Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Documentation

  • Are the health, safety and environmental risks on this work covered by the documentation you have received, and are control measures in the operational instructions/Routine Schedules.

  • Have you read and understood the documentation to ensure you are aware of the risk control measures?

  • Is there a completed Emergency Plan in place?

People

  • Do you know who is in charge on site?

  • Is there safe access / egress to the working site?

  • Are all the people on site capable of undertaking the work they have been asked to do?

Plant / Equipment

  • Do you have the right plant / equipment for the task o be carried out?

  • Has the relevant GN0 been completed and have you applied control measures ?

  • If lifting or winching is required, have you got a lifting and/or winching plan?

  • If you are working in the vicinity of underground / overhead services, are necessary control measures in place?

  • Are appropriate control in place to manage the risk of plant and equipment travelling/working along haul roads or the top of flood banks?

Environmental Conciderations

  • Do you know how to manage waste materials and hazardous substances applicable to this work? i.e. COSHH, Waste Transfer

  • If relevant, are control measures in place in place to manage the risks of low oxygen levels and silt disturbance?

  • If the work to be carried out is in, or could effect, a designated conservation area, do you have the necessary permission to proceed? i.e. FnB / NEAS approval

  • Are weather an ground conditions increasing any risk on site?

  • Do you have any other health, safety or environmental concerns about the work you have being asked to carry out

  • Are all the answers green?

  • "DO IT"

  • What are the additional risks you have identified?

  • What measures are you planning on taking to control these risks?

  • How are you planning to do the work?

  • Have you resolved the issue identified from the Dynamic Risk Assessment (DRA)<br>Have you got everything you need, ( the right people,work equipment, materials) to do the job?

  • Brief all the team (who, what, when and how) List all the people below and continue working safely and effectively.

  • Add Person

  • Person
  • Add signature

  • DO NOT CONTINUE WITHOUT GETTING FURTHER ADVICE FROM YOUR LEAD TEAM MEMBER OR FIELD TEAM LEADER

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.