Information

  • Document No.

  • Location:
  • Contractor Name:

  • Personnel Onsite:

  • Conducted on:

  • Prepared by:

1.0 Site Control - H&S Compliance

  • 1.1 Do all contractors onsite have current ID badges?

  • 1.2 Have the contractors listed any additional hazards they bring to the site?

  • 1.3 Have the pre-start risk assessments been completed?

  • 1.4 Are there hazard boards displayed?

  • 1.5 Is the area clear of debris and tripping hazards?

  • Photo of the site:

2.0 Personal Safety equipment

  • 1.1 All personal wearing the appropriate PPE?

  • 1.2 Is the PPE gear in good condition?

3.0 First Aid/Fire Prevention

  • 3.1 First Aid Kits onsite.

  • 3.2 First Aid kit fully stocked.

  • 3.3 Fire Extinguisher onsite.

  • 3.4 Fire Extinguisher compliant.

4.0 Electrical Equipment

  • 4.1 All electrical equipment has a current tag?<br>

  • 4.2 All electrical equipment plugged into RCD's.

  • 4.3 Leads safely placed & in good condition.<br>

  • 4.4 All power tools in good working order.<br>

  • Photo's of non-compliant equipment.

5.0 Working At Heights

  • 5.1 Are all ladders a commercial grade?<br>

  • 5.2 Ladders in a good condition. <br>

  • 5.3 Are the ladders being used in the correct manner?<br>

  • 5.4 Is the appropriate equipment being used for the task?<br>

  • 5.5 Has the appropriate documentation been completed (JSA, T/A etc.)<br>

  • 5.6 Fall arrest equipment in good condition.

  • Photo of heights work:

6.0 Scaffold

  • 6.1 Has the scaffold agreement been signed with the tenant?

  • 6.2 Has the scaffold been tagged safe?

  • 6.3 Is the scaffold tag current?

  • 6.4 Is the scaffold set out as per the guidelines?

  • Photo of scaffold:

7.0 Environmental

  • 7.1 Is all waste been disposed of correctly?<br>

  • 6.2 Are the correct environmental procedures in place?

  • 6.3 Details of environmental non-compliance.

  • Photo's of environmental issues.

8.0 Corrective Actions

  • Enter any corrective actions that need to be undertaken.

9.0 Sign Off

  • Name of person conducting the audit:

  • Auditor's signature:

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.