Document Number

Rivoningo Safety Consultants RSC/SMS/LCA/SSFLCA/001

Revision Number
Safety Management System 00
Legal Compliance Page Number
Site Safety File Legal Compliance Audit Page 1 of 5

CEO or MD T J Motopa Cell/Tel 073 456 6429 E-mail admin@pgn.co.za

Construction Manager P Shitlhangu Cell/Tel E-mail
Safety Officer D Mkansi Cell/Tel 072 381 8625 E-mail mkansidirector@gmail.com

OHS Consultant Z Sutton Cell/Tel 063 842 9253 E-mail ziadsutton@gmail.com

Scope Of Work Household Routine Maintenance Maruleng Municipality

Contract No. LLDPWRI-ROADS-17020

Criteria Yes No N/A Remarks
1 References SHE MANAGEMENT
POINTS ACHIEVED = 7 / 25 – N/A = 5 TOTAL = 35%
1. Sec.37(2) Is the agreement signed X Copy attached with offer
acceptance
2. CR 3(1) Notification of construction work to DoL: X Notification of Construction
Provincial Director Work attached but not
completed
3. CR 5(1)(k) Letter of good standing X Copy attached
4.  Registration number: EXPIRY: 30/4/2019
5. GAR 4 Updated copy of OHS Act and Regulations available X Copy attached
on site
6. CR 7(1)(a) Safety, Health and Environmental Plan X Signed copy of OHS Plan
attached
7. Contractor SHE(Q) Policy (Management X Copy of Policy attached but
commitment and signed) not signed by CEO
8. CR 9 ( 1 )( c) X No method statements
drafted for project & SWP
Specific procedures, methods and work
instructions to be applied not signed
9. Applicable legislation, standards, and guidelines to X Attached
abide by(Legal register)
10. Record of NCRs and action plans X N/A
11. Sec 18(1)(g) H&S representative (inspections / reports) X Non on file
12. Audit reports and action plans X No audit report on file
13. SHE meetings(agenda and minutes) X None on file
14. Emergency plan X Copy on file but not signed
15. Waste Management Plan/EMP X Copy on file
16. R918 Letter of acceptability X N/A
17. CR 9(3) Induction programme (syllabus) X On file
18. OHS performance records for the past 6 months X None on file
including any DOL reportable incidents
19. Reporting documents - WCL 1/2 X No incident records
20. GAR 9 Incident Investigator appointment (GAR 9) X Copy on file but not signed
21. Reporting of accidents & incidents(investigation, X Copy on file but not signed
etc)
22. Incidents lessons learnt and attendance X
23. Company organogram indicating legal
X Not signed by 16(2)
appointments appointee
24. Sub- contractors - list & appointments X TBA
25. Sub- contractors - agreements & particulars X TBA
 Document Number
Rivoningo Safety Consultants RSC/SMS/LCA/SSFLCA/001
Revision Number
Safety Management System 00
Legal Compliance Page Number
Site Safety File Legal Compliance Audit Page 2 of 5

2 Reference APPOINTMENTS: - ( a competent person ) Yes No N/A Remarks

POINTS ACHIEVED = 18 / 27 – N/A 8 TOTAL 90%
1. Sec. 16( 2 ) Designated Employer X Copy on file but not signed
2. CR 5(1)(k) Appointment of a Principal Contractor X Copy on file but not signed
3. Sec. 17 1 ) Competent SHE Representative ( more than 20 X Copy on file but not signed
employees )
4. Sec. 19( 3 ) Chairperson of Safety, Health and Environmental X Copy on file but not signed
Committee
5. GAR 8,9 Competent person to do investigations X Copy on file but not signed
6. GSR3(4) Competent First Aider X Copy on file but not signed
7. CR 23( 1 )(k) Construction vehicle & mobile plants inspector X Copy on file but not signed
8. CR 24( c ) Temporary electrical installation inspector X Copy on file but not signed
9. CR 28( a ) Competent person for stacking & storage X Copy on file but not signed
10. CR 29( h ) Competent person for inspection of fire equipment X Copy on file but not signed
11. CR 8( 1) Construction Manager X Copy on file but not signed
12. CR 8( 2) Assistant Construction Manager X Copy on file but not signed
13. CR 8(5) Construction Safety Officer X Copy on file but not signed
14. CR 8(7) Construction Supervisor X Copy on file but not signed
15. CR 8(8) Assistant Construction Supervisor X Copy on file but not signed
16. CR 9( 1 ) Competent person to do Risk Assessment X Copy on file but not signed
17. CR 10( 1 ) Fall Protection Planner X No FPP appointment
18. CR 12 (2) Competent person formwork & support work X
19. CR 13 (1)(a) Competent person for excavation X Copy on file but not signed
20. CR 14 ( 1 ) Competent person for demolition work X Copy on file but not signed
21. CR 16(1) Competent person for scaffolding X N/A
22. CR 17(1) Competent person for suspended platforms X N/A
23. CR 19( 6 ) Competent person to operate materials hoist X N/A
( checklist )
24. CR 19( 8 )( a) Competent person to inspect materials hoist X N/A
25. CR 20( 1 ) Competent person to operate batch plants X N/A
26. CR 22(f ) Competent crane operators and certified X N/A
27. GMR 2( 1 ) Competent person for machinery X N/A
3 Reference RISK ASSESSMENT ( will include) Yes No N/A Remarks
POINTS ACHIEVED = 3 / 7 TOTAL 42%
1. No RA Procedure or
CR 9 Risk Assessment Procedure and Baseline Risk X baseline risk assessment
Assessment on file
2. CR 9 (1)(a) Risk Identification X No proper RA on file
3. CR 9 ( 1 )( a) Risk Matrix and Rating X No proper RA on file
4. CR 9 ( 1 )( b) Risk Analysis X No proper RA on file
5. CR 9 ( 1 )( c) Risk control X No procedure in place
6. CR 9 ( 1 )( d) Monitoring Plan X No procedure in place
7. CR 9 ( 1 )( e) Review Plan X No procedure in place

5 References FALL PROTECTION PLAN Yes No N/A Remarks

POINTS ACHIEVED = 0 / 5 TOTAL 0%
 Document Number
Rivoningo Safety Consultants RSC/SMS/LCA/SSFLCA/001
Revision Number
Safety Management System 00
Legal Compliance Page Number
Site Safety File Legal Compliance Audit Page 3 of 5

1. CR 10 ( 2 )(a) Risk Assessment & method to address all risks X No Fall protection
identified management in place
2. CR 10 ( 2 )(b) The process for evaluation of employees’ X None on file
physical & psychological fitness
3. CR 10 ( 2 )( c) Training program X None on file
4. CR 10 ( 3 ) Inspection, testing & maintenance procedure for X None on File
all the fall protection equipment
5. CR8 (1)b A competed fall protection plan signed by the X None in file
appointed person
6 References CERTIFICATION OF MEDICAL FITNESS Yes No N/A Remarks
POINTS ACHIEVED = 0 / 5 TOTAL 0 %
1. CR 8 & 21 Evaluation of physical fitness of persons by a X No medical evaluations
registered Medical Practitioner (certificate-Pre done
and post)
2. Job profiles for each employee/ Man-job X
specifications
3. Training & Certificates of competence - job X
specific
4. C.R.21(1)(d)(i) Medical certificate of fitness to operate X
construction vehicle & mobile plant
5. Work permits - area and/or control permit X
7 References PLANNED MAINTENANCE INSPECTION, Yes No N/A Remarks
REGISTERED RECORDS (CHECKLISTS
AND REGISTERS)
POINTS ACHIEVED = 0 / 13 TOTAL 0%
1. X No registers or checklists on
Daily toolbox talks register file
2. GAR 9 Reportable incidents and accidents (APPENDIX X No registers or checklists on
file
2 register) & WCL forms
3. PER (6)2c Pressure equipment and fire equipment register X No registers or checklists on
file
and checklist
4. GSR 3 ( 4 ) First Aid equipment register and checklist X No registers or checklists on
file
5. CR 21( 1 ) ( j) Construction vehicle & mobile plant inspection X No registers or checklists on
file
6. GSR 2 Personal protective equipment X No registers or checklists on
file
7. HCS (Anne 8) Alphabetical list of all HCS’s used and 16 point X No registers or checklists on
file
MSDS’s
8. Tools/equipment Checklist and register X No registers or checklists on
file
9. Facilities inspection checklist X No registers or checklists on
file
10. CR 8 ( 2 )( d) Inspection, testing and maintenance of fall X No registers or checklists on
file
protection equipment
11. DMR 18 ( 5 ) Lifting machines and lifting tackle X No registers or checklists on
file
12. EMR 9 Portable electrical equipment X No registers or checklists on
file
13. EMR 10 Portable electrical lights X No registers or checklists on
file

8 References RECORDS Yes No N/A Remarks

POINTS ACHIEVED = 1 / 14 – N/A = 9 TOTAL 30%
 Document Number
Rivoningo Safety Consultants RSC/SMS/LCA/SSFLCA/001
Revision Number
Safety Management System 00
Legal Compliance Page Number
Site Safety File Legal Compliance Audit Page 4 of 5

1. CR 23( 1 ) (k) Construction vehicle & mobile plant inspection X None on file
2. CR 24 ( d ) Temporary electrical installation inspection register X None on file
3. HCS 9A Alphabetical list of all HCS’s used and 16 point X Copy of MSDS on file
MSDS’s
4. CR17 (12)( c) Training records (Signatures) X None on file
5. CR 12( f ) Record of inspections of temporary work X N/A
6. CR 13( 2 )( h) Record of inspection of excavation, bracing & X None on file
shoring
7. CR 14 ( 2 ) Method statement for demolishing a structure X N/A
8. CR 14( 11 ) Method statement for use of explosives X N/A
9. CR 17( 2 )( b) Certificate of system design for suspended platform X N/A
10. CR 17( 2 )( c) Operational compliance plan X N/A
11. CR 17( 10 ) Competencies of erectors, operators & inspectors X N/A
12. CR19 ( 8 )(C) Inspection results of materials hoist X N/A
13. CR 20 (8) Record of repairs / maintenance to a batch plant X N/A
14. CR21(2)(g)(ii) Register of nails & studs (explosive powered tool) X N/A
9 References GENERAL REQUIREMENTS Yes No N/A Remarks
POINTS ACHIEVED = 0 / 3 TOTAL 0%
1. Sect 8 Toolbox talk Manual X None on file
2. CR 9 PTO /DSTI X None on file
3. Section 8 Copies of I.D and Personal Information X None on file

File evaluated by OHS Ziad Sutton Signature; Date 2018-11-08

Consultant
Evaluation outcome Not approved Approved Not
approved X
TOTAL PERCENTAGE ACHIEVED 28 /99 N/A = 22 TOTAL = 40%
 Contractor needs to atleast achieve 85 % to ensure Legal Compliance

REMARKS

1. There is no Risk Management Plan/Procedure in place and the Task Risk Assessment not all Risks Identified for the project.
2. No Proper Fall Protection plan drafted by a Fall Protection Planner.
3. No training program in place and no records of induction and competence training.
4. No registers and checklists or evidence of inspections done.
5. The Legal Appointments are on file but not signed.
6. There are no method statements on file and safe work procedures do not correlate with Risk Assessments for each task.
7. There are no records for medical evaluations for the project.
8. Most of the documents on file not signed by Section 16(2) appointee.
9. The OHS Policy not signed by CEO and

RECOMMENDATIONS/CORRECTIVE ACTIONS
 Document Number
Rivoningo Safety Consultants RSC/SMS/LCA/SSFLCA/001
Revision Number
Safety Management System 00
Legal Compliance Page Number
Site Safety File Legal Compliance Audit Page 5 of 5

1. Contractor to Draft/Develop a Risk Management Procedure and ensure proper Risk Assessment for all tasks on site.
2. Develop a proper Fall Protection Plan by a registered and competent Fall Protection Planner
3. Ensure that the Section 16 (2) and CEO sign all documentation on file that needs to be signed.
4. Ensure all Legal Appointments are done and signed by both parties
5. Develop registers and checklists and ensure they are placed on file.
6. Ensure Notification of Construction work is done and sent to Department of labour.
7. Ensure Task Risk Assessments, Method Statements and Safe Work Procedures are talking the same language.
8. Ensure medical evaluations are done and medical fitness certificates are placed on file.
9. Ensure induction takes place and ID Copies and personal information placed on file.

PGN Section 16(2) Signature: Date

PGN Safety Officer Signature: Date

PGN Contract Manager Signature: Date