Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Access

  • Walkways

  • Photo if reqd

  • Ladders

  • Photo

Working at height (includes excavations)

  • Guarding

  • Photo if Reqd

Earthworks / Excavations

  • Assessed

  • Photo if reqd

  • Shoring in place

  • Photo if reqd

  • Slips / Trips and Falls

  • Photo if Reqd

  • Information

LOLER

  • F91s pre use checks

  • Photo if Reqd

  • Correct equipment being used

  • Photo if Reqd

  • Lift plan in place and briefed

  • Banked

  • Personnel

  • Information

PUWER

  • F91's in place and checked

  • Photos if Reqd

  • Defects

  • Photos if Reqd

  • User trained and competent

  • Information

Electrical Equipment

  • PAT Testing

  • Fit for purpose

  • Photo if Reqd

Services (underground)

  • CAT & Genny. (On site - calibrated and ready for use)

  • Marked out on ground (beyond excavation)

  • Supported / Protected

  • Continuity bonds (Mains / Services)

  • Photos If Reqd

Overhead services

  • Identified. (NG / WWU informed if working in proximity)

  • Goal Posts erected

  • Photos if Reqd

First Aid

  • First Aider on site

  • First Aid kit available and sufficiently charged

  • Photo if Reqd

Sub contractors

  • AVL

  • Compliant to site requirements

  • Photos if Reqd

Inductions / Training

  • Inducted

  • Training gaps

  • Information

  • Toolbox talks

  • Last tool box talk

Fire

  • Plan in place

  • Extinguishers in date

  • Photos if Reqd

Portable Tools / Equipment Refer to PUWER Section

  • Serviced maintained and fit for purpose

  • Photos if Reqd

Welfare Facilities

  • Clean (food storage areas),

  • Warm running water

  • Electric / Lighting

  • W/C clean

  • Photos if Reqd

Offices

  • House keeping

  • Photos if Reqd

Site set up

  • Pedestrian walkway provided

  • Guarding including advanced warning

  • Lead in taper

  • Cones and barriers in good condition

  • Add media

Traffic Management

  • Plan in place

RAMS

  • Current and relative to task

  • Information

  • Photos required

PPE

  • Fit for purpose

  • Information

  • Photos if Reqd

Registers

  • Visitor register populated

  • Other

PTW

  • Information

  • Relevant

Toolbox Talks

  • What was last Safety Alert

  • What was last TBT

  • Information

Statutory Notices

  • In place

  • Information

  • Photo if Reqd

House keeping

  • Issues

  • Photos if Reqd.

COSHH

  • Data sheets

  • Correct storage

  • Add media

Hygiene

  • Storage

  • Chorus available

  • Fittings

  • Other

Reinstatement

  • Pre saw cut

  • Back fill layers / Compaction

  • Cut backs. Street furniture

  • Sub - base / base

Environmental

  • Spill kits

  • Drip Days

  • Containers

  • Silt Socks

  • Other

  • Photos if Reqd

Remarks

  • Inspection carried out by

  • Team Leader Signature

  • Construction Manager Signature

  • All action closed out

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.