Title Page

  • Client

  • Location:
  • Site Address:

  • Conducted on

  • Prepared by

  • Personnel

  • Type of Audit

  • Is the site compliant with Client standards and current HSEQ procedures & policies?

  • Was the site induction clear and has recognized the hazards and risks that may result from them?

  • What hazard/s was not identified?

  • Attach Non-Compliant photos of induction record/JSA

  • Was the personnel shown and instructed to correct the non-compliant Client standards and/or HSEQ?

  • Please list all corrective actions and coaching performed on site

  • Please provide Photos of Amended corrections

  • What are the good safety behaviors have you observed onsite?

  • Attach good Health, Safety & Environmental photos

  • Comments for further improvent

  • Was the site induction clear and has recognized the hazards and risks that may result from them?

  • What hazard/s was not identified?

  • Attach Non-Compliant photos of induction record/JSA

  • Crew notified to fill out immediately and to explain why this has not been filled out?

  • What is non-compliant with Client Standards and or HSEQ?

  • Attach Non-Compliant photos of site/workmanship

  • Was the personnel shown and instructed to correct the non-compliant Client standards and/or HSEQ?

  • Please list all corrective actions and coaching performed on site

  • Please provide Photos of Amended corrections

  • Personnel
  • Personnel

  • Audited By:

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