Title Page

  • Client / Site

  • Audit Title

  • Conducted on

  • Prepared by

  • Location

Audit Questions

Contractor and Job Information

  • Contractor Information

  • Enter Contractor Information
  • Enter Contractor Name:

  • Enter Work Order Number

  • Enter details of work being carried out

Health & Safety Questions

  • Did all operatives sign in and make themselves known to the Duty Manager?

  • Did all operatives check and sign the asbestos register?

  • Are all operatives wearing the appropriate PPE?

  • Is the work area suitably Barriered off to prevent unauthorised access?

  • Are hot works involved?

  • Has a Hot Works Permit been completed?

  • Is appropriate fire fighting equipment in place?

  • Does the contractor have a job specific Construction Phase Plan or Dynamic Risk Assessment?

  • Are any power tools being used?

  • Are they 110V or Battery Powered?

  • Are ladders being used?

  • Are they the contractors own ladders? i.e. Not the store's.

  • Are they being used correctly and appropriately secured?

  • Do the ladders have appropriate tags/evidence of inspection?

Sign-off Section

Sign-off

  • Signature of Regional Facilities Manager

  • RFM Signature

  • Signature of Store Representative

  • Store Representative 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.