Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Self Assessment

  • Is it safe to exit my vehicle

  • Is the site secure and safe to enter

  • Am I wearing the correct PPE

  • Am I inducted to this site

Fencing and Demarcation

  • Is effective fencing or demarcation in place

  • Is access control effective

  • Is there a "Sign in and out" system in place

Signage

  • Are "No Entry" sign/s in place

  • Are "Danger" signs in place

  • Is Risk Register Board in place

  • Is Risk Register Board information current

  • Are contamination hazard signs in place

Emergency equipment

  • Is fire extinguisher on site

  • Is complete first aid kit on site

  • Is emergency plan available

  • Are emergency contacts available

SSSP

  • Is SSSP available on site

  • Is SSSP content known to all working on site

  • Is SSSP in daily use

Material managing

  • Are contaminated materials wrapped as required

  • Are contaminated materials damaged beyond use

  • Are contaminated materials stored in a lined bin

  • Are bins removed daily

  • No contaminated materials not stored in a bin

Electrical power supply

  • Has the power supply been isolated

  • Was isolation achieved in acceptable method

  • Was the isolation completed by a certified electrician

  • Has power supply box been tagged for isolation

  • Is contact details and name of electrician on tag

  • Have fittings, switches and sockets been removed

  • Have wires been capped

Lead paint

  • Has lead based paint been tested for on windows

  • Does paint need to be removed

  • Is paint being removed by appropriate paint stripper

  • Is paint shaving being disposed of correctly

PPE

  • Is PPE requirements known on site

  • Is correct PPE being used by all working on site

  • Is replacement PPE available on site

Additional notes

  • No additional notes to make

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.