• 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

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