Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Work Environment

  • Are all work area clean and dry?

  • Rubbish removed daily?

  • Are roadways, walkways, doorways, and exit routes kept clear and unobstructed?

  • Are all MSDS on site in an area that is readily accessible to all employees?

  • Are measures in place to protect the public from exposure to work activities and equipment?

  • Is a notice board readily available to all employees in the workplace displaying the following information

  • If you are injured poster

  • Emergency information relevant to the site

  • Site First Aiders

  • Site HSR

  • Minutes of Toolbox meeting which includes Safety Issues

  • Issue Resolution process

  • Are weekly "tool box" safety meetings held and documented with sign in sheets?

  • Is material piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?

First Aid and Emergency Equipment

  • Do staff know what to do in an emergency?

  • Are emergency telephone numbers posted on the job site?

  • Is there at least one person on site trained in first aid and CPR?

  • Are first aid kits easily accessible, inspected, and stocked at least monthly?

Fire Protection and Prevention

  • Are fire extinguishers available to all work areas?

  • Are fire extinguishers clearly visible and unobstructed at all times?

  • Are fire extinguishers inspected and tagged?

  • Are fuel gas cylinders and oxygen cylinders secured and stored correctly?

Portable Ladders

  • Are all ladders maintained in good condition and inspected before each use? Are broken and defective ladders taken out of service immediately?

  • Are ladders being used for their designed purpose only? (Step ladders/Extension ladders)

  • Are ladders placed on dry, stable footing, and properly secured?

Electrical

  • Are all electrical leads tested and tagged?

  • Are all electrical cords inspected and in good working condition (i.e. no splices, frays, or the ground prong is removed)?

  • Are unused switches, receptacles, and junction boxes covered with tight-fitting covers or plates

Gas

  • Cylinders

  • In test date?

  • In good condition?

  • Connections checked for leaks?

  • Free from leaks?

  • Cylinders are secured?

  • Cylinder hose assembly in good condition?

  • Located away from flammable material?

  • Cylinder not blocking path or exit - will not be knocked over?

  • Regulator & Hose Connection

  • Regulators in good condition?

  • Hoses in good condition?

  • Protected from accident damage?

  • Hoses less than 3m in length - no joiners?

  • Appliances

  • Only Certified Appliances in use?

  • In good working condition - taps & nobs in good condition & marked?

  • Not on a combustible surface?

  • Clearance from LPG Cylinder - clearance from combustible material?

Hand and Power Tools

  • Are all tools maintained in safe condition?

  • Are damaged and defected tools removed from service and repaired or replaced as soon as the damage or defect is found?

  • Are grinders, saws, and other tools with moving parts, equipped with appropriate safety guards to prevent physical contact with moving parts?

Traffic Control

  • Are proper signs placed on road to alert drivers of construction danger ahead?

  • Have traffic management personnel been properly trained and have appropriate certification of this?

Plant & Equipment

  • Is operator licences / certified to operate machinery?

  • Are there available on site Risk Assessment for all plant & equipment on site?

  • Are maintenance records available for all plant & equipment on site?

  • Is a pre-start checklist conducted for all plant & equipment on site?

Site documents

  • Is a Site Project Management Plan available on site?

  • Are SWMS, JSAs, or SOPs singed by the persons undertaking the activities?

  • Have all site personnel been inducted?

Actions

  • 1.

  • 2.

  • 3.

  • 4.

  • 5.

  • 6.

Sign as discussed outcomes

  • Auditee Signature

  • Auditor 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.