Dawson's Technical Services

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Administration

• Has the employee signed in to site

  Yes

  No

  N/A

• Has a risk assessment been performed

  Yes

  No

  N/A

• Has the site contact been notified that employee is attending job.

  Yes

  No

  N/A

• Is the employee presenting well

  Yes

  No

  N/A

2. General Worksite

• Any hazards not identified on risk assessment

  Yes

  No

  N/A

• All safeties and guards in place

  Safe

  At Risk

  N/A

• Are there any vehicle or traffic hazards in work area<br>

  Safe

  At Risk

  N/A

• Are there any safety concerns with equipment being worked on

  Safe

  At Risk

  N/A

• Has the technician using gloves to protect them from sharp and dangerous edges

  Safe

  At Risk

  N/A

• Confined spaces

  Safe

  At Risk

  N/A

• Fire hazard

  Safe

  At Risk

  N/A

• Others: Please specify

  Safe

  At Risk

  N/A

3. Working at heights

• Fall risks of 2m or more? (including voids, pits, and trenches)

  Safe

  At Risk

  N/A

• High workplaces and climbing points (which can cause falls from a height)

  Safe

  At Risk

  N/A

• Working over walkways, people etc

  Safe

  At Risk

  N/A

• Others: Please specify

  Safe

  At Risk

  N/A

4. Electrical

• Electrical installations and equipment

  Safe

  At Risk

  N/A

• Exposed or live terminals and connections

  Safe

  At Risk

  N/A

• Damaged or poorly maintained electrical components &/or cables?

  Safe

  At Risk

  N/A

• Electrical Leads and cables on the ground

  Safe

  At Risk

  N/A

• Are isolations completed (lock-out procedures / permits to work in place?

  Yes

  No

  N/A

• Others: Please specify

  Safe

  At Risk

  N/A

5. Manual Handling

• Lifting and carrying heavy loads

  Safe

  At Risk

  N/A

• Work involving poor posture

  Safe

  At Risk

  N/A

• Others: Please specify

  Safe

  At Risk

  N/A

5. Environment

• Noise

  Safe

  At Risk

  N/A

• Chemical substances ( including airborne ie dust, sprays in the air)

  Safe

  At Risk

  N/A

• Biological Hazards ( viruses, parasites, moulds, bacteria)

  Safe

  At Risk

  N/A

• Stress, violence, harassment (mobbing)

  Safe

  At Risk

  N/A

• Others: Please specify

  Safe

  At Risk

  N/A

6. Personal Safety checklist

• Personal protection ( glasses, hearing, coveralls available )

  Yes

  No

  N/A

• Exits clearly marked

  Yes

  No

  N/A

• First aid kits available

  Yes

  No

  N/A

• Fire extinguisher and fire blanket available

  Yes

  No

  N/A

Housekeeping

• Is the area clean

  Yes

  No

  N/A

• Are all screws back in unit

  Yes

  No

  N/A

7. Comments and Actions

• Comments

• Have all personal been briefed on safety actions?

  Yes

  No

  N/A

• On site representative

  Sign