Health & Safety Report

• Month/Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add media

  Media
• Add location
  Address

1.0 - Site Start up checklist

• 1.1 Are internal lightning conditions good?

  Yes

  No

  N/A

• 1.2 - Are external Lightning conditions good?

  Yes

  No

  N/A

• 1.3 - Is site Neat and Tidy?

  Yes

  No

  N/A

2.0 - Material Disposal

• 2.1 - Are there Designated Materials Storage Areas on site ?

  Yes

  No

  N/A

• 2.2 - Are Skips/Waste Bins in place.

  Yes

  No

  N/A

• 2.3 - Is Waste Materials Adequately controlled? (Saw dust, building debris etc)

  Yes

  No

  N/A

3.0 - Are there proper Site Office/Amenities?

• 3.1 - Site Office

  Yes

  No

  N/A

• 3.2 - First Aid Box

  Yes

  No

  N/A

• 3.3 - Canteen

  Yes

  No

  N/A

• 3.4 - Change Room

  Yes

  No

  N/A

• 3.5 - Toilets

  Yes

  No

  N/A

4.0 - Site Services

• 4.2 - Power

  Yes

  No

  N/A

• Add media

  Media

• 4.1 - Water

  Yes

  No

  N/A

5.0 - Sign In Register

• 5.1 - Attendance register

  Yes

  No

  N/A

6.0 - PPE Compliance

• 6.1 - Mandatory PPE Requirements

  Yes

  No

  N/A

• 6.2 - Special Requirements

  Yes

  No

  N/A

7.0 - Fall Protection

• 7.1 - Are all handrails in place?

  Yes

  No

  N/A

• 7.2 - Are protective barriers/mesh in placed?

  Yes

  No

  N/A

• 7.3 - Planking/Boarding over Gaps/Holes in walkways?

  Yes

  No

  N/A

• 7.4 - Tripping Hazards

  Yes

  No

  N/A

• 7.5 - Signage for Fall Protection

  Yes

  No

  N/A

• 7.6 - Harness Required?

  Yes

  No

  N/A

• 7.7 - Correct Use of Ladders

  Yes

  No

  N/A

8.0 - Scaffold Compliance

• 8.1 - Installed by Licensed Scaffolder

  Yes

  No

  N/A

• 8.2 - Scaffold Adequate for Use

  Yes

  No

  N/A

• 8.3 - Compliance Tags and Certificates Provided

  Yes

  No

  N/A

• 8.4 - Scaffold Inspection Checklist Used Regularly

  Yes

  No

  N/A

9.0 - Mobile Scaffold Compliance

• 9.1 - Installed by a Licensed Scaffolder

  Yes

  No

  N/A

• 9.2 - Scaffold Adequate for Use

  Yes

  No

  N/A

• 9.3 - Compliane Tags and Certificates Provided

  Yes

  No

  N/A

• 9.4 - Scaffold Inspection Checklist Used Regularly

  Yes

  No

  N/A

10.0 - Inductions

• 10.1 - Is there an Inductions Register in place?

  Yes

  No

  N/A

• Do installers secure material and tools on roofs and scaffolding from being blown off by wind?

  Yes

  No

  N/A

11.0 Toolbox Talks

• 11.1 - General Safety Toolbox Talks

  Yes

  No

  N/A

• 11.2 - Are there High Risk Activity Toolbox Talks provided, which include an influence of high wind weather on working conditions, and necessity of proper storage of materials on roofs and scaffolding?

  Yes

  No

  N/A

12.0 - Emergency Requirements & Equipment

• 12.1 - Is there Emergency Evacuation Assembly Area?

  Yes

  No

  N/A

• 12.2 - Are there an Emergency Siren in place?

  Yes

  No

  N/A

• 12.3 - Are there Fire Extinguishers on site?

  Yes

  No

  N/A

• 12.4 - Is there a Spill Kit on site?

  Yes

  No

  N/A

13.0 - Plant & Equipment

• 13.1 - Is Plant/Equipment checked daily, Is there a Daily Checklist provided?

  Yes

  No

  N/A

• 13.2 - Are there Plant/Equipment Maintenance Records?

  Yes

  No

  N/A

• 13.3 - Do the Plant Operators have a valid Licenses?

  Yes

  No

  N/A

• 13.4 - Are All Guards/Screens on Equipment (eg. grinders, drop saws)

  Yes

  No

  N/A

• 13.5 - Are all electrical equipment PAT tested?

  Yes

  No

  N/A

14.0 - Surrounding Conditions for Plant and Equipment

• 14.1 - Are Ground Conditions good?

  Yes

  No

  N/A

• 14.2 - Is there proper access to the working place on site?

  Yes

  No

  N/A

• 14.3 - Are there any Overhead Factors I.e.trees, electricity lines?

  Yes

  No

  N/A

15.0 - Work Permits

• 15.1 - Is Works Permit Register required and kept up to date?

  Yes

  No

  N/A

16.0 - Site Management Plans

• 16.1 - Is there proper Traffic Management Plan in place?

  Yes

  No

  N/A

• 16.2 - Is there proper Site Safety Management Plan in place?

  Yes

  No

  N/A

• 16.3 - Is there Environment Management Plan in place?

  Yes

  No

  N/A

17.0 - Quality Management

• 17.1 - Is there Quality Management Plan in place?

  Yes

  No

  N/A

• 17.2 - Is there WIR's (work inspection register) in Place

  Yes

  No

  N/A

• 17.3 - Is there Defects List in Place?

  Yes

  No

  N/A

18.0 - Site Conditions

• 18.1 - Are conditions in the Workplace good (eg. lighting, pedestrians)

  Yes

  No

  N/A

• 18.2 - Are operatives/installers exposed to Environmental Conditions (eg. Hot, cold, sun, rain, visibility)

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign

• Select date

  Date