Audit / Inspection Details
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Inspected by
- Wayne Cameron (WHS Advisor)
- Peter Brunt (WHS Advisor)
- Graeme Vaughan (WHS Coordinator)
- Rodney Joyce (WHS Advisor)
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Date and time
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Title of Safety Inspection
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Audited/Inspected by (Other reps):
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Location
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Council Worksite / Asset or Contractor
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Section
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Section Manager
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Team Leader / Coordinator
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Worksite Supervisor (Worker in charge of worksite)
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Health and Safety Representative (HSR)
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The Compliance Officer believes the information contained within this report is correct at the time of printing. The Officer issuing the report does not accept any liability for the PCBUs failure to rectify follow-up corrective actions for any non-compliance that have been identified.
This report is based on matters which were observed or came to the attention of the Officer during the date identified within the report. Compliance inspections are randomly selected and/or targeted at specific areas of the worksite operations. This compliance inspection does not preclude further hazards that may exist on the site. It is the worksite management and workers who must collaboratively assess and adequately apply controls to address hazards and to the potential risks facing workers on site. -
PCBU Name
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Worksite Supervisor
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Worksite WHS Officer
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Health and Safety Representative (HSR)
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Location
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Location
Worksite Inspection
- Workers on site
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Add workers names
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Were there multiple teams on site, add details?
Worksite Documentation
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Documentation
Safety issue
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Safety Issue
Observations
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Observation
WHS Officer
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Overall summary and rating
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Comments
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Name and signature of person conducting compliance audit
Site Supervisor
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Comments
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Name and signature of person in charge of worksite
