Title Page

  • Project Name

  • Site location

  • Location of work

  • Auditor

  • Conducted on

  • Name of contractor

  • Details of work being completed

Observed health and safety standards

  • Have all contractor and subcontractor staff attended a site safety orientation course and received required HSE training?

  • Are all contractor and subcontractor staff aware of site emergency procedures? (speak to contractor staff)

  • Are all contractor and subcontractor staff aware of what to do in the event of an accident and/or safety observation? (speak to contractor staff)

  • Has the contractor made adequate first aid provisions?

  • Have safety observations been submitted to Honeywell on a periodic basis?

  • Are the contractor and subcontractor risk assessments, safe work procedures, method statements, HSE procedures, and permits to work being followed?

  • Has required personal protective equipment, e.g. hard hats, safety shoes, gloves, etc. been provided according to the risk assessment, and is it being worn?

  • Has the contractor implemented life critical control measures for fall protection, electrical safety, arc flash, and permit confined spaces?

  • Where applicable, are the contractor works securely fenced off or otherwise protected from the public, customer staff, or other unauthorized personnel?

  • Is the contractor maintaining a safe work area and implementing good housekeeping standards, including safe egress to roads, aisles, stairs, etc.?

  • Other observations

Signatures

  • I have completed health and safety monitoring on the contractor named above.

  • Auditor

  • Site Manager

  • Contractor representative

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.