ASL-Health Safety & Welfare Audit

• Site conducted

  Select

• Audit No.

• Company/Business name:

• Conducted on

  Date

• Conducted by

• Attention of:

Documents

• Document audited:

• Does it comply with legislation and Company/Business Health and Safety management system?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance

• Corrective actions taken by the business if not compliant:

Yard

• Is the Yard safe?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance

• Corrective actions taken by the business if not compliant:

General Tidiness

• Is the general tidiness good?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance

• Corrective actions taken by the business if not compliant:

Vehicles

• Vehicle make and model:

• Registration number:

• Does it comply with legislation and Company/Business vehicle management policy?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance

• Corrective actions taken by the business if not compliant:

Machinery

• Machinery make and model/serial number:

• Does it comply with legislation and Company/Business work equipment management?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance

• Corrective actions taken by the business if not compliant:

People Assessed

• Name and or employee number:

• Is person safe and compliant with all legal Company/Business requirements including training, PPE etc. ?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance

• Corrective actions taken by the business if not compliant:

Work Areas Assessed

• Area:

• Is area safe?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance

• Corrective actions taken by the business if not compliant:

Packhouse or related pack site operations

• Is there a Packhouse or related operation?
Tap to add area assessed:

• Area Assessed:

• Is area safe?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance

• Packhouse Manager Signature

  Sign

• Corrective actions taken by the business if non compliant areas identified:

Accommodation

• Is there a accommodation provided?
Tap to add caravan number:

• Caravan Number:

• Is caravan safe?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance
Campsite issues and good practices:

• Area:

• Is the campsite safe?

  Compliant

  Obeservation

  Minor Non-Conformance

  Major Non-Conformance

• Corrective actions taken by the business if non compliant areas identified:

Innovations to be shared

• Innovation:

• Add media

  Media

Signatures

• Senior Manager Signature

  Sign

• Auditor Signature

  Sign

Score

• Attitude to Health & Safety:

  Excellent +2

  Good +1

  Satisfactory

  Unsatisfactory

• Innovation Score:

  Multiple H&S Innovations +2

  1 H&S Innovation +1

  None

• Final Audit score:

  Select 4 Major Non Conformance 5 Non Conformance 6 Compliant 7 8 9 10

  • 4 Major Non Conformance
  • 5 Non Conformance
  • 6 Compliant
  • 7
  • 8
  • 9
  • 10