Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site photos

  • Site photos

Access & Egress

  • Verges clear 2 m access next to kerb

  • Foot path clear and safe to use

  • Work areas clear, no rubble or material obstructing workers

  • Access way clear, 2 m clearance from gutter line around house

  • Pipes sticking up out of slab/ground, cut off at slab level

  • Pipes sticking out of walls, protective caps fitted

  • 2m wide clear fall zone around house

  • Access to work platforms

  • Access for equipment

  • Workers have white card

  • Workers have access to a first aid kit

  • All loose rubbish contained on site in a bin or wire basket.

  • Notes

Roof work

  • Work platforms

  • Scaffolding

  • Edge protection

  • Ladders

  • Training

  • Notes

Scaffolding

  • Tag fitted to scaffold over 4 m current (30 days)

  • Working platforms

  • Base plates adequate

  • Bracing adequate

  • Hoist safety gates fitted

  • Notes

Excavation

  • Structure

  • Protective barrier around excavation

  • Protective barrier erected alongside retaining walls

  • Excavations in work areas

  • Notes

Electricity

  • Overhead power lines

  • Temp power box

  • RCD

  • Cords, Leeds tagged , safe to use

  • Equipment tagged/ safe to use

  • Cords, Leeds laying in water

  • Cords longer than 30 m

  • Training

  • Notes

Machinery

  • Lifting

  • Signage,Nailguns

  • Welding

  • Guards fitted to machinery

  • Vehicle movement

  • Notes

Manual Handling

  • Lifting loads

  • Heavy loads

  • Twisting, Pulling, Pushing

  • Training

  • Notes

Other hazards

  • Chemical and hazardous Substances

  • Lime products

  • Falling objects

  • Food scraps

  • Notes

Environment

  • Ventilation

  • Weather

  • Lighting

Protective equipment

  • Foot

  • Eye

  • Hearing

  • Sunlight

  • Suitability

  • Training

  • Notes

Welfare

  • Toilet

  • Water

  • Shelter

  • First aid

  • Notes

Public protection

  • Builders sign erected with warnings

  • Perimeter security

  • Material security

  • Site Safety Management Plan on site

  • Notes

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.