Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Working at Heights
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1.1. Fall risks of 2m or more? (including voids, pits, and trenches)
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1.2. Lack of edge protection?
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1.3. Unsafe or incomplete edge protection?
2. Plant and Equipment
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2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)
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2.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)
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2.3. Unsafe or incompatible attachments used with plant/equipment?
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2.4. Lack of safe work instructions?
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2.5. Lack of LOTO procedures for cleaning, servicing and maintenance?
3. Scaffolds
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3.1. Unsafe or incomplete scaffold?
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3.2. Lack of inspection protocol for scaffold?
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3.3. Incompatible scaffold components? Unlabelled or do not meet AS?
4. Harness and Equipment
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4.1. Unsafe or damaged harness or equipment?
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4.2. Incompatible hooks/equipment?
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4.3. Unsafe or uncertified anchor points?
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4.4. Lack of inspection protocol for equipment?
5. Ladders
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5.1. Unsafe or damaged ladders?
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5.2. Unsafe positioning of ladders?
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5.3. Ladder not properly secured?
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5.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
6. Hazardous Manual Tasks
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6.1. Lack of identification hazardous manual tasks?
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6.2. Lack of assessment of hazardous manual tasks?
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6.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)
7. Emergency Response
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7.1. Lack of, or no emergency plans for site?
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7.2. Emergency procedures not displayed at site?
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7.3. Lack of, or inadequate first aid kits aid equipment for site?
8. Traffic Management
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8.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?
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8.2. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)
9. Personal Protective Equipment (PPE)
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9.1. Lack of, or inadequate PPE (including sun protection)
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9.2. Lack of system to issue, inspect, replace and monitor PPE?
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9.3. Lack of training in safe use, clean-up and inspection of PPE?
10. Work Environment
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10.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
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10.2. Insufficient lighting?
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10.3. Inadequate housekeeping?
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10.4. Lack of, or inadequate noise/ vibration control?
11. Electrical Hazards
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11.1. Unsafe electrical leads? (damaged, out of test date or untested)
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11.2. Lack of RCD protection?
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11.3. Contact with underground assets?
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11.4. Contact with overhead electrical lines?
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11.5. Leads placed on ground or on metal structures?
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11.6. Electrical equipment near water?
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11.7. Electrical equipment near flammables?
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11.8. Electrical equipment near chemicals that could cause damage?
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11.9. Electrical leads that may be damaged from contact with moving machinery parts?
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11.10. Electrical leads on work surfaces?
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11.11. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?
12. Environmental Hazards
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12.1. Lack of/or inadequate Environmental Management plan (EMP)?
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12.2. Lack of/or inadequate, dust suppression system?
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12.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?
13. Administrative Procedures
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13.1. Lack of/or inadequate Site Safety Plan?
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13.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)
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13.3. Lack or, or inadequate, supervisory arrangements?
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13.4. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?
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13.5. Lack of, or inadequate system to review SWMS as needed?
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13.6. Lack of/or inadequate incident notification procedures?
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13.7. Lack of, or inadequate, routine inspections, monitoring, audits?
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13.8. Lack of/or inadequate consultative arrangements?
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature
