Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site conditions

  • Weather conditions

  • Approx. temperature

Permits, licensing, registration details

  • Site registered with the EA

  • Are permits in place if required

  • Policies displayed

  • Insurances in place and available

Air pollution control

  • Site watered to minimise dust generated

  • Stockpiled materials watered

  • Dust boss in place

  • Vehicles sheeted prior to leaving site

  • Add media

  • Work areas watered

  • Plant / equipment well maintained (eg no black smoke observed)

  • Speed control measures employed

  • Hoarding provided along boundaries and maintained

  • Add media

  • Other - please define

Noise control

  • Equipment operates with doors closed

  • Idle equipment or plant turned off or throttled down

  • Equipment has noise ratings shown

  • Noise mitigation measures in place (barrier / enclosure)

  • Utilisation of silencing equipment

  • Other - please define

Waste Management

  • Site kept clean and tidy

  • Add media

  • Chutes used for material dropping

  • Asbestos wastes handled correctly

  • Separate labelled containers/areas provided for recycling & waste segregation

  • Add media

  • Construction, recyclable and general waste regularly removed from site

  • Spill kits available and appropriate

  • Add media

  • Wastes collected and disposed of by licensed carriers

  • Chemical wastes properly stored and labelled

  • Oil drums and plant/ equipment provided with drip tray

  • Are drip trays free of oil/water

  • Oil or other contaminant spillage contained and cleaned up

  • Litter or other objectionable materials cleaned up

  • Other - please define

Protection of flora, fauna, historical heritage or SSSI

  • Disturbance to flora minimised

  • Disturbance to fauna minimised

  • Heritage preserved

  • Tree protection orders applied as applicable

  • Wildlife protection as applicable

  • Other - please define

Water Pollution Control

  • Discharge license required

  • Discharge license conditions complied with

  • Waste water treatment system used and maintained

  • Waste water being treated

  • Measures provided to properly direct effluent to remove silt

  • Bundled fuel tank in place if appropriate

  • Fuel tank locked

  • Bund free of liquid

  • Spill kit located in vicinity of bunded tank

  • Site map in place identifying location of drainage

  • Manholes on site covered and sealed

  • Vehicles/plant clean before leaving site

  • Wheel wash facilities as appropriate

  • Public road/area around site entry and site hoarding clean and free from dirt

  • Domestic water directed to septic tanks / foul drains

  • Other - please define

Storage of Chemicals & Dangerous Goods

  • Chemicals stored and labelled properly

  • Spill kits used for absorbing chemical spillage readily accessible

  • Gas bottles stored correctly

  • Proper measures in place to control oil, chemical spillage during routine maintenance

  • Other - please define

Resource Conservation

  • Watered recycled wherever possible for dust suppression

  • Water pipe leakage and wastage prevented

  • Discharge license / permit in place

  • Diesel powered plant and equipment shut off while not in use in order to reduce excessive use

  • Energy conservation practices adopted

  • Other - please define

Emergency Preparedness & Response

  • Fire extinguishers / facilities appropriate to site and maintained

  • Add media

  • Escape routes defined and not blocked

  • Emergency contacts defined

  • Accidents / incidents reported

  • Accidents/incidents recorded and reviewed as applicable

  • Other - please define

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.