Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. SYSTEMS

  • 1.1 OH&S & Environmental Policy displayed

  • 1.2 Accident/incident report records

  • 1.3 Induction training record reviewed and current

  • 1.4 Employee training record reviewed and current

  • 1.5 Risk assessment register reviewed and current

  • 1.6 Plant/equipment maintenance register reviewed and current

  • 1.7 Work site inspection – regular performance and records

  • 1.8 Site safety meeting minutes

  • 1.9 Register of safe work procedures and/or JSEA’s

  • 1.10 Emergency procedures documented and current

  • 1.11 OH&S representatives appointed and known

  • COMMENTS:

2. HOUSEKEEPING

  • 2.1. Work areas free from rubbish and obstructions

  • 2.2. Surfaces safe and suitable

  • 2.3. Work areas free from slip/trip hazards

  • 2.4. Pits and excavations covered or barricaded

  • 2.5. Stock/material stored safely

  • COMMENTS:

3. ELECTRICAL

  • 3.1. No broken plugs, sockets, switches

  • 3.2. No frayed or defective leads

  • 3.3. Power tools in good condition and used correctly

  • 3.4. No work near exposed live electrical equipment

  • 3.5. Tools and leads inspected and tagged

  • 3.6 No cable trip hazards

  • COMMENTS:

4. MOBILE PLANT/EQUIPMENT

  • 4.1 Plant/Equipment in good condition

  • 4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 4.3 Fault reporting and rectification system

  • 4.4 Trained and licensed operators

  • 4.5 Warnings and operating instructions displayed

  • 4.6 Warning lights operational

  • 4.7 Reversing alarm operational

  • 4.8 Operating practices satisfactory

  • 4.9 After hours safety and security

  • 4.10 Equipment safe working loads displayed and observed

  • COMMENTS:

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?

  • COMMENTS:

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)

  • COMMENTS:

7. Hazardous Manual Tasks

  • 7.1. Lack of identification hazardous manual tasks?

  • 7.2. Lack of assessment of 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?

  • COMMENTS:

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?

  • 8.6. Excessive quantities stored on site or in vehicles?

  • 8.7. Insufficient ventilation?

  • 8.8. Insufficient, or incorrect, PPE?

  • 8.9. Unsuitable storage containers? (unlabeled or stored in food containers)

  • COMMENTS:

9. Emergency Response

  • 9.1. Lack of, or no emergency plans for site?

  • 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?

  • 9.5. Insufficient access to formally trained First Aiders for all shifts?

  • 9.6. Unsuitable or inadequate communication equipment?

  • COMMENTS:

9.1 First Aid

  • 19.1.4 Record of treatments and supplies dispensed

  • 19.1.1 Cabinets and contents adequate, clean and orderly

  • 19.1.2 First aiders names, locations and phone numbers displayed

  • 19.1.3 First aiders trained and qualified

  • COMMENTS:

10. Traffic Management

  • 10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  • 10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  • 10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

  • COMMENTS:

11. Personal Protective Equipment (PPE)

  • 11.6 Hard hat areas observed

  • 11.7 Safety boot areas observed

  • 11.8 Hearing protection areas observed

  • 11.9 High visibility clothing worn

  • 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?

  • 11.4 PPE available and worn

  • 11.5 Correct signage at access points

  • COMMENTS:

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?

  • COMMENTS:

13. Electrical Hazards

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

  • 13.2. Lack of RCD protection?

  • 13.3. Contact with underground assets?

  • 13.4. Contact with overhead electrical lines?

  • 13.5. Overloading outlets?

  • 13.6. Leads placed on ground or on metal structures?

  • 13.7. Electrical equipment near water?

  • 13.8. Electrical equipment near flammables?

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

  • 13.10. Electrical leads that may be damaged from contact with moving machinery parts?

  • 13.11. Electrical leads on work surfaces?

  • 13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

  • COMMENTS:

14. Environmental Hazards

  • 14.1. Lack of/or inadequate Environmental Management plan (EMP)?

  • 14.2. Lack of/or inadequate, dust suppression system?

  • 14.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  • 14.4. Lack of water re-use systems?

  • COMMENTS:

15. Administrative Procedures

  • 15.1. Lack of/or inadequate Site Safety Plan?

  • 15.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  • 15.3. Lack of, or inadequate, induction for workers, contractors, visitors?

  • 15.4. Lack or, or inadequate, supervisory arrangements?

  • 15.5. Lack of/or inadequate training, licenses, skills, experience?

  • 15.6. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  • 15.7. Lack of, or inadequate system to review SWMS as needed?

  • 15.8. Lack of/or inadequate incident notification procedures?

  • 15.9. Lack of, or inadequate, routine inspections, monitoring, audits?

  • 15.10. Lack of/or inadequate consultative arrangements?

  • COMMENTS:

16 WORKPLACE ISOLATION

  • 16.5 Appropriate access and egress controls in place

  • 16.1 Work site barricade at least 3 meters from nearest rail

  • 16.2 Appropriate pedestrian and vehicular traffic routes established

  • 16.3 Overhead power identified where work occurring in vicinity

  • 16.4 Adequate hoardings, fencing, barricades and signage

  • COMMENTS:

17 MANUAL HANDLING

  • 16.3 Manual handling controls implemented

  • 17.1 Mechanical aids provided and used

  • 16.2 Safe work procedures in place

  • COMMENTS:

18 CONFINED SPACES

  • 18.1 Safe work procedure in place

  • 18.2 Communication and rescue plan in place

  • 18.3 Safety equipment in good working condition

  • 18.4 Appropriate training provided to workers

  • 18.5 Confined space permit used

  • COMMENTS:

19 PUBLIC PROTECTION

  • 19.8 Site access controlled

  • Public inquiries/complaints recorded and actioned

  • 19.1 Signage in place

  • 19.2 Appropriate barricades, fencing, hoardings in place

  • 19.3 Walkways and gantries secure and in place

  • 19.4 Lighting suitable for public access

  • 19.5 Walkways and footpaths clean and free from debris

  • 19.6 Dust and noise controls in place

  • 19.7 Pedestrian and vehicular traffic controls in place

  • COMMENTS:

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor'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.