Information

  • Document No.

  • Conducted on

  • Auditor

  • Auditee

  • Site

  • Location
  • Contract Manager Name

  • Site Management Contact Email

General

  • Current activities being undertaken on site

Inspection

  • Administration

  • Welfare Facilities

  • Housekeeping (including storage area)

  • Site Security / Public Interface

  • Safe use of Plant

  • Plant and Vehicle Interface

  • Excavation Safety

  • gCAT4+ Upload

  • Confined Spaces

  • Work at Height

  • Temporary Works

  • Lifting Operations

  • Safe Use and Storage of Work Equipment

  • COSHH

  • Fire

  • Emergency Arrangements

  • Electrical Safety

  • Dust Suppression

  • PPE

  • Environmental / Waste

  • Additional Findings

Positive Intervention

  • Details of safety conversations had on site with employees (include name of employee and topic)

Additional Comments

  • Any additional comments

  • Please add any corrective actions to the appropriate questions above before completing this report

  • Auditor(s)
  • Name & Signature of Auditor

  • Auditee(s)
  • Name & Signature of Auditee

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.