Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Project Details
-
Project details - building number / room number
-
Work request Number
-
Name of the Job Captain
Staffing
-
Are all employees signed in ?
-
Are all employees inducted ?<br>
Safe Work Method Statements
-
Use of SWMS<br>Have all hazards been identified ?
-
Have Permits been issued ?
Equipment
-
Equipment Tagged
-
Temporary Power
-
Leads on floor
-
Lockout / Tagout in place
-
RCD protection in use
Tested / Calibrated Equipment
-
Is tested / calibrated equipment required
-
Has equipment been tested / calibrated
-
Does it meet statutory requirements
Hazard Prevention
-
Risk Assessment completed
-
Substance control, Asbestos, Chemicals, Dangerous Goods..etc..
-
Fire precautions in place - isolations, warnings etc..
-
Dust control
General
-
Signage
-
Barricading
-
Distance from public
-
Site cleanliness
-
Trip / fall hazard
-
Working at heights
-
Scaffolding
-
Ladders
Personal Protective Equipment
-
Safety glasses
-
Hearing protection
-
Footwear
-
Gloves
-
Face shields
-
High Visibility shirt / top
COMMENTS
AUDIT RESPONSE
ACTION STATUS
SIGN OFF - Auditor
-
Add signature
SIGN OFF - Contractor
-
Add signature