Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Arrangements

  • Is the organisation on the registered contractor list<br>

  • Check all named employees and confirm that each has a valid pass and has been inducted

  • Are the contractor employees listed on the security register

  • Is there a sub contract arrangement in place

  • List the names of sub contractors and check induction records exist

Task specific inspection

  • Enter the type of task

  • Does the task require a contractor control form?<br>

  • Date on contractor control form

  • Is a copy of the method statement available at the worksite

  • Is there a copy of the risk assessment at the worksite

  • Does the control form indicate start and finish times and availability of the equipment or area

  • Review the contractor control form, judge the completion of the form 100 being all fields complete

  • Review the contractor control form for quality of information, 100 being best practice

  • List main concerns about control form

Workplace Controls

  • Is the task a permitted activity.....if yes select

  • If permit required input start time and date

  • Enter permit stand down date and time

  • Are the permit conditions in place at the workplace, are they sufficient and adequate

  • Is the work area free from hazards

  • Take photographs of at risk conditions

  • Is the PPE provided in line with the method statement?

  • Is the contractor wearing the prescribed PPE

  • Is access equipment safe, Ladders scaffold tagged

  • Are the tools in use safe to use, is electrical equipment within current date

  • Record date of PAT

Heinz Arrangements

  • Who is the named site contact

  • Have the relevant safety procedures been briefed to the contractor, list those required

  • Has the local area owner signed the contractor control form

  • Are there clear start and finish times on the control form

  • Has the contact visited the worksite, enter frequency of visit

  • Are adjacent activities safe and not possessing a risk to the contractor

On site advisory

  • What is the level of immediate risk posed by the work taking place

  • Rate the audit

Audit close out

  • Agree the close out actions, actions must be SMART

  • Auditor signature

  • HJH originator

  • Contractor representative

  • List agreed actions

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.