Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Self Assessment
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Is it safe to exit my vehicle
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Is the site secure and safe to enter
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Am I wearing the correct PPE
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Am I inducted to this site
Fencing and Demarcation
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Is effective fencing or demarcation in place
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Is access control effective
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Is there a "Sign in and out" system in place
Signage
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Are "No Entry" sign/s in place
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Are "Danger" signs in place
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Is Risk Register Board in place
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Is Risk Register Board information current
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Are contamination hazard signs in place
Emergency equipment
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Is fire extinguisher on site
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Is complete first aid kit on site
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Is emergency plan available
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Are emergency contacts available
SSSP
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Is SSSP available on site
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Is SSSP content known to all working on site
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Is SSSP in daily use
Material managing
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Are contaminated materials wrapped as required
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Are contaminated materials damaged beyond use
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Are contaminated materials stored in a lined bin
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Are bins removed daily
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No contaminated materials not stored in a bin
Electrical power supply
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Has the power supply been isolated
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Was isolation achieved in acceptable method
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Was the isolation completed by a certified electrician
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Has power supply box been tagged for isolation
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Is contact details and name of electrician on tag
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Have fittings, switches and sockets been removed
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Have wires been capped
Lead paint
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Has lead based paint been identified on windows
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Does paint need to be removed
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Is paint being removed by paint stripper
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Is paint shaving being disposed of correctly
PPE
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Is PPE requirements known on site
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Is correct PPE being used by all working on site
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Is replacement PPE available on site