Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Name of person or organisation for whom the inspection was carried out

  • 1. Name of person or organisation for whom the inspection was carried out

2. Documents Present

  • 2.1. F10

  • 2.2. Employers Liability Insurance Certificate

  • 2.3. H&S Folder

3. Location & Description of the workplace

  • 3. Location & Description of the workplace

4. Plant & Equipment In Use

  • 4. Plant & Equipment In Use

5. Matters which give rise to health & safety concerns

  • 5. Matters which give rise to health & safety concerns

  • Add media

6. Can work continue safely?

  • Can work continue safely?

  • Who has been notified?

7. Details of action taken or necessary as a result of matters identified at 5. above

  • 7. Details of action taken or necessary as a result of matters identified at 5. above

8. Details of any further action considered necessary.

  • 8. Details of any further action considered necessary.

Sign Off

  • Site Manager/Supervisor's signature

  • Site Inspector's 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.