Information

  • Document No.

  • Audit Title

  • Site

  • Conducted on

  • Prepared by

  • Area
  • Personnel

  • If personnel are working in the area, is there reference to specific Drop hazards and preventative and mitigating controls within the WRA/RRP/MRSP/JSA?

  • If personnel are working at height in the area, are company approved working at height tools being used and adequately tied off?

  • Can all tools be accounted for in the working at height tool box and are all tool in use signed out in the Working at Height Log Book?

  • If personnel are working at height in the area, has the area around and below the work site been effectively barriered off with clear signage posted?

  • Are there any RED zone/restricted access areas present? If so are they identified by clear signage?

  • If scaffolding is being used, are toe boards and debris netting in place?

  • Is there good housekeeping in the area / work site i.e. free from unnecessary loose items and debris?

  • Has there been any new equipment installed at height? Has it been installed correctly with adequate secondary retention in place?

  • Is there any temporary equipment at height? Has it been documented in the Temporary Equipment at height Register? has an Area Owner been assigned?

  • Is there any equipment in the area that may be subject to extreme, constant vibration or severe environmental conditions? Are any failure points visible (i.e. cracked paint, rust runs or cracked welding)?

  • Is there any obsolete redundant equipment, brackets or fixtures in the area that should be removed?

  • Does all lighting, fixtures, or equipment at height have effective secondary retention?

  • Are all cable trays, handrails, beams and pipe work in the area secure?

  • Is there any equipment in the area that could potentially be struck, snagged by moving equipment (i.e. cranes, forklifts, top drive etc)? Has it been identified in the collision checklist?

  • Are stored items on shelves stowed correctly (i.e. netting in place, shelving lips, heavy items at deck level etc)?

  • Are any items placed on beams, in container pickets or in a position with the potential to fall?

  • Are all safety systems in the area in good working order (i.e. limit switches, alarms, fail safe devices, etc.)?

  • Is the lifting equipment in good condition and correctly color coded?

  • Are all pad eyes in the area in good condition and certified?

  • Are all shackles at height correctly color coded with nut in place and secured?

  • Is there any additional checks to be carried out?

  • Is there a "best practice" to note?

  • Add media

  • Are there any "improvement opportunities"?

  • Add signature

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