Title Page

  • Audit Title (Task Description)

  • Project / Site

  • Personnel / Work Group Completing Task

  • Conducted on

  • Prepared by

  • Location

General

  • Employees understands the task they have been given

  • Work order document on person

  • Correct PPE worn for the situation and in good condition

Critical Controls

  • Electrocution

Electrocution

  • For electrical work?

  • Has the installation been tested to standard requirements?

  • Are barriers in place for exposed live electrical conductors?

  • Is test equipment and tools in good working order?

  • Was the isolation and proving process followed (including test before touch)?

  • Is insulating PPE is being worn for testing?

  • Are permit conditions and work instructions being adhered to?

  • Are controls in place for working in a lighting prone environment?

  • Is the correct supervision in place for apprentices and contractors?

  • Does the work team have the required qualifications?

  • For electrical appliances?

  • Have portable RCD devices been tested prior to use?

  • Are portable appliances tagged and in good order?

  • For arc welding?

  • Are arc welding machines fitted with Voltage Reduction Devices?

  • Is the return clamp adjacent to the activity?

  • Is the welding PPE dry?

  • Switchboard Explosion or Arc Flash

Switchboard Explosion or Arc Flash

  • For Operator Switching?

  • Is CAT4 PPE being worn?

  • Is the correct remote racking device being used?

  • Does the work team have the required qualifications?

  • For Electrical work?

  • Is PPE being worn in accordance with the Arc Flash Dossier?

  • Is the correct isolation process being followed?

  • Are mitigating controls in place (Maintenance mode used)?

  • Are the correct testing for dead and earthing practices being followed?

  • Does the work team have the required qualifications?

  • Work at Heights & Dropped Objects

Work at Heights & Dropped Objects

  • Are identified anchor points being used, equipment fitted correctly, tagged and compliant to site standard?

  • Has a quality pre-start check been conducted on the elevating work platform?

  • Dropped objects hazard is controlled; minimal risk of dropping objects below, or having objects dropped from other workgroups above.

  • Is the barricade and drop protection erected as per design?

  • Does the work group understand the no go zone?

  • Does the work team have the required qualifications?

  • Confined Space

Confined Space

  • Is a positive isolation in place to cover the work scope and all energy sources included?

  • Is there a safe atmosphere - Ventilation plan in place, current atmospheric test, no introduced hazards?

  • Stored energy managed, hangups, dropped object potential etc

  • Access points have hard barricading and signs, standby person to be used and conpetent

  • Does the work team have the required qualifications?

  • Lifting Operations

Lifting Operations

  • Is the lift being executed as per lift study design?

  • Is the crane in the designated location?

  • Is the landing area identified being used?

  • Has a pre-start check been conducted on the crane?

  • Is the rigging gear tagged and rated, and has it been inspected prior to use?

  • Does the work group understand the no go zone?

  • Is the barricade erected as per design?

  • Does the work team have the required qualifications?

  • Isolation of Hazardous Energy

Isolation of Hazardous Energy

  • Recipient has checked isolation points exist and are locked and check integrity

  • Equipment ID tag hung on correct equipment

  • Electricians are Isolation Officer trained if doing isolations

Task Photo

  • Take a photo of the task or task area

Sign off

  • Any other general remarks?

  • Auditor full name and signature

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.