Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site

  • Select date

Job Number

Employee

Summary of work being completed

Does employee have Identification visible?

Is the employee clean and presentable?

Did they arrive on time?

Is the vehicle clean and suitably parked ?

Has the employee signed in and completed the relevant site induction procedures ?

Has the site contact been notified of the scope of work to be undertaken ?

Has the Hazard & Risk identification Assessment been completed ?

Does the employee have all of the equipment required to work safely and efficiently ?

Is the employee working safely ?

Are non-employees informed and protected from danger ?

Is properly protected from damage ?

Are isolation reminder tags and/or warning signs available and being used ?

If one is required does the employee have a SWMS for the task being completed ?

Is the employee working according to the procedure & job instruction ?

Has the employee received training in the task being conducted ?

Has the task being completed correctly ?

Has all the relevant information been entered into the IPad or on the paperwork ?

Is the site left safe and clean ?

Observation :

Recommendations / Training needs :

Employee feedback and suggestions :

  • Action :

  • Add signature

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.