Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location (specific area)

Documentation

  • Have all actions been completed from previous audit findings?

  • Any viewed pre use checks have been completed satisfactorily (note any issues/ defects from pre use inspections)

  • Are checked reports up to date and accurate i.e. shift reports

  • Is checked documentation up to date and filed away? i.e. TBT's, Power points, Evidence of receipt form

  • Are checked documents being used current i.e. within review dates and filled in correctly

  • Is there a skills matrix available to view and is it current?

  • Is the site OCD tool up to date i.e. no items past due date

  • Does the OCD tool reflect the current staffing at site?

  • Are there documents to support the OCD tool and staffing are aligned i.e. training docs, EOR forms etc.. Look for at least 2 pieces of evidence

Housekeeping

  • Condition of office / workstations?

  • Condition of checked vehicles used at site - internal / external?

  • Condition of any other checked Axil related areas on site?

  • Condition of walkways, vehicle routes, fire exits, car parks

  • Are cleaning utensils available to use and in good working order?

  • Is a 5s culture being adopted and adhered to?

Waste

  • Are checked waste storage containers in use correctly labelled or colour coded? (Items not in use i.e. spares do not count)

  • Are the checked waste storage containers in a good state of repair?

  • Are any checked waste streams being stored and segregated correctly

  • Are any checked spill kits clearly signed and adequately stocked?

PPE

  • Are the checked Axil personnel wearing the correct PPE for site (including agency staff) ?

  • Is the checked PPE clean and serviceable?

Health, safety and environmental

  • During the visit were there any health, safety, or environmental risks or issues observed?

  • Are the checked safety signs/ notifications clear and legible? (Around the Axil working area/site as well as on machinery)

  • Are there adequate provisions in place for First Aid on site? i.e. staff trained, first aid supplies

  • Are First Aid emergency instructions clearly displayed? i.e. contact numbers, what to do

  • Are fire extinguishers correctly placed, clearly marked and within inspection date?

  • Is the lighting sufficient in work areas? (has a lux reading been taken?)

  • Are any applicable barriers, fencing, gates and handrails in a good state of repair and working correctly?

  • Are any applicable storage cabinets/ racking at site labelled correctly and in a good state of repair?

  • Is PAT testing in place and in date?

Behavioural observations

  • Eyes On Path (watching where you're going and go where you're watching - looking for/being aware of hazards)

  • Eyes On Hands (aware of hand placement - watching where hands are placed during work or near hazard, not being distracted)

  • The worker is positioning his/ her body to avoid injury by any moving hazards (caught between, falling objects)

  • Lifting (correct lifting techniques - using legs, back straight, weight close to the body, feet flat on the ground, knees bent)

  • Ascending/Descending (proper climbing techniques on trucks and ladders/ stairs - facing the ladder, not skipping rungs or steps, hold onto handles)

  • Travel Path (non-hazardous route of travel, a path of the least potential incident - walking/driving around uneven surfaces, rough terrain or anything in your path)

  • Travel Speed (rate of speed to minimize potential incidents based on environment, surroundings or changing conditions)

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.