Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • If a condition or practice is found to be unacceptable then classify according to the following:

    1. Immediate Attention - immediate action required
    2. Significant - action required within two weeks
    3. Minor - action required before next inspection

    Irrespective of condition a photograph is required for all Notices and ACD.

NOTICES

  • Property plate in good order

  • Number plate correct and in good condition

  • 'Danger of Death' plates fitted and in good condition

SAFETY EQUIPMENT AND PROCEDURES

  • Colour plates correct and in good condition<br> <br> <br> <br>

  • Flag brackets fitted and correct number<br> <br> <br> <br>

  • Drain earths fitted correctly as per NSI 4 attachment<br> <br> <br> <br>

  • Flag and red pennants fitted correctly<br> <br> <br> <br><br> <br> <br>

  • Safety documentation on site and correct<br> <br> <br> <br>

  • Wristlets issued to all personnel and worn correctly<br> <br> <br> <br>

  • Correct equipment and work methods being used<br> <br> <br> <br>

  • Special measures in use as required. (Warning notices, look out man etc)<br> <br> <br> <br>

  • Fire extinguishers positioned correctly and inspection label signed<br> <br> <br> <br>

  • Emergency equipment available and in good order e.g. First aid kit(s), rescue ladders, tower rescue kits<br> <br> <br> <br>

HAZARDS

  • Environmental hazards<br> <br> <br> <br>

  • Chemical hazards (Crop sprays etc)<br> <br> <br> <br>

  • Danger Zone, appropriate demarcation, safe access and egress<br> <br> <br> <br>

EQUIPMENT

  • Ladders in good condition, inspected and in date<br> <br> <br> <br>

  • Portable electric tools and equipment inspected and in date<br> <br> <br> <br>

  • Tower rescue equipment inspection in date.<br> <br> <br> <br>

  • Appropriate Location of safety equipment for the work task<br> <br> <br> <br>

  • The staff carrying out site work understands the roles of SAP, Team Leader, Supervisor and Document Holder.<br> <br> <br> <br>

  • Working party register completed correctly and up-to-date<br> <br> <br> <br>

SITE STEWARDSHIP/GOOD HOUSEKEEPING

  • Site in good order, free of refuse and unnecessary materials<br> <br> <br> <br>

  • Anti-climbing guards in good condition and adequate for the location<br> <br> <br> <br>

  • Staff aware of emergency incident procedures<br> <br> <br> <br>

  • Vehicle log books completed correctly<br> <br> <br> <br>

  • Vehicle parking and van sharing<br> <br> <br> <br>

WORKING PRACTICES

  • Staff authorised to operate cranes, hoists etc<br> <br> <br> <br>

  • Defective equipment in use<br> <br> <br> <br>

  • Equipment being used incorrectly<br> <br> <br> <br>

  • Correct lifting and handling techniques<br> <br> <br> <br>

  • Horseplay/Inattention to task<br> <br> <br> <br>

  • Influence of alcohol and drugs<br> <br> <br> <br>

  • Protective equipment in use<br> <br> <br> <br>

COMMENTS

  • Areas of good practice or non compliance should entered below:

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.