Title Page

  • Client / Site - where audit undertaken

  • Conducted on

  • Prepared by

  • Location / Address
  • Employee Reviewed

Items

  • Is the hard hat "in date" of manufacture?

  • Is the hard hat in good order and free of splits and cracks?

  • Are the ear muffs in good order, clean, and free of splits and cracks?

  • Is the eye protection safety screen attached to the hard hat?

  • Is the eye protection safety screen clean, and free of splits and damage?

  • Is the operator's hi-viz clothing visible at a distance, clean, and free from grease and oil stains?

  • Are the operator's steel capped boots in good condition and free of splits and damage?

  • Are the spikes on the operator's safety boots in good condition and not too worn?

  • Are the operator's protective leg wear/chaps in good order and free from cuts (e.g. chainsaw damage)?

  • Is the wet weather gear clean and free from cuts, tears, and rips?

  • Are the safety gloves in good order with no rips, tears, or damage?

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.