Executive Safety Walk

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Workplace

• Date

• Inspected by

• Signature

selected the appropriate box to indicate compliance or non conformance. Where possible rectify the hazard upon identification, if not possible barricade or lock/tag out the area and notify sounding personnel

GENERAL

• Is the workplace clean and tidy? (including work areas, office and meal / ammenity rooms)

  Yes

  No

  N/A

• Is there easy access to fire fighting equipment?

  Yes

  No

  N/A

• Are first Aid kits accessable?

  Yes

  No

  N/A

• Are qualified First Aiders easily identifiable?

  Yes

  No

  N/A

• Are seating and computer set up ergonomically suitable?

  Yes

  No

  N/A

LADDERS

• Are all ladders in good condition and where required securely fixed to prevent movement?

  Yes

  No

  N/A

• Do ladders extend at least 1 metre above landing places?

  Yes

  No

  N/A

• Are only fibreglass ladders used near electricity?

  Yes

  No

  N/A

ELECTRICAL

• Are portable electrical equipment/leads tested and tagged and in date?

  Yes

  No

  N/A

• Are leads and cables in good condition?

  Yes

  No

  N/A

• Are extension leads supported above work and damp areas?

  Yes

  No

  N/A

PLANT EQUIPMENT & VEHICLES

• Are all plant / trucks fitted with reversing alarms?

  Yes

  No

  N/A

• Are equipment operators licensed and competent to operate the plant / equipment?

  Yes

  No

  N/A

• Where required, does all plant have safe working load (SWL) clearly displayed?

  Yes

  No

  N/A

• Have all operators and associated workers been trained in the requirements of CSC traffic?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Is eye protection , hard hats, etc worn when necessary?

• Has appropriate clothing been supplied?

  Yes

  No

  N/A

• Is hearing protection worn when necessary? (in general if you need to raise your voice to communicate then hearing protection is probably required)

  Yes

  No

  N/A

• Is SPF 15+ sunscreen, wide brim hats etc provided for personnel exposed to the sun?

  Yes

  No

  N/A

EXCAVATION WORK

• Are sides of excavations (>2Metres) benched =, battered, shored or otherwise made safe?

  Yes

  No

  N/A

• Is safe access available into and out of excavations?

• Are excavations adequately barricaded / fenced?

  Yes

  No

  N/A

• Has the area been checked for buried services?

  Yes

  No

  N/A

SCAFFOLDING

• Are solid foundations under scaffolding?

  Safe

  At Risk

  N/A

• Are handrails, mid rails and toe boards in place on all scaffolds over 2 metres?

• Are work platforms fully decked out?

  Yes

  No

  N/A

• Is there safe access to work platforms?

  Yes

  No

  N/A

• Are scaffolds inspected regularly by a competent/qualified person?

  Yes

  No

  N/A

• Are scafftags in date?

  Yes

  No

  N/A

WELDING & GRINDING

• Are protruding parts of the structure covered to prevent injury?

  Yes

  No

  N/A

• Are protective screens used during welding operations?

  Yes

  No

  N/A

• Are surrounding personnel protected against welding/grinding operations?

  Yes

  No

  N/A

• Are welder/grinder/cutting operators using appropriate PPE?

COMMENTS / CORRECTIVE ACTIONS REQUIRED

• Yes

  No

  N/A