Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Positions of workers and people on site?

  • 1.1. Workers are clear of traffic? (where possible always working from the kerbside of truck)

  • 1.2. Workers clear of entangled in machinery? (all safety guards are in place)

  • 1.3. Workers are clear of moving objects? (they cannot get caught between objects in motion)

  • 1.4 Workers are adopting good postural positions? (not straining, over reaching or over exerting body parts)

  • 1.5 Workers are free from exposure to hazardous substances? (have access to PPE - gloves etc.)

  • 1.6 Workers on site are safe from UV exposure? (compliance with Sun Care Policy)

2. Traffic Management

  • 2.1 Vehicle mounted warning devices are clean and visible?

  • 2.2 Vehicle mounted warning devices are operational? (rotating flashing lights / light board)

3. Plant and Equipment

  • 3.1 Vehicle is in a serviceable condition and free from damage? (including missing or damaged guards)

  • 3.2 Vehicles control levers and switches are free of damage and functioning correctly? (including and emergency stop switches)

  • 3.3 Correct attachments are being used with plant/equipment? (attachments in use are in a safe condition)

  • 3.4 All operators hold the appropriate licences?

  • 3.5 Safe work instructions are available for the task being undertaken?

  • 3.6 Plant pre start checks are performed and logged?

4. Documentation / procedures required for site

  • 4.1 A Look out hazard ID / SWMS has been completed for the work task being audited?

  • 4.2 Workers on site hold a White Card?

5. Personal protective equipment

  • 5.1 Workers are wearing Hi Vis uniform?

  • 5.2. Workers are wearing correct footwear?

  • 5.3. Workers are wearing eye protection? ( if appropriate )

  • 5.4 Workers are wearing hearing protection? ( if appropriate )

  • 5.5. Workers are wearing hard hat? ( if appropriate )

  • 5.6. Workers are wearing respiratory protection? ( if appropriate )

  • 5.7 All PPE is in a serviceable condition? ( clean and well maintained )

8. Hazardous Manual Tasks

  • 8.1 Heavy loads /objects are handled correctly? (moving bins, removing pit grates, manholes etc.)

  • 8.2 Awkward / unbalanced loads are handled correctly?

9. Hazardous Chemical (including fuel and oil)

  • 9.1 Safe storage location of hazardous substances?

  • 9.2 Safety Data Sheets are accessible? (for disinfectants and weed killer)

  • 9.3 Chemicals stored in appropriate containers?

  • 9.4 Chemical containers correctly labelled?

10 Electrical Hazards

  • 10.1 Over head electrical lines have been identified and control measures adopted? (Eg. spotter, exclusion zone for boom operation on street sweeper)

11 General Work Environment

  • 11.1 First Aid kit is available and is adequately stocked?

  • 11.2 Fire extinguisher is available in amenities and in test date?

Unsafe Acts Observed / Corrective Actions

  • Enter any corrective actions that will be undertaken

General observations / comments

  • Enter any comments

Sign Off

  • On site representative

  • 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.