Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Job Name / No.

  • Crew base

  • Vehicle registration.

  • Site Image. (Please capture traffic management controls)

  • All employees have Client ID Card (where applicable).

  • Were you asked to sign onto the job site? (JSA/HAC)?

  • Has the HAC assessment been signed by all crew members?

  • Have all the hazards been identified?

  • Do all the hazards identified have adequate controls? Refer to SWMS.

  • Do all staff understand their company’s HAC sheet process?

  • How many worksites have been entered during the day?

  • Have all jobs completed been noted either on same HAC or new HAC?

  • If another work party is working at same site i.e. Traffic Management, has each work party signed on to each other’s HAC Sheet and hazards/controls been communicated?

  • Has tool box meetings been noted?

  • Have voltages been identified for sites?

  • Have clearances been identified for sites?

  • Is auto reclose/suppression required?

  • Has TCPs being used been identified for sites?

  • Comments and notes:

  • Name of person conducting audit

  • Site Supervisor / Team Leader

  • Crew Member

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.