Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Review Site Risk Register Response

  • a. What date was this register last updated or reviewed?<br>

  • Select from range

  • b. Which aspect has the highest residual risk?

  • Select from range

2. Site EHS Plan and Objectives

  • a. Does the Site have a current EHS Plan?

  • Select from range

  • b. What is their approximate progress against the plan as a percentage?

  • Select from range

3. Site Leadership team have current EHS Objectives/Commitments?

  • a.​Do the Site Leadership team have current EHS Objectives / Commitments?<br>

  • Select from range

  • b.​What is their approximate progress against these commitments?

  • Select from range

4. Behavioural Safety Observations and Workplace Inspections

  • a.​What is the frequency of behavioural safety (task) observations?

  • Select from range

  • b.​What risk levels do these target? Extreme only or all risks?

  • Select from range

5. Incident Reporting and Follow Up?

  • b.​What is the oldest open incident on the Cintellate system for that site?

  • Select from range

  • d.​What is the oldest open action in the system?<br>

  • Select from range

  • e.​What is the constraint in closing this action?

  • Select from range

Follow up / Actions / Recommendations

Sign Off

  • Site Manager signature

  • Inspecting Manager 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.