Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Contractor:

  • Contract Number:

  • Inspection by:

  • Designation:

  • Weather (rainfall, wind speed, wind direction, cloud cover/low cloud):

  • Site Activities (location, equipment):

INSPECTION DETAILS

  • 1. WATER QUALITY

  • 1.1 Has rainfall occurred?

  • 1.2 Is there visible discolouration of runoff from site?

  • 1.3 Are there visible pollutants in basins/bunds?

  • 1.4 Is water quality/testing monitoring required (EPL/Contract)?

  • 1.5 Do catch/diversion drains require maintenance?

  • 1.6 Do erosion & sediment controls require maintenance?

  • 1.7 Is flocculation required? (e.g turbid water pump out)?

  • 1.8 Does any uncontrolled runoff discharge from site?

  • Do stockpiles require controls?

  • 2. AIR QUALITY

  • 2.1 Is dust being generated from site activities?

  • 2.2 Is wind blown dust likely to deposit off site?

  • 2.3 Are dust controls required?

  • 2.4 Do topsoil stockpiles require seeding?

  • 2.5 Do any disturbed areas require rehabilitation?

  • 2.6 Are trucks carrying loose to/from site material uncovered?

  • 2.7 Is mud being tracked onto public roads?

  • 2.8 Are emissions from plant/equipment visible?

  • 2.9 Is air quality monitoring required (EPL/Contract)?

  • 3 NOISE VIBRATION

  • 3.1 Are high noise generating activities being undertaken?

  • 3.2 Does any plant/equipment requires noise level measurement?

  • 3.3 Is site noise likely to impact sensitive receptors?

  • 3.4 Is work outside approved hours being undertaken?

  • 3.5 Are vibration generating activities occurring?

  • 3.6 Is monitoring required (EPL/Contract)?

  • 4 WASTE

  • 4.1 Is there litter or any untidy areas?

  • 4.2 Is waste being stored incorrectly?

  • 4.3 Are more waste bins required?

  • 4.4 Do bins need servicing/is waste collection required?

  • 4.5 Are unlicensed contractors removing waste from site?

  • 4.6 Do storage areas need repair/maintenance?

  • 4.7 Is hazardous waste being stored and requires collection?

  • 5 HAZARDOUS MATERIALS

  • 5.1 Are hazardous materials being stored incorrectly?

  • 5.2 Are hazardous materials labelled incorrectly/inadequately?

  • 5.4 Are spill kits available?

  • 5.3 Are vehicles being serviced in an uncontrolled manner?

  • 5.4 Are spill kits available/not provided?

  • 5.5 Is there visible oil/fuel/chemical spillage?

  • 6 HERITAGE

  • 6.1 Do the works pose a threat to known heritage items/areas?

  • 6.2 Is an excavation permit required for the works?

  • 6.3 Are heritage protection measures required?

  • 6.4 Do heritage protection measures require maintenance?

  • 7 FLORA & Forna

  • 7.1 Is there a potential impact on flora and fauna from the works?

  • 7.2 Is clearing required (adequate notice is needed)?

  • 7.3 Have any threatened/endangered species been observed?

  • 7.4 Has any injured fauna been observed?

  • 7.5 Have any noxious weeds been identified?

  • 8 OTHER

  • General Comments:

  • IF A TICK IS GIVEN IN THE 'YES' COLUMN THEN DETAILS MUST BE PROVIDED IN THE COMMENTS COLUMN

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.