COVID-19 Compliance Audit

• Conducted on

  Date

• Prepared by

• Project/Location
  Address

• Are there COVID-19 Postings at entrance?

  Yes

  No

  N/A

• Is there a COVID-19 Response Plan on site?

  Yes

  No

  N/A

• Is there a specific induction process at entrance?

  Yes

  No

  N/A

• Is there evidence of a register of workers and visitors providing health declaration?

  Yes

  No

  N/A

• Is there evidence of a daily register of workers and visitors with contact detail entering and leaving the site?

  Yes

  No

  N/A

• Is temperature monitoring required for this site?

  Yes

  No

  N/A

On Site Audit

• Is there evidence of sanitation facilities available including hand washing stations or provision of additional sanitizer/disinfectant?

  Yes

  No

  N/A

• Adequate number of trash bins?

  Yes

  No

  N/A

• Are workers practicing the social distancing protocol of 6 feet?

  Yes

  No

  N/A

• Are workers wearing the required PPE correctly?

  Yes

  No

  N/A

• Has additional PPE being required since last site audit?

  Yes

  No

  N/A

• Add signature

  Sign