Title Page

  • Conducted on

  • Prepared by

  • Location

Audit details

  • Site

  • Inspected by:

  • Date/Time:

  • Sub-contractor/BRS

  • Address:

Personnel on-site

  • PPE being used as required by task, fit for purpose and where applicable, within expiry date range? (Hard-hat, Hi-Viz safety vest, safety boots, gloves, ear plugs or earmuffs, safety glasses, long/long compliance, fire rated overalls, respirator and face-shield).

  • SWMS and Insurances provided for all Sub Contractors onsite

  • Have you stopped works/ access until rectified?

  • is a copy of the signed SWMS onsite with all workers signatures?

  • Are all required Sub Contractors onsite and have correct materials to complete set works today?

  • Are all sub contractors inducted and participated in the site toolbox for daily site specific updates and work schedules?

  • Have task hazards been adequately identified, controlled and recorded on the SWMS for the specific works conducted by the subcontractors? Detail.

  • Have visitors signed onto the Sign in Sheet?

General Site

  • Have working at height risks been identified and controls implemented including safe drop zones? Detail what has been done.

  • Is Traffic Management required? Is it adequate/suitable? – Does it comply with TMP on site?

  • If there is a TMP in place, is there a STMS on site?

  • Is the workplace clean and tidy?

  • Have slips, trips and fall hazards been controlled? Detail what has been done.

  • Is clean water available for washing or flushing?

Work Practices

  • Are staff focused on task at hand?

  • Is there a JA/JSA/SWMS for the task identified on the Job Start? Record title/No

  • Do staff have an understanding of the risks on their work site and what controls are required?

  • Are hazardous substances (fuels, spray paint, isopropyl safely and securely stowed? Detail


  • Have prestart checks been completed for any plant or equipment? Detail

  • Are compressors being used? Spill kit with compressor? Are whip checks fitted?

  • Are WOF, RUC’s and Registration current?

  • Are tyres free of damage and tread depth meets NZTA requirements?

  • Are vehicle windows free of chips or cracks?

  • Are harnesses within 10 years of manufacture date and compliance tagged within last 6 months? <br>Date of Manufacture:<br>Date of expiry:

  • Are Ladders fit for purpose and inspection tagged? Expiry Date:

  • Have electrical leads, RCD’s and power tools been tested and tagged within the last 6 months? Expiry date:


  • Is fire extinguisher accessible and indicator is in the green zone? <br>Where is it located?<br>Are there identifying stickers on van?

  • Is there a first aid kit available? Are contents within expiry dates? <br>Where is it located?<br>Are there identifying stickers on van?

  • Are SDS’s available? Are hard copy SDS’s within 5 years of issue date?

  • Is there an agreed incident management procedure in place? Detail

Corrective Action / Observation / Recommendation Table

  • Observations

  • Corrective actions

  • Recommendations

  • Positives

All corrective actions are appropriate and have been completed

  • Auditor name:

  • Date/Time:

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.