Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Property Address

Project Ref No;

Property Owner Details;

Date;

  • Select date

Auditor Details;

Arrival Time;

Departure Time;

Additional Notes;

Weather conditions at time of inspection.

Priority Action Levels H-Immediate risk of injury to persons in the vicinity and/or breach of statutory regulation. Possible enforcement action M- Risk of injury to site personnel from pending activity. Hazards require specific control measures prior to commencement of work L- Insignificant risk of injury from low risk activities and environmental. Monitor activity for significant changes

1. PARKING

  • Is parking available on site?

2. ACCESS ARRANGEMENTS

  • Is there safe and clear access to the site and work locality?

3. SECURITY, KEYS, ALARMS

  • Are the any specific security measures/arrangements that need to be taken into account?

4. PROPERTY VACANT / OCCUPIED

  • Is the property vacant ?

5. OCCUPANTS

  • Do the occupants present or increase the hazards relating to the work?

6. CHILDREN /ANIMALS

  • Do children or animals present a hazard to Personnel?

7. VALUABLES ON DISPLAY

  • Are any valuable items on display that may be affected by the work activity?

8. CELLAR HAZARDS

  • Is access to a cellar area required and does this present a hazard to personnel?

9. LOFT HAZARDS

  • Is access to a loftspace required and does this present a hazard to Personnel?

10. ACCESS SAFETY - paths, drives, etc.

  • Is access in and around the work locality safe?

11. ASBESTOS

  • Are ACM's present on site and is any action required prior to commencement?

12. WORKING AT HEIGHT

  • Will there be any working at height undertaken and have safe access arrangement been established?

13. OVERHEAD POWER LINES

  • Do overhead power lines impinge on the work activity?

14. GAS PIPES

  • Do gas supply pipes present a hazard to the work activity?

15. WATER PIPES

  • Are water pipes at risk from the work activity and are the risks controlled?

16. OTHER

  • Are there any hazards not identified that need to be controlled?

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.