INFORMATION

  • Unit

  • Site

  • Conducted on

  • Auditor

  • Auditee

  • Location

1 IN THE WORKPLACE: DOCUMENTATION

1.1 Hazard Register

  • Have the hazards been reviewed in the last 12 months?

  • Have the significant hazards been reviewed in the last 3 months?

1.2 Safety and Wellbeing Code of Practice

  • Available on site?

  • Are any hard copies up to date?

1.3 Incidents and Near Hits

  • Evidence of incidents and near hits being recorded and actioned?

1.4 Safety and Wellbeing included in team talks

  • Evidence in meeting minutes?<br>Including: Safety Moment and any legislative updates

1.5 Evacuation Plan

  • Displayed and current?

Actions for Section 1

  • Corrective/Preventative actions required

  • Owner

  • Due date

  • OFI # (office use only)

2 IN THE WORKPLACE: PERSONNEL

2.1 Peer Support People

  • Poster displayed in staff areas?

2.2 First Aider

  • Trained first aider on site?

2.3 Fire Warden

  • Trained fire warden on site?

Actions for Section 2

  • Corrective/Preventative actions required

  • Owner

  • Due date

  • OFI # (office use only)

3 IN THE WORKPLACE: EQUIPMENT AND WORKSTATIONS

3.1 Plant and Equipment

  • Suited to task?

  • Clean and in a safe condition?

3.2 Vehicles

  • Current registration, WOF, COF and RUC?

3.3 Operators/Drivers

  • Licence current and competent?

3.4 Workstation

  • Set up correctly?

  • Clean and safe condition?

3.5 Electrical testing and tagging

  • Current for all electrical equipment?

3.6 Personal Protective Equipment (PPE)

  • Fit for purpose/compliant?

  • Being used?

3.7 First Aid Kits

  • Stocked and current?

Actions for Section 3

  • Corrective/Preventative actions required

  • Owner

  • Due date

  • OFI # (office use only)

4 IN THE WORKPLACE: MATERIALS

4.1 Hazardous Substances

  • Stored and labelled correctly?

  • Chemical shower, signage, spill kits/bunding compliant?

  • Test location certificate current?

4.2 Safety Data Sheets

  • Available and reviewed within last 12 months?

Actions for Section 4

  • Corrective/Preventative actions required

  • Owner

  • Due date

  • OFI # (office use only)

5 ON A WORKSITE: DOCUMENTATION

5.1 Site Hazard ID

  • Tailgate, Toolbox talk etc

  • Completed and signed by all personnel?

5.2 Permit to Work

  • Copy available on site?

5.3 Notifiable Works

  • Confined space entry, trenches and open excavations, working at height

  • MoBIE notified?

  • Copy available on site?

5.4 Emergency Plan

  • Available and relevant?

Actions for Section 5

  • Corrective/Preventative actions required

  • Owner

  • Due date

  • OFI # (office use only)

6 ON A WORKSITE: SITE

6.1 Hazards

  • Are all Hazards identified being eliminated, isolated or minimised?

  • Have all hazards been identified?

6.2 Contractors

  • Inducted and monitored?

Actions for Section 6

  • Corrective/Preventative actions required

  • Owner

  • Due date

  • OFI # (office use only)

7 ON A WORKSITE: PUBLIC

7.1 Pedestrian Management

  • Is pedestrian management in place?

  • Is access and signage appropriate?

7.2 Traffic Management

  • Temporary Traffic Management Plan on site?

  • Does the Traffic Management comply with the plan?

Actions for Section 7

  • Corrective/Preventative actions required

  • Owner

  • Due date

  • OFI # (office use only)

Conclusion

Improvements/Comments

Completion

  • Auditor

  • Auditee

  • Date

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.