Title Page

  • Client / Site - where audit undertaken

  • Conducted on

  • Prepared by

  • Location / Address
  • Personnel (list who attended)

Business actions and reports arising from last meeting

  • What has been completed and by who?

  • Employee
  • Action Completed

  • Completed by

  • Comments

Review incident/accident reports and data for trends

  • Any injuries since last meeting?

  • Any near misses or hits since last meeting?

  • Have all incidents/accidents been recorded?

  • Total number of new incidents/accidents recorded since last meeting

  • Comments

Review risk/hazard identification and controls

  • Any new risks/hazards since last meeting?

  • Are they documented?

  • Have all new risks/hazards been discussed?

  • Any existing risks/hazards requiring an annual review/discussion?

  • Comments

Review monthly monitoring auditing/inspections

  • Have they been completed?

  • Have all recommendations and corrective actions been completed?

  • Comments

Visitor and Contractor Management

  • Visitor or Contractor

  • Person
  • Date of visit

  • Who visited

  • Further detail

  • Comments

Review any new internal or external information on health and safety matters

  • Any new WorkSafe alerts to discuss?

  • Discuss any industry advice

  • Discuss any external reports

  • Comments

Review and discuss any identified management or staff training

  • What type of training and who?

  • Employee
  • Employee name

  • Type of training

  • Comments

Review the Emergency Planning and drills

  • Have you reviewed previous reports?

  • Have the dates of all planned drills been discussed?

  • Have you discussed responsibilities in terms of emergency planning?

  • Any wardens training required?

  • Has an emergency assembly point been established?

  • Comments

Review chemical (HSNO) management

  • Are MSDs current?

  • Do we have a current chemical inventory available on site?

  • Is any HSNO training required?

  • Is chemical storage satisfactory as per industry guidelines?

  • Have we had any spillages since last meeting?

  • Comments

Brag time and recommendations for the future

  • What have we achieved to date?

  • What do we need to do for the continuous improvement of our health and safety systems?

Audit Sign Off

  • Sign Off

  • Employee
  • Signature

  • I am a:

  • Job Title / Company

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.