• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Hazard Factors Assessment

  • Is the individual expected to work extended working hours?

  • Is the individual or team working with High Risk Fatigue demands for the works? e..g. repetitive work, physically demanding or requiring high conccentration

  • Is the individual or team working in Fatigue critical task? e.g. plant operation with a high risk of injury or harm.

  • Is the individual or Team exposed to hazardous substances, atmospheric contaminants, noise, extreme temperatures or excessive vibration?

  • Has the individual or Team been provided with information or training on fatigue management

  • Has an adequate level of supervision been provided?

  • Is there a risk of lifestyle factors? sleep, general health, fitness for work.

Fatigue Control Plan

  • Modified working hours arrangements

  • Change in Shift work or Rosters

  • Breaks during work period

  • Reduction in fatigue critical tasks

  • Reduction in exposure to hazards

  • Information and Training on fatigue management

  • Increases in Supervision

  • Changes in Lifestyle factors

  • Health Assessment and Monitoring required


  • Has the Individual or Team been approved to conduct work in accordance with company policies and the outlined fatigue management control strategy

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.