Information

  • Client name

  • Site name

  • Conducted on

  • Prepared by

  • Location
  • Personnel

0 - Site Plan

  • Drawing of the site/yard/work facilities

1.0 - Management and Documents

  • 1.1 - health and safety policy available or visible for employees ?

  • 1.1.1 - health and safety policy communicated to employees ?

  • 1.2 - Drug and alcohol abuse policy available or visible for employees ?

  • 1.2.1 - Drug and alcohol abuse policy communicated to employees ?

  • 1.3 - Disciplinary policy available or visible for employees ?

  • 1.3.1 - Disciplinary policy communicated to employees ?

  • 1.4 - Health and safety plan available ?

  • 1.4.1 - Health and safety plan communicated to employees ?

  • 1.5 - Risk management plan available ?

  • 1.6 - All policies and plans approved by management ?

  • 1.7 - letter of good standing available and not expired ?

  • 1.8 - Regulations displayed in an area where employees could view them ?

  • 1.9 - Is the company structure, organogram or matrix available?

  • 1.10 - Does the company have valid , competent employees appointed ? Proof of appointments to be provided .

  • 10.11 - Fall protection plan available and communicated to employees ?

2.0 - Fire Prevention

  • 2.1 - adequate fire extinguishers available?

  • 2.2 - Fire extinguisher s checked and entered in to a register ?

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Extinguishers recently serviced? (Check 12 monthly service tag )

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm?

  • 2.7 - Adequate signs in place indicating fire extinguisher ?

  • 2.8 - Fire alarm system functioning correctly?

  • 2.9 - Fire fighter training available for at least one employee ? Must include certificate

  • 2.10 - Employees trained in the use of fire extinguishers? Proof

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 3.3 - Light fittings clean and in good condition?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are liquid spills removed quickly?

  • 4.7 - Are railings in good condition?

  • 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  • 4.9 - Are footpaths in good condition?

  • 4.10 - Furniture in sound condition?

  • 4.11 - Loading area clean and tidy?

5.0 - Work Benches

  • 5.1 - Clear of rubbish?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - No damaged hand tools in use?

  • 5.4 - No damaged power tools in use?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 - No sharp edges?

6.0 - Hygiene and Welfare

  • 6.1 - Bins located at suitable points around site with adequate signage ?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Eating area available for employees ?

  • 6.4 - Eating area clean and neat ?

  • 6.5 - Drinking water available for employees ?

  • 6.6 - Drinking water signage available stating drinking water ?

  • 6.7 - Ablution facilities available with a ratio of 1:30 ?

  • 6.8 - Ablution facilities separate for women and men ?

  • 6.9 - Hand wash facilities available for employees ?

7.0 - Stacking and Storage

  • 7.1 - Materials stored in racks , bins and on pallets wherever possible?

  • 7.2 - Storage designed to minimise lifting problems?

  • 7.3 - Floors around racking clear and clean of material ?

  • 7.4 - General condition of racks and pallets in good order ?

  • 7.5 - Stacking areas allocated with signage ?

  • 7.6 - Scrap removed regularly out of storage areas ?

  • 7.8 - Work areas clean and tidy ?

8.0 - Machines

  • 8.1 - Are they kept clean?

  • 8.2 - Are the floors around the machines kept clean?

  • 8.3 - Guards in good condition?

  • 8.4 - Starting and stopping devices within easy reach of operator?

  • 8.5 - Waste/off cuts removed and stored safely?

  • 8.6 - Drip pans on floor to prevent spillage?

  • 8.7 - Adequate work space?

  • 8.8 - Is lighting adequate?

  • 8.9 - Noise levels controlled?

  • 8.10 - No bending or stooping required?

  • 8.11 - Duck-boards in good repair?

  • 8.12 - Operators trained/inducted into the operation of the machines?

  • 8.13 - Is the training recorded?

  • 8.14 - Do operators comply with the training?

  • 8.15 - Are lockout procedures implemented and followed?

9.0 - Electrical Safety

  • 9.1 - Safety switches installed?

  • 9.2 - Safety switches tested every 12 months and tests recorded?

  • 9.3 - No double adapters in use?

  • 9.4 - Portable equipment tested and tagged?

  • 9.5 - No broken plugs, sockets or switches?

  • 9.6 - No power leads across walkways?

  • 9.7 - No frayed or damaged leads?

  • 9.8 - No strained leads?

  • 9.9 - Portable power tools in good condition?

  • 9.10 - Where required are emergency shut-down procedures in place?

10.0 - Hazardous Chemical Safety

  • 10.1 - Hazardous Substance Register complete and available including quantities ?

  • 10.2 - Material Safety Data Sheets available for all chemicals?

  • 10.3 - Risk assessments completed for hazardous substances?

  • 10.4 - All containers labelled correctly?

  • 10.5 - Unused substances disposed of?

  • 10.6 - Do special storage conditions apply?

  • 10.7 - If applicable are special storage conditions followed?

  • 10.8 - Workers trained in the use of hazardous substances and the first aid required for the hazardous substances ?

  • 10.9 - If required is PPE available?

  • 10.10 - Is adequate ventilation provided?

  • 10.11 - Are eye washes and showers easily accessed?

  • 10.12 - Is their fire protection in place ?

  • 10.13 - Signage posted at the entrance of the hazardous chemical store ?

  • 10.14 - Is their a spillage procedure in place ?

  • 10.15 - Is their any signs of spillage in the yard/site ?

  • 10.16 - Is their spillage bins available in the yard/site ?

10.2 Gas Stores

  • 10.2.1 - Gas storage area clearly allocated and identified ?

  • 10.2.2 - Is their adequate fire protection ?

  • 10.2.3 - Are the stores shaded and well ventilated ?

  • 10.2.4 - Are signage on cylinders clear ?

  • 10.2.5 - Are the signage on the storage area adequate?

11.0 Ladders

  • 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 11.2 - Are ladders in good condition?

  • 11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  • 11.4 - Used according to instructions?

  • 11.5 - Are ladders numbered , logged into a register and inspected monthly ?

  • 11.6 - Are ladders fitted with non slip devices ?

  • 11.7 - Damage to runs / stiles ?

12.0 - First Aid Facilities

  • 12.1 - Are first aid box and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - No contents past their expiry date?

  • 12.4 - First aid box clearly labelled with signage ?

  • 12.5 - Is there easy access to the first aid box ?

  • 12.6 - Employees aware of location of first aid cabinet?

  • 12.7 - Are first aid signage in place to where the first aid box is kept ?

  • 12.8 - Are emergency numbers displayed?

  • 12.9 - A competent first aider with a ratio of 1:50 ?

  • 12.10 - Is the first aid register filled in ?

  • 12.11 - First aid checklist and register available and up to date ?

13.0 - PPE

  • 13.1 - Proof of PPE issued to employees ?

  • 13.2 - PPE analysis done for the required PPE?

  • 13.3 - PPE training given to employees on maintenance ,use and limitations ? Proof to be provided

  • 13.4 - Symbolic signs placed where needed like machines informing employees when to use PPE ?

  • 13.5 - Photocopiers positioned to avoid fumes?

14.0 - Employees , Training and Competency

  • 14.1 - Training matrix available ?

  • 14.2 - I'd documents for all employees ? Proof

  • 14.3 - Valid training certificates for employees ? First aid , fire team , she rep , other ?

15.0 Emergency preparedness

  • 15.1 - Is an emergency plan available ?

  • 15.2 - Is the emergency plan communicated to employees ?

  • 15.3 - Has their been any emergency situations routine been practiced , recorded ?

  • 15.4 - Emergency telephone number displayed ?

  • 15.5 - Is their allocated emergency assembly points ?

  • 15.6 - Signs for emergency routes clear and a site plan with emergency routes placed at strategic areas ?

  • 15.7 - Emergency team appointed and trained for situations? Proof

16.0 incident and Accident Management

  • 16.1 - Employers report of accident available at least 3 copies ?

  • 16.2 - Annexure 1 available at least 3 copies ?

  • 16.3 - incident/accident reporting procedure in place ?

  • 16.4 - Are all incidents/accidents recorded and investigated ? Proof to be supplied

17.0 Welding/Cutting/Grinding/Heating

  • 17.1 - is a fire extinguisher available at the point of hot works ?

  • 17.2 - Welding machine in good order ?

  • 17.3 - oxygen and gas hoses to be approved type and in good order ?

  • 17.4 - Is hot works in an area where it effects other employees ? Sparks fall onto walkways etc

  • 17.5 - is the welding cable neatly routed and kept out of walkways ?

  • 17.6 - Is the welding machine earthed correctly ?

  • 17.7 - Is the welding operated trained ? Proof

  • 17.8 - Does the welding machine have an emergency cut off ?

18.0 Compressed air and Hoses

  • 18.1 - Is compressed air only used for purposes as required , air tools ?

  • 18.2 - Compressed air is not used to remove dust of an employee or clothes ?

  • 18.3 - Compressed air hoses correctly and safely removed ?

  • 18.4 - manufacturer plate on the compressor with a date ?

  • 18.5 - Does the compressor have adequate machine guards ?

  • 18.6 - does the compressor have a valid test certificate ?

  • 18.7 - is their pressure release valves ?

19.0 Mobile Equipment

  • 19.1 - Are operators , drivers competent ? Proof

  • 19.2 - Is the reverse alarm functional ?

  • 19.3 - are the mobile machines road worthy ?

  • 19.4 - Drivers must be legally appointed ? Proof

  • 19.5 - Does the mobile machines have adequate guarding in place ?

  • 19.6 - Is the seatbelt in use ?

  • 19.7 - Are pre checklist available and up to date for mobile machinery ?

  • 19.8 - is their a deviation checklist and are they closed in a short time ?

  • 19.9 - Any records available for proof of maintenance ?

  • 19.10 - Mobile machines generally in good condition ?

20.0 Handtools and Portable electrical tools

  • 20.1 - hand tools in good condition ?

  • 20.2 - Correct tool used for the job ?

  • 20.3 - No home made tools ?

  • 20.4 Electrical tools , extensions numbered and on a register ?

  • 20.4 - All Portable electrical tools in good conditions ?

  • 20.5 - All exportable electrical tools fitted with guards ?

  • 20.6 - Employees trained in the use of portable electrical tools ? Proof

  • 20.7 - plugs fitted correctly ?

  • 20.8 - All switches working ?

  • 20.9 - All portable electrical tools checked before use ?

21.0 Lock Out

  • 21.1 - Is a lockout procedure in place ?

  • 21.2 - Are all employees trained on the lockout procedure ?

  • 21.2 - Is their a proper lock and tag system ?

  • 21.4 - Are lockout procedure issued under signature by a manager ?

Sign Off Client

  • On site representative

  • Date and Time

Auditor sign off

  • Auditor's signature

  • Date and Time

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