Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Location
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Personnel
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SiteEntry / Boundaries
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Safety Signs placed
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Footpath(s) Clear
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Vehicle movements controlled
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Traffic Management Plan in Place
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Public Protection
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Site Workers, including Contractors / Subcontractors
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SWMS's / JSA's for Works
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Controls in Place
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Other
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Plant & Equipment (including subcontractors & hire equipment) and lifting objects
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Pre-Start Checklists completed
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Plant working within SWL
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Chains / Slings tested & Tagged (12 months)
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Crane / Telehandler / other used with Doggers (if app)
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Workers standing clear of load
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Safety helment worn within range
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Excavations, Tenches, Slopes, Abutments & Sump
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Unattended excavations, trenches, holes, sumps etc, barricaded, flagged or other
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Benching, battering and/or shoring of trenches over 1.5 metres
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Helmets worn in / around trench
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Stockpiles and other materials clearly defined and not obstructing traffic, pedestrians, or vision
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Stockpiles
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Pipes and other materials
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Other
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Works in vicinity of Overhead and Underground Services adequately protected / controlled
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Power Lines
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Other (eg. AC Main / Sewer rising main, other)
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Power Tools / Electrical
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Dust Masks & Eye protecion provided & used
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Tools & Leads tested & Tagged
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Safe techniques used
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Guards fitted
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Hazardous Substances (HS)
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MSDS provided for each HS entered on register
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Correct PPE used
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Compound
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No Trip hazards
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General waste removed
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Fire Extinguishers tagged and tested six montly
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Electrical Equipment tested and tagged
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General Items
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Dust minimised
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Noise minimised
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Vibration minimised in close proximity to residents / public
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First Aid Kit up-to-date
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Inductions for all workers / drivers
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All workers wearing PPE
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Adequate PPE available
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Incidents reported and investigations conducted
Previously undefined Risk/Hazard
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Previously undefined Risk/Hazard
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Safety Inspector
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Site Representative
