• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Inspection Detail

  • NOTE: All fields must be checked “YES” or “NO”. If a question does not apply, mark N/A in column. If “NO”, provide details in comments section at bottom of form.Activities Undertaken

  • Activities Undertaken

  • Please insert Site Photos

  • Permit to Work


  • Have staff completed site specific SWMS/JSA?

  • Have all persons on site signed onto SWMS/JSA?

  • Were you asked to sign onto the SWMS/JSA before entering site?

  • Are staff aware of any restrictions or OHSE requirements specific to this site?

  • Are safe work procedures available for all items of plant and equipment?

  • Have all hazards associated with the task or project been identified and controlled as far as reasonably practicable?

  • Has all staff been briefed on known hazards and controls which may impact on their work?

  • Hazard reporting system in use?

  • Any incidents or injuries reported to Shire OHS?


  • Competencies are current and available for all staff?

  • High Risk License current for all High Risk activities?

  • Note Licence numbers and expiry dates

  • Please insert Photos of Competency Tickets


  • Have PPE requirements been identified, and suitable PPE provided for workers?

  • Is PPE in good condition and being worn by all staff?

  • PPE in date eg Hard hats < 3yrs, Harness, lifting slings

  • High visibility clothing appropriate for conditions used and worn correctly?

  • Have Manual Handling tasks been identified and controlled?

  • Has Working at Heights been identified and controlled?

  • Safe Operating Procedures on site?

  • Site amenities available? Eg toilets, potable water

  • Adequate first aid kits available and in date?

  • Qualified first aider on site?


  • Please Insert photos of plant items

  • Daily plant/equipment checklist available and completed?

  • Certified operators as required?

  • Is evidence provided of testing and tagging of electrical equipment?

  • All Plant and Equipment in date for testing, calibration, maintenance schedules?

  • Identified Faults signed off as completed?

  • Flashing lights/reversing cameras/proximity warning devices/reversing alarms operational

  • Communications in place for reversing vehicles?

  • Overhead powerlines in vicinity identified? Is qualified spotter available and being used?

  • Lifting Equipment tested and in date?

  • Fire extinguisher on site, inspected and in date?


  • Have all Underground assets been located?

  • Copy of indate Dial Before You Dig plans available onsite?

  • Any > 1.5 m adequately supported

  • Any < 1.5 m adequately protected

  • < 1.5 support/stepping if unstable soil

  • Drains protected from potential run off

  • Public safety issues adequately controlled

  • Spoil away from excavations >1.5


  • Are provisions made for site security during and after work hours?

  • Have adequate provisions been made for the movement of plant and vehicles on and to and from the site?

  • Has staff been briefed regarding emergency response procedures for site?

  • Has Traffic Management Plan been selected or provided?

  • Is plan available for inspection?

  • Is the plan relevant to the work?

  • Approved MOA available?

  • Are traffic controllers trained and current?

  • Are documented changes (if any) to the traffic management plan available for inspection?

  • Are all signs and devices installed according to the TMP?

  • Are all signs and devices free from damage and defect? Easy to read?

  • Are clearance between worker, pedestrians and traffic being maintained?

  • Are pedestrians, cyclists and wheelchair access being catered for on site?

  • Are pedestrians being asked to cross roads in safe locations?


  • Are current MSDSs available and provided for all substances?

  • All containers correctly labelled and appropriate?

  • Appropriate spill and other emergency response available?


  • Sediment and Erosion control required/considered?

  • Recycling, Waste Management considerations in place?

  • Noise and Dust Managed/Considered?

  • Actions Taken

  • Inspectors Signature

  • Site Supervisor Signature

  • Crew Signatures

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.