Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Expectations and Involvement

  • Has a Mission Statement been displayed on the departmental notice board

  • Are Employees aware of the safety values?

  • Are supervisors aware of safety responsibilities

  • Have employees had a safety 1-1 with their manager?

  • Check the near miss book? Are there a good number of near misses per week, from a range of people. Are the near misses closed out in good time?<br>

  • Is there a safety representative in the area? Please name them<br>

  • Have a look at the safety notice board

  • Have all supervisors completed safety meeting minutes and displayed them?

Safety Goals

  • Have the department displayed a safety plan to tackle top risks<br>

Permit to Work and Lock out

  • Are employees aware of the permit to work and lock out procedures.

  • Check the Permit to Work Board for any active permits.<br>Are control measure in place?

  • Check previous permits, have all sectioned been completed and signed off?

  • Have all staff whom have completed permits been trained?

  • Check equipment and plant are fitted with lockable isolators?<br>

  • Inspect lock out equipment in place and register been completed

  • Ask employees if they are aware of procedure .<br>Ask to see equipment and book

  • Check training of all employees

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.