Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Personal protective equipment

  • Safety glasses and / or goggles available & being used

  • Hand protection used / worn as required

  • Foot protection worn as required

  • Hearing protection worn where required

  • Hard hats worn correctly on construction site

  • Respirators if required, type, training

  • High visibility vest worn

Trenching & excavation

  • Sloping, shoring evaluated

  • Is the excavation barricaded

  • All underground services located

  • Earthmoving plant used safely

  • Workers protected from trench collapse

  • Are people safeguarded from falling into excavations

  • Safe access to trenches

  • Observer present when worker below ground

  • Open excavation regularly inspected

Hand Tools / Power Tools

  • Grinders ( portable &stationery) have guards in place

  • Pneumatic power tools have hoses secured

  • Unsafe hand tools are removed from service

  • Impact tools, hammers kept free of splinters / mushrooming

HCS Handling

  • MSDS openly available to all employees

  • Flammable liquids are in a approved safety cans

  • Flammable liquids storage containers labelled properly

  • All hazardous containers labelled appropraitely

  • Suppliers on hand for accidental chemical spills

Emergency / first aid

  • Emergency phone numbers posted and known by all

  • First aid kit available at work site

  • Fire extinguishers readily available ( not blocked)

  • Fire extinguishers inspected

Ladder / stair safety

  • Ladders are safe and inspected appropriately

  • Fall protection utilized when ladder is less than 1.5 m from guardrail

  • Stairs or ladder provided for access points are greater than 49 cm high

  • Extension & straight ladders extend 76 mm beyond landing

  • Stepladders are only used in an open position

Electrical safety

  • Switchboards properly constructed & set up ( tested & tagged monthly)

  • Circuits, portable equipment, plant & tools protected from earth leakage

  • Correct GPO's being used

  • Portable outlet devices suitable

  • Cabling protected from mechanical demage

  • Power tools & leads in safe condition ( tested & tagged quaterly)

  • Certificate of compliance issued

  • Have RCD's been tested

  • Portable generators suitable

  • Leads set out safely

  • Plant & temporary structures a safe distance from power lines

  • Overhead power lines dis- connected or fitted with tiger tails

  • Electrical installation & repair work undertaken safely

Scaffolding

  • Scaffolders properly certified

  • Scaffolding strong enough for loads

  • Scaffolding stable

  • Scaffold protects workers & other people

  • Safe access to every scaffold platform

  • Scaffold safe distance from power lines

  • Scaffolders working safely

  • Scaffold users working safely

  • Scaffolds regularly inspected

Temporary Works

  • Form work system properly designed

  • Form work properly constructed

  • Form work laid safely

  • Steel fixing undertaken safely

  • Wall & column shutters safely lifted & properly secured

  • Concrete pumps used safely

  • Kibbles used safely

  • Concrete vibrators used safely

  • Concretors working safely

  • Formwork stripped safely

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.