Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Golden Rules Compliance

  • Are workplaces clean, tidy, well organized and are working areas free from debris and articles that may increase the risk of slip and trip incidents ?

  • Are drivers wearing seatbelts / lap restraints etc? (NOTE: select on or more driver and plant operator on site, check and record findings)

  • Are pedestrian walkways in place where applicable and being complied with?

  • Are all personnel on site adhering to the minimum PPE requirements of the site?

  • Have pre use checks been completed for plant and equipment on site where applicable. (check and record findings )

  • Is everybody clear of all moving or suspended loads?

  • Are necessary machinery guards in place and associated safety devices complied with (including interlocks)? (NOTE: select one or more item and record findings in the comment box)

  • Is fall prevention / protection used in all instances of work at height? (NOTE: Select a work at height activity and check the risk assessment ans safe system of work)

  • Is smoking contained in designated smoking areas only?

Building(s) accessible areas

  • Are buildings free from hazardous conditions?

  • Are the ground conditions on site fit for purpose

  • Is there adequate lighting provision for all working areas including accessible areas on site

PPE & Welfare

  • Is there sufficient stock of consumable PPE?

  • Do all employees on site have a designated locker for the safe keeping of clothes and personal PPE

  • Are welfare facilities, adaquate, cleaned regularly, are they organised and tidy?

  • Do all employees have access to skin care consumables such as soaps, barrier creams and hand conditioners and are there hand hygiene information poster displayed prominently

  • Do ALL employees on site have access to drinking water

Fire Safety

  • If the site has additional fire fighting equipment such as fire engines or large water tanks with ancillary equipment are they subject to regular check? ( if yes, please add latest physical form)

  • Is there adequate means to raise the alarm in the event of a fire on site where all employees can be easily notified

  • Are fire alarm points clearly indicated?

  • Are escape routes kept free from obstruction?

  • Muster Station(s) clearly marked and kept clear?

  • Are fire doors and emergency exits in good working order and in good condition?

  • Is a fire marshal available on shift (record the name of the fire marshal in the comments box)?

  • Are fire extinguishers in identified positions with correct signage, serviced and pressurised?

Emergency Management

  • Is first aid equipment well stocked, in date and is a defibrillator readily available?

  • Is there a clearly identified first aider available (record the name of the first aider in the comments box)?

  • Are spill kits available and placed appropriately across site, are they fully stocked with spares available?

Gas Cylinder Storage

  • Are gas cylinders stored in a secure way in a suitable cage? Gas cylinders must be stored no closer than 3 meters to buildings and should be stood upright and secure to avoid tipping and falling, is the correct signage in place?

Electrical Equipment

  • Are electrical leads, plugs and sockets in good condition and not overloaded? (sample check of electrical items)

  • Are all electrical switchboards closed, have warning signs in place and have clear access?

  • Where applicable are electrical rooms, power house's, substation and high voltage panels locked and under authorized access only control.

Pedestrian and Traffic Management

  • Is the site speed limit posted at the entrance to site?

  • Is site speed limit being complied with?

  • When entering buildings do pedestrian have use of an entrance segregated from traffic movements? (i.e. a separate pedestrian entrance)

  • Are walkways kept clean and clear and well maintained?

  • Where applicable are road signs and mirrors etc. in place well maintained?

  • Are hand rails and stairs in good condition?

  • Is there a banksman on site and have they received training?

ELV and Depollution

  • Are tyres stored outside of depollution bay?

  • Are batteries stored upright and level filled in an undamaged container?

  • Depollution bay is free of items not required for the operation?

  • Earthing clamps used by operatives whilst depolluting ELV's?

  • Are spills of fuels / oils etc on the ground well managed?

  • Are operatives maintaining a safe distance from all forklift truck movements in the ELV facility?

  • All operatives are wearing correct PPE for the task?

LOLER Compliance

  • Is the insurance inspection colour code system on display in a prominent position for all employees to see?

  • If any adhoc lifting operations are taking place, have they been suitably risk assessed?

  • Do lifting accessories display the correct colour code for the period and are they free from damage?

Stock Pile Management

  • Are product piles free from sheer faces with no risk of collapse?

  • Is material at risk of falling beyond the boundary wall due to its stack size or pile position

Plant & Equipment

  • Is mechanical plant being used safely by trained operatives? (NOTE: Select at least one item of plant and record findings in the comments section)

  • Are guards fitted on moving mechanical devices where a person could gain access to moving parts? (NOTE: select at least one item and record findings in the comment box)

COSHH Compliance

  • Are the substances stored so that they cannot pollute the environment should there be a leak / rupture of the container? ( are they in or on a suitable and sufficent bund)

  • Are all substances cleared identified with labels?

  • Are spill trays or bunds / bunded areas empty?

Working at Height

  • Has work at height equipment been subject to a documented preuse check?

  • Where required, is fall protection PPE worn by operatives?

  • Is there a specific rescue plan in place for the work at height task?

H&S Procedures / Documentation

  • Is there a documented risk assessment and safe system of work for the activity taking place? (NOTE: Select an activity and identify it in the notes section)

  • Have employees involved in the task seen and signed a risk assessment and safe system of work for their work?

Contractor Management

  • Are there any contractors working on site?

  • Are contractor RA/MS available on site?

  • Has the contractor received a permit to work for the task if required? (answer N/A if not required)

  • Are required isolations under Lock Out Tag Out in place? (answer N/A if not required)

  • Are the controls of the permit to work being followed?

H&S Notice Boards

  • Are notice boards in place and accessible for all employees to see?

  • Does the notice board contain all necessary informations? (H&S law poster, H&S policy, employers liaibility insurance certificate, emergency contacts list, identification of first aider, etc.)

Miscellaneous

  • Are there any other issues or hazards identified on site during the inspection?

  • Has a review of the Site Statutory Tracker been undertaken, with any issues identified? (note: liaise with Site Manager to ensure any inspections due within the next two months are booked)

AUDIT CLOSE OUT

  • Please detail audit summary with any specific findings of either positive or negative safety cultures displayed. when writing the summary consider and evaluate the pervious months audit and understand if any improvements that were required have been closed out appropriately or still requiring action.

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