Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Site location -

Section 1 Health and Safety Policy

  • 1.6 Is the company health and safety policy posted?

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Section 2 Workplace Hazard Assessment and Control

  • 2.8 Once hazards have been identified, does it appear that controls are implemented in a timely manner?

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Section 3 Safe Work Practices

  • Do the safe work practices found in the documentation accurately reflect company activities?<br>

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  • Have applicable required safe practices been written?

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  • Are the safe work practices readily available?

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  • Are workers following the safe work practices?

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Section 4 Safe Job Procedures

  • 4.2 Have critical safe job procedures been written to cover worker activities?

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  • 4.4 Do workers follow safe job procedures?

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  • 4.5 Do workers have access to copies of the job procedures?

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Section 5 Company Rules

  • 5.2 Are company rules prominently posted?

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Section 6 Personal Protective Equipment (PPE)

  • 6.3 Do all workers have access to basic PPE?

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  • 6.4 Is specialized PPE available when and if required?

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  • 6.5 Are all employees using the correct PPE?

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Section 7 Preventative Maintenance

  • Is a system to effectively remove defective tools, equipment, or vehicles from service being followed?

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Section 9 Inspections

  • 9.10 Are inspections reports posted ?

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Section 11 Emergency Preparedness

  • 11.1 Are emergency preparedness plans appropriate for the work being conducted?

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  • 11.5 Are fire extinguishers of the correct class availability, marked, and visible?

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  • 11.6 Have five extinguishers been inspected regularly?

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  • 11.7 Do workers have access to emergency communication devices?

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  • 11.8 Are there adequate first aid supplies and facilities available on-site?

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  • 11.9 Can you identify the first aid personnel?

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  • 11.10 Is there a way to transport an injured employee to a medical facility?

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Section 13 Legislation

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.