• Audit Title

  • Client / Site

  • Location
  • Prepared by

  • Conducted on

Auditor's Name & Title/Position

Personnel Being Audited

Activity or Operation


  • A. Was an EHS Survey / Project Safety Tailgate Meeting / Job Site Risk Assessment conducted? Is the form properly filled up and available on site?

  • B. Did the Service Engineer (SE) receive instructions regarding evacuation in the event of an emergency?

  • C. Does the SE undestand his responsibilities in case of fire?

  • D. Does the SE know the onsite emergency phone number?

  • E. Does the SE know who the emergency contact is?

  • F. Does the SE know where the nearest hospital or burn center is?

  • G. If required by the Customer, did the SE use a Method of Procedure?

  • H. If provided by the Customer, did the SE attend any site-specific training? List down coverage of the training

  • I. Are SDSs available for the materials being used on site?

  • J. Is there an ENP-company safety and environmental manual available on site?

  • K. Is the SE familiar with the Company work/rest notification rule? How many hours will be onsite ______? How many hours travel time _______?


  • A. Is the Service Engineer (SE) certified in First Aid, CPR and AED?<br> First Aid Expiration Date ________________________<br> CPR Expiration Date ___________________________

  • B. Is the SE carrying his current First Aid and CPR card, if required?

  • C. Has the SE received Bloodborne Pathogens Training? Training Date ___________________

  • D. Has the SE received PPE Training? Training Date. _______________________

  • E. Has the SE received Fall Protection Training? Training Date __________________________

  • F. Has the SE received LOTO Training? Training Date __________________________

  • G. Has the SE received Arc Flash Training? Training Date _________________________

  • H. Has the SE received Confined Space Training? Training Date _______________________

  • I. Has the SE received Electrical Safety? Training Date ________________________

  • J. Has the SE received Fire Extinguisher Training? Training Date ______________________

  • K. Has the SE received Fire Prevention Training? Training Date ________________________

  • L. Has the SE received Hazard Communication Training? Training Date _______________________

  • M. Has the SE received Defensive Driving / Drive Safe Training? Training Date ___________________

  • N. Has the SE received Back Safety Training? Training Date _____________________


  • A. Is the work site clean of trash and maintained in an orderly manner?

  • B. Is sufficient drinking water available?

  • C. Are chemicals/combustible liquids identified and stored properly?


  • 5.1. Unsafe or damaged harness or equipment?

  • 5.2. Incompatible hooks/equipment?

  • 5.3. Unlabelled or does not meet AS?

  • 5.4. Unsafe or uncertified anchor points?

  • 5.5. Lack of inspection protocol for equipment?

  • 5.6. Lack of or inadequate formal training for operators?

6. Ladders

  • 6.1. Unsafe or damaged ladders?

  • 6.2. Unsafe positioning of ladders?

  • 6.3. Ladder not properly secured?

  • 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

7. Hazardous Manual Tasks



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  • 7.1. Lack of identification hazardous manual tasks?

  • 7.2. Lack of assessment of hazardous manual tasks?

  • 7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  • 7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

8. Hazardous Chemical (including fuel and oil)

  • 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 8.2. Incompatible chemicals stored near each other?

  • 8.3. Inadequate spill containment equipment?

  • 8.4. Safety Data Sheets not accessible on site?

  • 8.5. Lack of emergency procedures for injury/spills/fire etc?

  • 8.6. Excessive quantities stored on site or in vehicles?

  • 8.7. Insufficient ventilation?

  • 8.8. Insufficient, or incorrect, PPE?

  • 8.9. Unsuitable storage containers? (unlabeled or stored in food containers)

9. Emergency Response

  • 9.1. Lack of, or no emergency plans for site?

  • 9.2. Emergency procedures not displayed at site?

  • 9.3. Lack of training and rehearsal of emergency plans?

  • 9.4. Lack of, or inadequate first aid kits aid equipment for site?

  • 9.5. Insufficient access to formally trained First Aiders for all shifts?

  • 9.6. Unsuitable or inadequate communication equipment?

10. Traffic Management

  • 10.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  • 10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  • 10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

11. Personal Protective Equipment (PPE)

  • 11.1. Lack of, or inadequate PPE (including sun protection)

  • 11.2. Lack of system to issue, inspect, replace and monitor PPE?

  • 11.3. Lack of training in safe use, clean-up and inspection of PPE?

12. Work Environment

  • 12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 12.2. Insufficient lighting?

  • 12.3. Inadequate housekeeping?

  • 12.4. Lack of, or inadequate noise/ vibration control?

13. Electrical Hazards

  • 13.1. Unsafe electrical leads? (damaged, out of test date or untested)

  • 13.2. Lack of RCD protection?

  • 13.3. Contact with underground assets?

  • 13.4. Contact with overhead electrical lines?

  • 13.5. Overloading outlets?

  • 13.6. Leads placed on ground or on metal structures?

  • 13.7. Electrical equipment near water?

  • 13.8. Electrical equipment near flammables?

  • 13.9. Electrical equipment near chemicals that could cause damage?

  • 13.10. Electrical leads that may be damaged from contact with moving machinery parts?

  • 13.11. Electrical leads on work surfaces?

  • 13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

14. Environmental Hazards

  • 14.1. Lack of/or inadequate Environmental Management plan (EMP)?

  • 14.2. Lack of/or inadequate, dust suppression system?

  • 14.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  • 14.4. Lack of water re-use systems?

15. Administrative Procedures

  • 15.1. Lack of/or inadequate Site Safety Plan?

  • 15.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  • 15.3. Lack of, or inadequate, induction for workers, contractors, visitors?

  • 15.4. Lack or, or inadequate, supervisory arrangements?

  • 15.5. Lack of/or inadequate training, licenses, skills, experience?

  • 15.6. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  • 15.7. Lack of, or inadequate system to review SWMS as needed?

  • 15.8. Lack of/or inadequate incident notification procedures?

  • 15.9. Lack of, or inadequate, routine inspections, monitoring, audits?

  • 15.10. Lack of/or inadequate consultative arrangements?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • 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. You should independently determine whether the template is suitable for your circumstances.