Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Controls in Place

  • Has a risk assessment been completed for the task

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  • Has a permit to work been raised and signed by the appropriate responsible person?

  • Add media

  • If a permit to work has been issued, is it available in the correct locations

  • Add media

  • Has a toolbox talk been communicated to all parties before starting work?

  • Add media

  • Is the JSA / work instruction suitable and sufficient for the task?

  • Add media

Hot Work

  • Is the welding / fabrication area safe, clean and in good order with all cables and hoses routed above head height or under cable mats?

  • Tap to enter information

  • Are all cylinders safe and secure

  • Add media

  • Are the gas lines in good order, maintained and suitable managed

  • Add media

  • Are all regulators certified and tested

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  • Are flashback arrestors fitted to gas cylinders?

  • Tap to enter information

  • Is the area clear of combustable material

  • Add media

  • Is there adequate extraction / ventilation and is it being used effectiively?

  • Add media

Emergency Arrangements

  • Are suitable arrangements /evacuations processes in place

  • Add media

  • Are the walkways free from obstruction?

  • Tap to enter information

  • Have the arrangements been tested, if so give details of dates and time.

  • Add media

  • Has adequate first aid provisions been implemented

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  • Fire extinguishers immediately available and inspection current

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Fire Prevention

  • Have the correct number of firewatchers been allocated to the job?

  • Add media

  • Is there sufficiennt fireblanket for the task to prevent combustion?

  • Tap to enter information

  • Are Propane bottles separated from other gasses?

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  • Compressed gas cylinders secured with ratchet straps to a fixed point and protected from damage

  • Add media

General Safety

  • Is the equipment being used in good order

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  • Are all tools and equipment in good working order?

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  • All mechanical safeguards in use

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  • Is the lighting suitable for the task

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  • Are the electrical cables in good working order and free from visible defects?

  • Add media

  • Is the area barriered off to prevent unauthorised access?

  • Add media

  • Is there adequate warning signs posted in the area

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PPE

  • Are safety harness / lanyards being used, if yes, are they certified and in date

  • Add media

  • Is the correct lanyard being used? (fall arrest or fall restraint)

  • Tap to enter information

  • Are respirators and masks being used, if yes, are they correct for the task

  • Add media

  • Is everyone wearing the correct / required PPE for the task, as specified in the risk assessment, toolbox / JSA

  • Add media

  • Is everyone wearing hearing protection, when required

  • Add media

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.