Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Administration
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Has the employee signed in to site
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Has a risk assessment been performed
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Has the site contact been notified that employee is attending job.
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Is the employee presenting well
2. General Worksite
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Any hazards not identified on risk assessment
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All safeties and guards in place
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Are there any vehicle or traffic hazards in work area<br>
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Are there any safety concerns with equipment being worked on
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Has the technician using gloves to protect them from sharp and dangerous edges
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Confined spaces
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Fire hazard
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Others: Please specify
3. Working at heights
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Fall risks of 2m or more? (including voids, pits, and trenches)
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High workplaces and climbing points (which can cause falls from a height)
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Working over walkways, people etc
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Others: Please specify
4. Electrical
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Electrical installations and equipment
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Exposed or live terminals and connections
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Damaged or poorly maintained electrical components &/or cables?
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Electrical Leads and cables on the ground
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Are isolations completed (lock-out procedures / permits to work in place?
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Others: Please specify
5. Manual Handling
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Lifting and carrying heavy loads
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Work involving poor posture
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Others: Please specify
5. Environment
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Noise
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Chemical substances ( including airborne ie dust, sprays in the air)
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Biological Hazards ( viruses, parasites, moulds, bacteria)
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Stress, violence, harassment (mobbing)
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Others: Please specify
6. Personal Safety checklist
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Personal protection ( glasses, hearing, coveralls available )
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Exits clearly marked
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First aid kits available
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Fire extinguisher and fire blanket available
Housekeeping
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Is the area clean
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Are all screws back in unit
7. Comments and Actions
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Comments
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Have all personal been briefed on safety actions?
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On site representative
