Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Start of Audit

Infrastructure & Buildings

  • Fencing/Gates/Company Sign<br>

  • Building/Plant visual condition

  • Site Litter & General tidiness<br>

  • Vegetation Management<br>

  • Road and Yard Condition<br>

  • Storage Bays<br>

  • Washout Pits

  • Drying Bay

  • Offices/Outbuildings/Toilets

  • Stirrer Pit

  • Yard Lighting

  • Fuel Tanks/Additive Bunds

  • Visitor Parking

  • Site Signage

Aggregates

  • Access Ramp/Safety Stops/Hand Rails

  • Receiving Hopper/Safety Grid

  • Spillage

  • Conveyor Structure/Belt Condition/Skip Condition/(Visual) Skirts/Scrappers

  • Walkway/Handrails/Wind Boards/Kick Boards

  • Guarding

  • Bin Monitoring (CCTV) Moisture Probes

  • Walls & Division Plates

  • Agg Weigh Hopper/Belt - Condition, Unrestricted Movement

  • Load Cells (Visual)

  • Calibration Compliance

Cement

  • Calibration Compliance

  • Inlet Pipes/Signage/Auto Shut off Valves/Padlocks/Whip Arrest

  • Silo Structure (Visual) Handrails/Kickboards

  • Filters/PRV's/High Level Alarms/Pressure Sensor/Hatch Seals

  • Spillage

  • Powder Weigh Hopper - Condition Unrestricted

  • Breather/Filter box

  • Flexible Sock Condition

Loading Point

  • Condition of Mixer/Discharge Chute Dry/Wet

  • Condition of Sock

  • Condition of Slurryfier

  • Spray Bar

  • Inspection Platform

  • Spillage

  • Water/Add-mixture Discharge Point

Pneumatics

  • General Compressor Condition

  • Compressor Hours

  • Air Receiver Drainage/Pressure test in Date

  • Air Leaks

  • Air line Lubrication

  • Air line Condition

Additive & Water

  • General System Condition/Pipes/Taps/Bunds

  • Pumps

  • Meters

  • Recycled System/Stirrer/Water Tanks

Electrical

  • Equipment PAT Tested

  • Substation Condition

  • Motor Control Units General Condition

  • General Condition of Electrical Equipment

Mobile Plant

  • Do you have mobile Plant on site?

  • Defect Book checked and signed off

  • Service record available

  • Brake Test in Date

  • Hours

  • Isolator fitted and working

  • Visual sign of collision damage

Administration

  • Correct PPE - All personnel

  • Visitors PPE - 3 Sets minimum

  • Weekly Monthly Checklist Completed?

  • Outstanding Number of Defects on plant?

  • Monthly Health & Safety Pack on Site

  • Latest Toolbox Talk rolled out?

  • Monthly Toolbox Talk Completed

  • LOTOTO Check List completed

  • Standard of Health & Safety/Environmental Paper completed for the month

  • Review SIP on CMMS

  • Number Of Near Hits for the Month?

  • First Aid Kits in date and replenished

  • Number of outstanding actions on SHE ONLINE?

Sign off.

  • Auditor

  • Plant Supervisor

  • Time completed

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.