Information

  • Audit Title

  • Client

  • Conducted on

  • Prepared by

  • Accompanied by

  • Location
  • Personnel

  • Company Division

  • This report is to be used by the assessor to inspect the site and record any safety, health and environmental hazards. The assessor should also pick an area of further inspection (e.g. SSOW, PUWER, Emergency arrangements etc) to ensure these are compliant with regulations and in- house procedures

  • Overview of current works

  • Have items from previous inspections been closed out?

Hazard spotting

    Hazard
  • Close out time scale

  • Closed out by (sign and date)

  • Hazard definition

  • Root Causality

Environmental and Sustainability

  • Has the PMP been updated (from tender copy / to reflect site progress)?

  • Have both documents been briefed out to key members of staff (supervisor and above)?

  • Is there any evidence of materials / liquids being deposited outside of site boundary? (e.g. Mud on road etc)<br>

Positive observations

    Positive observation

SSOW Review

  • SSOW reference

  • Non - Compliance
  • Non - compliance noted

  • Causality

  • Closed out (Sign and Date)

Procedural Compliance

  • Record area of inspection

  • Non - Compliance
  • Non - compliance noted

  • Causality

  • Closed out (Sign and Date)

SHEQ Bulletins

  • SHEQ bulletins up to date and relevant

Inspection Sign off

  • Add signature

Hazard Rating

  • Please record the hazard rating using the following criteria for each occurrence:
    24 hour - score 5
    3 day - score 3
    7 day - score 1
    If items from previous inspection have not been closed out in allocated timescale immediately score additional 10 points
    This will give you a total hazard rating for the site.
    Next score the positive observations 1 point for each positive observation during the audit
    Where site demonstrates the implementation of observation cards add up to 4 points to this total - maximum points only if the cards are being used (more than 1 or 2 completed), the cards are being closed out, the site is displaying sorted=reported poster and details are being entered on EZONE

  • Hazard Rating Total

  • Positive Actions Total

  • Overall Rating

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.