Information
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Document No.
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Audit Title
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Site name
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Site manager
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Conducted on
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Prepared by
Hazard identification
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Instructions:
1. Please choose all appropriate to site, both controlled and uncontrolled risks.
2. Please provide in depth information pertaining to any question answered including accurate locations, control measures and frequency of incidents that are associated to the particular risk.
3. Please refer to the risk matrix below and provide a rating with your answer.
4. With any questions marked as at risk, please provide an action plan to rectify the issue.
General work environment
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Confined spaces
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Lighting
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Noise
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Uneven walking surfaces
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Trip hazards
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Lifting / carrying
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Pushing / pulling
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Reaching / overstretching
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Bending
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Stairs / landing
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First aid equipment
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Fire extinguishers
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Fire exit doors
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Burns / stings
Work station
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Workstation set up
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Poor posture
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Eye strain
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Repetitive movement
Personal safety
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Working alone
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Working in remote areas
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Employee visibility
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Vehicular accident
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Violence / assault
Chemicals
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Hazardous chemicals
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Explosives
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Gas cylinders
Equipment
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Vehicles
Health management
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Fatigue
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Workload
Temperature / conditions
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Heat
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Cold
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Smoke
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Rain
Sign off
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Additional information
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Sign off
