Field Services Work Compliance Site Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Audit Actions

• Employee Name 1

General

• Project Folder on Site

  Yes

  No

  N/A

• SMEI Part 1 & 2 + LV Working

  Yes

  No

  N/A

• Hazard ID Sheet

  Yes

  No

  N/A

• Field Action Report Booklet

  Yes

  No

  N/A

• Competency Book on site

  Yes

  No

  N/A

• Comments

Hard Hat

• AS/NZ 1801 Compliant

  Yes

  No

  N/A

• Cracks in Helmet

  Yes

  No

  N/A

• Paint / Stickers on Helmet

  Yes

  No

  N/A

• Shell under 2 years of wear

  Yes

  No

  N/A

• Webbing under 2 years of wear

  Yes

  No

  N/A

• Comments

Company Overalls

• Tears and Holes

  Yes

  No

  N/A

• Sleeves Down

  Yes

  No

  N/A

• Zipped Up

  Yes

  No

  N/A

• Under Garment Exposed

  Yes

  No

  N/A

• Comment

Safety Footwear

• Steelcap Exposed

  Yes

  No

  N/A

• Appropriately Laced Up

  Yes

  No

  N/A

• Suitable for Worksite

  Yes

  No

  N/A

• Sole in good condition

  Yes

  No

  N/A

• Comments

Insulating Gloves

• Correct class for task

  Yes

  No

  N/A

• Correct class / Network Req

  Yes

  No

  N/A

• Air test and inspect prior to use

  Yes

  No

  N/A

• In current test date

  Yes

  No

  N/A

• Comments

Protective Eyewear

• Correct eye protection in use

  Yes

  No

  N/A

• AS/NZ 1337 compliant

  Yes

  No

  N/A

• Suitable for task

  Yes

  No

  N/A

• Comments

Work Procedure in Use

• Workgroup guided by work plan

  Yes

  No

  N/A

• Work procedures adhered to

  Yes

  No

  N/A

• Written procedure used

  Yes

  No

  N/A

• Comments

Portable Equipment

• In safe working order

  Yes

  No

  N/A

• In current test date

  Yes

  No

  N/A

• Suitable for task

  Yes

  No

  N/A

• Comments

Harnesses

• Operator Trained

  Yes

  No

  N/A

• Pole strap, sling are suitable

  Yes

  No

  N/A

• Cuts & abrasions to webbing

  Yes

  No

  N/A

• Worn correctly

  Yes

  No

  N/A

• Suitable for task

  Yes

  No

  N/A

• In test date

  Yes

  No

  N/A

• Comments

Ladders

• In test date

  Yes

  No

  N/A

• In safe working order

  Yes

  No

  N/A

• Stiles and rungs out

  Yes

  No

  N/A

• Used correctly

  Yes

  No

  N/A

• Ladder tied and/or footed

  Yes

  No

  N/A

• Fit for purpose

  Yes

  No

  N/A

• In current test date

  Yes

  No

  N/A

• Comments

Rescue Kits

• In test date

  Yes

  No

  N/A

• Contents complete and good order

  Yes

  No

  N/A

• Available on site

  Yes

  No

  N/A

• Correct kit for task

  Yes

  No

  N/A

• Kit complete

  Yes

  No

  N/A

• Comments

Oil Spill Kits

• Contents complete and good order

  Yes

  No

  N/A

• Suitable for task

  Yes

  No

  N/A

• Correct size for possible spillage

  Yes

  No

  N/A

• Staff trained in use

  Yes

  No

  N/A

• Kit complete

  Yes

  No

  N/A

• Sump or pits protected

  Yes

  No

  N/A

• Comments

Vehicle Registration

Emergency Equipment

• First aid in vehicle

  Yes

  No

  N/A

• Complete, perishables in date

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Suitable size and in test

  Yes

  No

  N/A

• Comments

Vehicle Road Use

• Current Registration

  Yes

  No

  N/A

• Current WOF

  Yes

  No

  N/A

• Current road user mileage

  Yes

  No

  N/A

• Tyres suitable for safe driving

  Yes

  No

  N/A

• Emergency lights functional

  Yes

  No

  N/A

• Vehicle lights functional

  Yes

  No

  N/A

• Motor vehicle damage report book

  Yes

  No

  N/A

• Damage noted

  Yes

  No

  N/A

• Vehicle earth lead suitable for use

  Yes

  No

  N/A

• Comments

EWP Compliance

• Current registration

  Yes

  No

  N/A

• Current WOF

  Yes

  No

  N/A

• Current road user mileage

  Yes

  No

  N/A

• Tyres suitable for safe driving

  Yes

  No

  N/A

• Emergency lights functional

  Yes

  No

  N/A

• Vehicle lights functional

  Yes

  No

  N/A

• Motor vehicle damage report book

  Yes

  No

  N/A

• Damage noted

  Yes

  No

  N/A

• Vehicle earth lead suitable for use

  Yes

  No

  N/A

• Operating functions understood

  Yes

  No

  N/A

• Boom test in date

  Yes

  No

  N/A

• Acoustic test in date

  Yes

  No

  N/A

• Operator competence

  Yes

  No

  N/A

• Comment

Project Manager Actions / Follow Ups

• Comments

General Comments

• Comments

Audit Actions

• Employee Name 2

General

• Project Folder on Site

  Yes

  No

  N/A

• SMEI Part 1 & 2 + LV Working

  Yes

  No

  N/A

• Hazard ID Sheet

  Yes

  No

  N/A

• Field Action Report Booklet

  Yes

  No

  N/A

• Competency Book on site

  Yes

  No

  N/A

• Comments

Hard Hat

• AS/NZ 1801 Compliant

  Yes

  No

  N/A

• Cracks in Helmet

  Yes

  No

  N/A

• Paint / Stickers on Helmet

  Yes

  No

  N/A

• Shell under 2 years of wear

  Yes

  No

  N/A

• Webbing under 2 years of wear

  Yes

  No

  N/A

• Comments

Company Overalls

• Tears and Holes

  Yes

  No

  N/A

• Sleeves Down

  Yes

  No

  N/A

• Zipped Up

  Yes

  No

  N/A

• Under Garment Exposed

  Yes

  No

  N/A

• Comment

Safety Footwear

• Steelcap Exposed

  Yes

  No

  N/A

• Appropriately Laced Up

  Yes

  No

  N/A

• Suitable for Worksite

  Yes

  No

  N/A

• Sole in good condition

  Yes

  No

  N/A

• Comments

Insulating Gloves

• Correct class for task

  Yes

  No

  N/A

• Correct class / Network Req

  Yes

  No

  N/A

• Air test and inspect prior to use

  Yes

  No

  N/A

• In current test date

  Yes

  No

  N/A

• Comments

Protective Eyewear

• Correct eye protection in use

  Yes

  No

  N/A

• AS/NZ 1337 compliant

  Yes

  No

  N/A

• Suitable for task

  Yes

  No

  N/A

• Comments

Work Procedure in Use

• Workgroup guided by work plan

  Yes

  No

  N/A

• Work procedures adhered to

  Yes

  No

  N/A

• Written procedure used

  Yes

  No

  N/A

• Comments

Portable Equipment

• In safe working order

  Yes

  No

  N/A

• In current test date

  Yes

  No

  N/A

• Suitable for task

  Yes

  No

  N/A

• Comments

Harnesses

• Operator Trained

  Yes

  No

  N/A

• Pole strap, sling are suitable

  Yes

  No

  N/A

• Cuts & abrasions to webbing

  Yes

  No

  N/A

• Worn correctly

  Yes

  No

  N/A

• Suitable for task

  Yes

  No

  N/A

• In test date

  Yes

  No

  N/A

• Comments

Ladders

• In test date

  Yes

  No

  N/A

• In safe working order

  Yes

  No

  N/A

• Stiles and rungs out

  Yes

  No

  N/A

• Used correctly

  Yes

  No

  N/A

• Ladder tied and/or footed

  Yes

  No

  N/A

• Fit for purpose

  Yes

  No

  N/A

• In current test date

  Yes

  No

  N/A

• Comments

Rescue Kits

• In test date

  Yes

  No

  N/A

• Contents complete and good order

  Yes

  No

  N/A

• Available on site

  Yes

  No

  N/A

• Correct kit for task

  Yes

  No

  N/A

• Kit complete

  Yes

  No

  N/A

• Comments

Oil Spill Kits

• Contents complete and good order

  Yes

  No

  N/A

• Suitable for task

  Yes

  No

  N/A

• Correct size for possible spillage

  Yes

  No

  N/A

• Staff trained in use

  Yes

  No

  N/A

• Kit complete

  Yes

  No

  N/A

• Sump or pits protected

  Yes

  No

  N/A

• Comments

Vehicle Registration

Emergency Equipment

• First aid in vehicle

  Yes

  No

  N/A

• Complete, perishables in date

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Suitable size and in test

  Yes

  No

  N/A

• Comments

Vehicle Road Use

• Current Registration

  Yes

  No

  N/A

• Current WOF

  Yes

  No

  N/A

• Current road user mileage

  Yes

  No

  N/A

• Tyres suitable for safe driving

  Yes

  No

  N/A

• Emergency lights functional

  Yes

  No

  N/A

• Vehicle lights functional

  Yes

  No

  N/A

• Motor vehicle damage report book

  Yes

  No

  N/A

• Damage noted

  Yes

  No

  N/A

• Vehicle earth lead suitable for use

  Yes

  No

  N/A

• Comments

EWP Compliance

• Current registration

  Yes

  No

  N/A

• Current WOF

  Yes

  No

  N/A

• Current road user mileage

  Yes

  No

  N/A

• Tyres suitable for safe driving

  Yes

  No

  N/A

• Emergency lights functional

  Yes

  No

  N/A

• Vehicle lights functional

  Yes

  No

  N/A

• Motor vehicle damage report book

  Yes

  No

  N/A

• Damage noted

  Yes

  No

  N/A

• Vehicle earth lead suitable for use

  Yes

  No

  N/A

• Operating functions understood

  Yes

  No

  N/A

• Boom test in date

  Yes

  No

  N/A

• Acoustic test in date

  Yes

  No

  N/A

• Operator competence

  Yes

  No

  N/A

• Comment

Project Manager Actions / Follow Ups

• Comments

General Comments

• Comments