Information

  • Audit Title

  • Client

  • Conducted on

  • Prepared by

  • Accompanied by

  • Location
  • Personnel

  • Company Division

  • This report is to be used by the assessor to inspect the site and record any safety, health and environmental hazards. The assessor should also pick an area of further inspection (e.g. SSOW, PUWER, Emergency arrangements etc) to ensure these are compliant with regulations and in- house procedures

  • Overview of current works

  • Have items from previous inspections been closed out?

Hazard spotting

    Hazard
  • Close out time scale

  • Closed out by (sign and date)

  • Hazard definition

  • Root Causality

Environmental and Sustainability

  • Are COSHH items stored correctly?

  • Have suitable measures been implemented to protect drains from contamination by waste or COSHH items in the event of a spill?

  • Are personnel suitably trained in emergency spill containment/control?

  • Is there good planning in regard to spill protection?

  • Is there any evidence of spills on site?

  • Is waste being segregated by type?

  • Are waste tickets being completed correctly?<br>(Please provide examples)<br>

  • Is Environental monitoring being completed?

  • Is there any evidence of materials / liquids being deposited outside of the site boundary? (e.g. Mud on road etc.)<br>

Positive observations

    Positive observation

Method Statement Review

  • Are there method statements in place for the works currently being undertaken on site?

  • Are the method statements sufficient to fully cover the extent of the works currently being undertaken on site?

  • Are the works being undertaken in compliance with the method statement?

  • If No please give details of non-compliance observed

  • Non - Compliance
  • Non - compliance noted

  • Causality

  • Closed out (Sign and Date)

Procedural Compliance

  • Record area of inspection

  • Non - Compliance
  • Non - compliance noted

  • Causality

  • Closed out (Sign and Date)

Health and Safety Information

  • Is there suitable provision for displayed Health and Safety information?

Inspection Sign off

  • Add signature

Hazard Rating

  • Please record the hazard rating using the following criteria for each occurrence:
    24 hour - score 5
    3 day - score 3
    7 day - score 1
    If items from previous inspection have not been closed out in allocated timescale immediately score additional 10 points
    This will give you a total hazard rating for the site.
    Next score the positive observations 1 point for each positive observation during the audit, then subtract the positive score from the hazard rating to give you the total audit score

  • Hazard Rating Total

  • Positive Actions Total

  • Overall Rating

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.