Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Site Location: Job Number:
  • Date: Time:

1: IMS Documentation

  • 1.1 Approved Project Management Plan on site and maintained

  • 1.2 All permits are on site - Dial Before You Dig / Trenching/ Road Closure

  • 1.3 Quality, Safety and Environment Policy Displayed

  • 1.4 Organisational Structure for Project Displayed

  • 1.5 Emergency Preparedness & Response Plan displayed

  • 1.6 Site Meeting Records on site and maintained

  • 1.7 Inspection and testing plans are on site and maintained

  • 1.8 Risk Register on site and maintained

  • 1.9 Training Matrix / Employee Records on site and maintained

  • 1.10 Subcontractor SWMS on site and signed by all Subcontractors

2. Workers Induction / PPE

  • 2.1 All Workers and Contractors - Formal induction in to Project QHSE requirements

  • 2.2 Relevant training records are maintained on site

  • 2.3 workers and contractors are aware of emergency preparedness requirements

  • 2.4 all workers are wearing task appropriate PPE as identified onSWMS

  • 2.5 PPE worn by all workers is clean and in good condition

3: Amenities / Housekeeping

  • 3.1 site sheds / toilets / meal areas are clean and tidy

  • 3.2 clean drinking water is available

  • 3.3 no smoking signs are displayed

  • 3.4 all electrical equipment and RCD have been tested and are within daye

  • 3.5 work area is free from rubbish and obstructions

  • 3.6 rubbish bins are accessible and not overflowing

  • 3.7 all surfaces are safe and stable

  • 3.8 all areas are free from slip/trip hazards

  • 3.9 site sheds are clean with nothing left on the ground

  • 3.10 site sheds are clean with nothing left on the ground

4: Mobile plant / tools and equipment

  • 4.1 operators are licensed and suitably experienced

  • 4.2 plant risk assessment for all plant are in the machine and are current

  • 4.3 operator manual for all plant are in the machine

  • 4.4 plant service records are available in plant

  • 4.5 daily pre-start operational checks have been completed

  • 4.6 fire extinguishers are accessible and within test date

  • 4.7 attachments for all plants are appropriate for the work being conducted

  • 4.8 first aid kits are available and maintained

  • 4.9 all hand tools are in good condition

  • 4.10 all electrical leads and tools are in good conditions have been tested

5: Hazardous Substances

  • 5.1 all substances are stored securely in a bunded area

  • 5.2 SDS for all substances are accessible and within 5 years of publications

  • 5.3 Hazardous Substances register on site and maintained

  • 5.4 substances in original containers/ decanted substances - correctly labelled

  • 5.5 spill kids are readily accessible

  • 5.6 personal protective equipment and available and being used

  • 5.7 waste disposal procedures are understood and followed

  • 5.8 appropriate first aid available: shower\ eye wash

  • 5.9 acetylene / gas bottles stored correctly - ventilated / chained

6: Excavation / Trenching

  • 6.1 employees with trenching and shoring accreditation on site

  • 6.2 workSafe excavation for completed and submitted for excavation greater than 1.5 m

  • 6.3 safe work method statements for excavation on site, read and signed by workers\contractors

  • 6.4 benching, battering and shoring complies with trench code of practice

  • 6.5 where applicable, shields in place and adequately secured

  • 6.6 workers working with in fields at all times

  • 6.7 fall protection in place (2m from the edge of the excavation)

  • 6.8 Danger signage displayed around the excavation

  • 6.9 all workers are wearing hard hats within the worksite

  • 6.10 clear and safe access is maintained around the excavation at all times<br>

7: Traffic Management / public protection

  • 7.1 traffic management plans (TMP) are on site and are being implemented

  • 7.2 road opening and closure permits are on site and current

  • 7.3 hazard warning signs are in place in accordance with TMP

  • 7.4 accredited traffic management workers on site where required

  • 7.5 suitable barriers / hoarding are Installed to protect the public

  • 7.6 site access is controlled - no public access

  • 7.7 safety and warning signage is displayed

  • 7.8 dust and noise control measures are implemented

  • 7.9 public complaints recorded and action in daily diary

8: First aid / Fire Suppression

  • 8.1 first aid kit and cabinets are clean and orderly

  • 8.2 The content of all first aid kits are in date

  • 8.3 A qualified first Aider is on site at all times

  • 8.4 an injury is on site and maintained

  • 8.5 fire extinguishers are in place and signage displayed

  • 8.6 fire extinguishers are in good condition and with in test dates

  • 8.7 an emergency air horn is on site and accessible

9: Enviromental

  • 9.1 erosion and sediment controls are in place

  • 9.2 storm water drains and side entry pits are protective

  • 9.3. Dust control measures are in place

  • 9.4 noise control measures are in place (normal working hours)

  • 9.5 road access is maintained in a clean

  • 9.6 recycled materials are separated

  • 9.7 declared vegetation is adequately protected

  • 9.8 filtration medium available where de-watering is required

  • 9.9 prescribed waste is handled in accordance with EPA requirements

  • 9.10 stockpiles are located away from drainage lines\waterways

10: Report Conclusion

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