Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job at hand

  • Line of fire?

  • Focused on job at hand?

  • Eyes on hand/task?

  • Asc/Des/Access/Egress

  • Pinch points?

Body use/Position

  • Pushing/Pulling

  • Lifting/Lowering

  • Twisting

  • Over exertion /Cramped

  • Repetitive Motion

Procedures

  • Standard/Adequate?

  • Standard/Followed?

  • Permits?

  • Not known/ not understood?

  • Safety absolutes adhered?

Tools and Equipments

  • Tool selection used

  • Right tool /Equipment

  • Equipment Condition

  • Mobile equipment use /spotter used?

  • Tool/equipment Inspection

PPE

  • Head

  • Eyes and Face

  • Hearing

  • Respiratory

  • Body

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.