• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Photos / video

  • Signature


  • Is protective equipment worn and appropriate

  • Are safety helmets being worn <br>

  • Is eye protection of the correct type used where appropriate

  • Are gloves used where appropriate and suitable for the task<br>

  • Are ear defenders used where appropriate

  • Are dust masks used where appropriate

  • Is wet weather clothing available and adequate

Excavation faces

  • Any signs of instability (e.g. Bulging,cracking or spillage of material )

  • Any sinking or cracking of ground surface at or behind the face

  • Any movement at the base of the excavation or underlying materials

  • Any water seepage from the face or accumulation of water at the base

Overburden mound and spoil heaps

  • Any lowering of the height of the spoil heaps ( I.e. slumping ) or evidence of cracks appearing on the face or along the crests

  • Any bulging of the side slopes or movement at the base

  • Any continuous flow of water or erosion at the toe of the spoil heap

  • Any accumulation of water on the tip or the base

  • Is the edge protection adequate

Water treatment and settlement lagoons

  • Any general signs of instability

  • Any evidence of cracking at sides or tops of banks

  • Any flow of water from the toe of the embankment or evidence of any seepage

  • Is the outlet channel free from any blockages

  • Is there adequate signage displayed;"danger deep water" and life saving equipment available (rings and rope)

Water courses and drainage channels

  • Any serious blockages of channels and culverts

  • Is there any sign of bank erosion


  • Is the perimeter fence in a satisfactory condition

  • Is there adequate signage displayed ( danger deep excavation etc )

  • Is the lagoon fencing satisfactory

  • Is any other fencing required (e.g. Old mine shafts etc)

Mobile plant and equipment

  • Are operatives trained and competent

  • Have they got any licence / competency id on their person

  • Are daily plant inspections undertaken

  • Is there evidence of oil/diesel leakage

Haul roads

  • Are haul roads generally in good condition (free from boulders and deep rutting )

  • Is edge protection adequate and at least the required height

  • Are hold point signs displayed

Safe systems of work

  • Are there method statements and risk assessments for non generic tasks

  • Have all staff been briefed on the risk assessment and method statement

  • Are lifting plans in place

  • Is lifting equipment available for the task

  • Is the lifting equipment certified and tested

  • Is the safe working load known


  • Are welfare facilities available, clean and tidy

  • Are there washing facilities or industrial wet wipes provided ( non alcoholic )

  • Awe emergency arrangements /contact details displayed

  • Are there appointed first aiders

  • Is a first aid kit available, in a satisfactory and replenished condition

  • Is barrier cream available

  • Are COSHH assessments available


  • Are all rollers on the conveyor ruining freely

  • Is there firefighting equipment situated near the drives

  • Are there any areas where there is a build up of coal ( I.e. near drives and return ends )

  • Is the conveyor running freely on rollers and not rubbing against any structure

  • Are lock outs and other safety devices working


  • Are hand tools in good order and free from visible defects

  • Are power tools powered by battery or 110 volts

  • Are all electrical tools / equipment PAT tested

  • Are equipment,wires and cables free from signs of damage

  • Fire fighting equipment / extinguishers available

  • Is the work environment safe

  • Are all working areas adequately illuminated during times of poor light or darkness

  • Are noisy areas identified and appropriate signage in place

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.