWMS prepared to work relating hazardous chemicals 14 Risk assessment for hazardous chemicals undertaken Page 2 of 5

3 Title: 3C Excavation and Building Penetration Compliant Non-compliant N/A 15 Underground services at/near location where work is to be undertaken identified 16 Underground information is provided to persons carrying out excavation work 17 Underground service information is available for inspection 18 Safe Work Method Statement is written and covers the following risks: A person falling into an excavation; A person being trapped by the collapse; A person working in an excavation being struck by a falling thing; A person working in an excavation being exposed to an airborne contaminant; 3D Working at Heights and Falling Objects Compliant Non-compliant N/A 19 Working at Heights Safety Equipment Register maintained 20 Risk assessments documented Falls and Falling Objects 21 Risk assessments documented for work performed over 2 meters 22 Ladders risk assessment performed and training in use 23 Processes considered for implementing controls 24 Falling objects risk assessment performed Measuring Performance Compliant Non-compliant N/A 1 HSE Management System cover pre-start and toolbox meetings 2 HSE Management System cover workplace Inspections 3 HSE Management System cover behavioural observation, take five, safety interactions or similar 4 HSE audits are conducted on the sub-contractors 5 A system of following up to ensure issues identified in internal HSE audits are closed out 6 Are all workers advised of the results of internal HSE audits 7 Does the company monitor/compare LTI trends across sites / projects? 8 Does the company monitor/compare MTI trends across sites / projects? 9 Does the company monitor/compare first aid incidents (FAI's) trends across sites / projects? 10 Does the company monitor/compare near miss trends across sites / projects (safety and environment)? 11 Does the company monitor/compare incidents across sites / projects (safety and environment)? 12 Does the company monitor HSE statistics monthly? Page 3 of 5

4 Title: 13 Does the company benchmark your HSE performance against comparative companies? Training & Licenses Compliant Non-compliant N/A 1 A training matrix for all workers 2 A copy of all workers high risk licences 3 A copy of all workers training certificates and qualifications 4 A verification of competency (VOC) procedure for its plant and equipment 5 New workers participate in a company specific on-boarding HSE induction 6 Site specific inductions for each work site 7 All subcontractors including in your companies complete site specific induction DATA COUNT Compliant Non-compliant N/A DOCUMENTS REVIEWED Management Systems Incident and Hazard Management Risk Management Measuring Performance Training and Licenses Total Page 4 of 5

5 Title: KEY NON-COMPLIANT ITEMS CORRECTIVE ACTIONS Actions or File completed form in associated CONTRACT TRIM FOLDER for future reference and proof of process application. Page 5 of 5

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