Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Contractor

  • EPCM Audit No:

  • Site Audit No:

  • Priority (H-high, M-medium, L-low)

"At Risk" answer to the following questions requires immediate action!

A. WORKING HABITS/COMPETENCY/BEHAVIOURS

  • PPE

  • Risk awareness<br>

  • Positions of people

  • Competency and training

  • Supervisor (action condoned)

  • Emergency procedure

B. HOUSEKEEPING/WORK ENVIROMENT

  • Access/ Egress

  • Safe working platforms

  • Slips/trips/falls/tidy

  • Lighting

  • Scaffolding

  • Hygiene

C. COMMUNICATION & PROCEDURES/JSA/RA

  • Registers

  • Signage

  • Toolbox talks/DSTI

  • JHA/RA covering job

  • SWP covering activity

  • Critical procedures

  • Permits & lock-out

  • SMI board (adequate)

  • Non-verbal/verbal

D. MANUAL HANDLING & ERGONOMICS

  • Awkward positions/posture

  • Repetitive motions

  • Over exertion

E. PROTECTION & ELEVATED WORK/RESCUE

  • Attached at all times

  • Barricading

  • Overhead protection

  • Elevated work

  • Lanyards on all tools

  • Stacking and storage

  • Rescue plan/procedures

F. PLANT & EQUIPMENT

  • Mechanical

  • Electrical/energy

  • Tools & portable equipment

  • Mobile / transport

  • Lifting & rigging

G. HAZARDS & HAZARDOUS WORK

  • Physical

  • Chemical

  • Biological

  • Environmental

  • Confined space

  • Hot work

SAFE ACTS OBSERVED & COMMENDATIONS

AT RISK BEHAVIOURS OBSERVED

CORRECTIVE ACTIONS REQUIRED

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.