Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Working at Heights

  • 1.1. Fall risks of 2m or more? (including voids, pits, and trenches)

  • 1.2. Lack of edge protection?

  • 1.3. Unsafe or incomplete edge protection?

3. Scaffolds

  • 3.1. Unlicensed persons erecting scaffold above 4m?

  • 3.2. Unsafe or incomplete scaffold?

  • 3.3. Lack of inspection protocol for scaffold?

  • 3.4. Incompatible scaffold components? Unlabelled or do not meet AS?

  • 3.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

5. Harness and Equipment

  • 5.1. Unsafe or damaged harness or equipment?

  • 5.2. Incompatible hooks/equipment?

  • 5.3. Unlabelled or does not meet AS?

  • 5.4. Unsafe or uncertified anchor points?

  • 5.5. Lack of inspection protocol for equipment?

  • 5.6. Lack of or inadequate formal training for operators?

6. Ladders

  • 6.1. Unsafe or damaged ladders?

  • 6.2. Unsafe positioning of ladders?

  • 6.3. Ladder not properly secured?

  • 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

7. Hazardous Manual Tasks

  • 7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  • 7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

8. Hazardous Chemical (including fuel and oil)

  • 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 8.2. Incompatible chemicals stored near each other?

  • 8.3. Inadequate spill containment equipment?

  • 8.4. Safety Data Sheets not accessible on site?

  • 8.5. Lack of emergency procedures for injury/spills/fire etc?

  • 8.7. Insufficient ventilation?

  • 8.8. Insufficient, or incorrect, PPE?

9. Emergency Response

  • 9.2. Emergency procedures not displayed at site?

  • 9.3. Lack of training and rehearsal of emergency plans?

  • 9.4. Lack of, or inadequate first aid kits aid equipment for site?

11. Personal Protective Equipment (PPE)

  • 11.1. Lack of, or inadequate PPE (including sun protection)

  • 11.2. Lack of system to issue, inspect, replace and monitor PPE?

  • 11.3. Lack of training in safe use, clean-up and inspection of PPE?

12. Work Environment

  • 12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 12.2. Insufficient lighting?

  • 12.3. Inadequate housekeeping?

  • 12.4. Lack of, or inadequate noise/ vibration control?

13. Electrical Hazards

  • 13.1. Unsafe electrical leads? (damaged, out of test date or untested)

  • 13.5. Overloading outlets?

  • 13.8. Electrical equipment near flammables?

  • 13.9. Electrical equipment near chemicals that could cause damage?

  • 13.11. Electrical leads on work surfaces?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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