• Select date

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

2.0 - Helmet

  • 2.1 - Helmet is of high visibility colour? (day glo yellow or orange)

  • 2.2 - Helmet has no signs of damage? (Cracks, signs of deterioration)

  • 2.3 - Helmet issue date is within 2 years of current date? Helmet to be replaced 2 years after the issue date (if recorded) or in accordance with manufacturers specifications

  • 2.4 - No hood or cap worn under the helmet? (Thin beanie above the ears is ok)

3.0 - Footwear

  • 3.1 - Steel capped boots worn?

  • 3.2 - If laces are fitted, they are securely tied at all times?

  • 3.3 - Footwear provides foot and ankle support, traction and protection?

  • 3.4 - Chainsaw operator - wearing footwear that provides protection from chainsaw cuts? (Bullie boots, Level 3 cut resistant boots)

4.0 - Hearing Protection

  • 4.1 - Class 5 hearing protection is worn when working around chainsaws or machinery? (Ear plugs/Ear muffs)

  • 4.2 - Hygiene kits are in good condition? (No rips, tears etc?)

  • 4.3 - No clothing or item being worn is interfering with the effectiveness of the hearing protection? (Hoodies/beanies)

5.0 - High Visibility Clothing

  • 5.1 - High visibility clothing is worn? (clean and visible?)

  • 5.2 - Complies with NZ Forestry Guidelines? (AS/NZS 4602)

  • 5.3 - Worn on outside of other clothing?

6.0 - Eye Protection

  • 6.1 - Suitable eye protection available and worn? (visors/glasses)

7.0 - Gloves

  • 7.1 - Gloves to be worn/available where there is potential for injury from Chemicals/Abrasions/Puncture and/or heat? (maintenance, sharpening chainsaw, breaking out)

  • 7.2 - Gloves suitable for task?

8.0 - Leg Protection

  • 8.1 - Workers using a chainsaw have protective leg wear? (Chaps/Chainsaw Trousers)

  • 8.2 - Condition of leg wear? (No rips, tears or damage to inner layer)

  • 8.3 - All straps are done up?

  • 8.4 - Leggings or other leg protection worn by breaker outs?

9.0 - Wet Weather Clothing

  • 9.1 - Wet weather clothing suitable for task is available?

  • 9.2 - Wet weather clothing meets high visibility standards?

Sign Off

  • Staff Member Name:

  • Staff Member Name:

  • Staff Member Name:

  • Staff Member Name:

  • Staff Member Name:

  • Staff Member Name:

  • Staff Member Name:

  • Staff Member Name:

  • Staff Member Name:

  • Staff Member Name:

  • Auditor's 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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.