Title Page

  • Client / Site - where audit undertaken

  • Conducted on

  • Prepared by

  • Location / Address
  • Employees involved

Items

  • Is the operator wearing all required protective equipment?

  • Does the operator has a clear extraction plan?

  • Is the machine safely positioned for the break out ok?

  • Has signalling been established between the Breaker Out and the machine operator?

  • Does the operator understand the signals from the Breaker Out?

  • Does the operator wait for the Breaker Out to get clear before moving logs?

  • Is the speed of travel during extraction ok and adjusted?

  • Is the log travel path clear and satisfactory?

  • Is there any excess tracking?

  • Does the operator shows an awareness of others in the felling area?

  • Does the Operator safely enters the skid site at a speed appropriate to the conditions of the site?

  • Does the operator wear a seat belt?

Corrective Actions

  • Corrective Actions Required

  • Action Required
  • What corrective action is required?

Audit Sign Off

  • Sign Off

  • Employee
  • Signature

  • Job Title

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.