Title Page
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Client / Site
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Audit Title
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Conducted on
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Prepared by
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Location
Audit Questions
Contractor and Job Information
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Contractor Information
Enter Contractor Information
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Enter Contractor Name:
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Enter Work Order Number
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Enter details of work being carried out
Health & Safety Questions
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Did all operatives sign in?
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Did all operatives check and sign the asbestos register?
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Are all operatives wearing the appropriate PPE?
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Is the working area suitably seggregrated off to prevent unauthorised access?
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Are hot works involved?
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Has a Hot Works Permit been completed?
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Is appropriate fire fighting equipment in place?
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Does the contractor have a job specific Construction Phase Plan or Dynamic Risk Assessment?
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Are any power tools being used?
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Are they 110V or Battery Powered?
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Are ladders being used?
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Are they the contractors own ladders? i.e. Not the store's.
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Are they being used correctly and appropriately secured?
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Do the ladders have appropriate tags/evidence of inspection?
Sign-off Section
Sign-off
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Signature of Project Manager
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PM Signature
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Signature of Contractor
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Contractor Signature