Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Employee Details

  • Employee name:

Assessment

  • Has employee signed on at start of shift

  • Was the employee on time for commencement of shift

  • Is the employee's ASIC card visible and current?

  • Photo of ASIC card

  • Is the employee carrying a valid motor vehicle drivers licence to operate the machinery?

  • Photo of DL

  • Is the employee following correct 2-way radio protocol?

  • Is the employee in correct uniform with correct presentation. Clean clothes, ironed and shirt tucked in. Men shaven. Footwear clean and correct colour and style.

  • Add media

  • Is the employee aware of the correct lost property procedure

  • Has the employee cleaned the appropriate number of trolleys for their shift?

  • Does the employee operate the Taylor Dunn machine correctly?

  • Does the employee operate the Ride on Puller machine correctly?

  • Does the employee operate the Pusher machine correctly?

  • Is the employee following correct procedure when pushing trolleys by hand?

  • Is the employee following correct operational procedure (not working in pairs) and clearing the check in areas in a timely manner?

  • Manager: Employee:

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.