Information

  • Document No.

  • Audit Title

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Safety Performance Indicators

For each site tour, please consider:

  • Are the number of near miss reports on track for 15% increase?

  • Are hazards being reported?

  • Is hazard and control information for the team (i.e. not managers)

  • Safety conversations have taken place?

  • Safety observations are being completed?

2. What are the Top 3 risks at this site?

Need to Consider

  • Top 3 risks are known and controls in place

  • Add media

3. People Incidents

Need to consider

  • Have all incidents been reported, investigated and closed off?

  • Add media

4. Worker Safety Engagement (behaving safely)

  • Reviewed in Tour?

  • Has safe behaviour observation programme been put in place?

  • Add media

5. Innovations & achievements

  • Reviewed in Tour?

  • Add media

Comments/ Recommendations/ Follow Up Requirements

  • Add media

Site Representative

  • Add signature

1. Senior Manager Representative

  • Add signature

2. Senior Manager Representative

  • Add signature

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