Information

  • Audit Title

  • Document No.

  • Client / Site

  • Prepared by

  • Location
  • Personnel

Permits

  • Is the required Permit for the task available

  • Is the Permit within it's expiration date

  • Has the Permit been revalidated today

  • Is the Yellow copy of the Permit available for review on the job front

  • Is the applicable JHA referenced on the Permit

  • Other

JHA

  • Is the JHA specific to the task

  • Are all team members signed onto the JHA

  • Has the Supervisor signed off on the JHA

  • Is the JHA registered with a JHA number

  • Are associated Permits referenced on the JHA front page

  • Does the JHA reflect all options selected in the Permit i.e (Work @ Heights / EWP's)

  • Other

EWP Checklist

  • Is the EWP checklist available

  • Has the EWP checklist been filled out correctly

  • Have the Operator and Spotter signed onto the checklist

  • Other

Pre-Shift Workplace Inspections

  • Has the inspection been completely filled out

  • Is the inspection relevant to the area

  • Have all non-compliances been rectified and closed out on the inspection

  • Other

Good to Go's

  • Have all personnel completed Good to Go's

  • Is it relevant to their task

Document Presentation

  • Are all documents legible

  • Are all old and redundant documents removed from Job front for filing

  • Other

Sign off & Comments

  • Comments

  • Safety Advisor

All outstanding corrective actions must be entered into the site hazard & improvement register

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.