Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Route description

  • Personnel

  • Contractors involved

  • Nearby communities

Visit opportunities

Introduction

  • It's the first visit to site?

  • Has the last visit findings been reviewed?

  • Are there outstanding actions?

  • Are there any relevant points of concern?

  • Brief introduction of campsite establishment, past owners, significant milestones...

  • Purpose of the visit

Travel

  • Was the travel safe?

  • What was the major hazard?

  • other:

  • Please specify the travel itinerary:

  • What was your transportation?

  • Please specify:

  • What was the travel duration [hours]?

  • What was the travel total distance [kms]?

  • Rest stops were made every two hours?

  • Please describe the reason (s):

  • Travel information details were distributed before departure?

Campsite

Campsite general information

  • Name of campsite:

  • What's the year/month of construction?

  • What is the altitude range of campsite?

  • What type of facilities we have on campsite?

  • Please describe others:

  • How many workers live at campsite?

  • It's required health assessment on campsite entrance?

  • What health parameters were assessed?

  • Please describe others:

  • It's required security control on campsite entrance?

  • What type of security controls were placed?

  • Please describe others:

  • It's required safety control on campsite entrance?

  • What type of safety requirements/controls were placed?

  • Please describe others:

Campsite buildings safety

  • Signalization and information is clear?

  • Floor surfaces even and uncluttered?

  • Entry and walkways kept clear?

  • Walkways adequately and clearly marked?

  • Access paths and walkways are safe?

  • Intersections kept clear of boxes etc?

  • Stair and risers kept clear?

  • Are liquid spills removed quickly?

  • Are railings in good condition?

  • Are fall preventive measures in place and used where gaps occur in railings?

  • Are footpaths in good condition?

  • Furniture in proper condition?

  • Loading areas clean and tidy?

  • Are there any major risks to consider around the buildings?

  • Please describe if any:

Campsite general lighting

  • Good natural lighting?

  • Reflected light from walls & ceilings not causing glare to employees?

  • Light fittings clean and in good condition?

  • Emergency exit lighting operable?

Office

  • Facilities clean?

  • Condition of filing cabinets?

  • Condition of chairs?

  • Desks in good condition?

  • Screen Based Equipment positioned to reduce glare from windows etc?

  • Electric cables proper used and protect against falls slips and trips?

  • Tasks designed to prevent Occupational Overuse Syndrome? [Breaks included]

  • Air conditioning systems regularly maintained?

  • Stable non-slip floor coverings in good condition?

Core shack

  • HS information board is visible and updated?

  • Clean and debris free?

  • Materials stored in racks and bins wherever possible?

  • General condition of racks and pallets?

  • Storage designed to minimize lifting problems?

  • Core boxes are in accessible and proper ergonomic condition

  • Dangerous materials [e.g. Inflammable, toxic, corrosive ] proper stored and labeled? [anti spill platforms/trays, locked shelves on ventilated spaces]

  • Tools not in use stored in a proper place?

  • Damaged hand tools in use?

  • Damaged power tools in use?

  • Sharp edges?

Cutting tools and sampling preparation

  • Are the floors around the machines kept clean?

  • Guards in good condition?

  • Starting and stopping devices within easy reach of operator? [including emergency stops].

  • Waste/off cuts removed and stored safely?

  • Anti spill trays [or other e.g. drip pans or absorbent] under machines to prevent spillage?

  • Adequate work space?

  • Is lighting adequate?

  • Noise levels controlled?

  • No bending or stooping required?

  • Machine's intervention area is restricted only to authorized personal?

  • Safety signs are clear, proper and visible?

  • Operators trained/inducted into the operation of the machines?

  • Is the training recorded?

  • Do operators comply with the training? [e.g. safety procedures, PPE]

  • Are lockout procedures implemented and followed?

Wharehouse

  • Materials stored in racks and bins wherever possible?

  • Storage designed to minimize lifting problems?

  • Floors around racking clear of rubbish?

  • General condition of racks and pallets?

  • Dangerous materials [e.g. Inflammable, toxic, corrosive ] proper stored and labeled? [anti spill platforms/trays, locked shelves on ventilated spaces]

  • Are all ladders Industrial strength? (Non Household rated, check label.)

  • Used according to instructions?

  • Are ladders in good condition?

  • Tools inspection is in place?

  • Tools inspection is been tracked?

  • Tools not in use stored in a proper place?

  • Damaged hand tools in use?

  • Damaged power tools in use?

Electrical Safety

  • Safety switches installed?

  • Safety switches tested every 6 months and tests recorded?

  • Double adapters in use?

  • Portable equipment tested and tagged?

  • Broken plugs, sockets or switches?

  • Power cords across walkways?

  • Damage power cords?

  • Strained power cords?

  • Portable power tools in good condition?

  • Where required are emergency shut-down procedures in place?

  • Lightning rods in place where required?

Fire Prevention

  • Evacuation plan displayed and understood by all employees?

  • Fire drill are perform regularly?

  • Evacuation procedures discussed regularly on safety talks? [ e.g. 3 to 4 times a year]

  • Adequate fire extinguishers in place, clearly marked for type/class of fire?

  • Extinguishers recently serviced? [Check annual punch mark on certified tabs]

  • Extinguishers clear of obstructions?

  • Extinguisher installed no more than 1200 mm max height, the top handle & base not lower that 100 mm?

  • Indicator signs [extinguishers points and evacuation routes] 2.1 m above floor level?

  • Indicator signs [extinguishers points and evacuation routes] on the floor or 0,1 m above floor level?

  • Adequate direction notices for fire exits?

  • Exit doors easily opened from inside?

  • Exits clear of obstructions?

  • Fire alarm system functioning correctly?

Chemical Safety

  • Hazardous Substance Register complete and available?

  • Material Safety Data Sheets available for all chemicals?

  • Risk assessments completed for hazardous substances?

  • All containers labelled correctly?

  • Unused substances disposed of?

  • Do special storage conditions apply?

  • If applicable are special storage conditions followed?

  • Workers are trained in the use of hazardous substances?

  • If required is PPE available?

  • Is adequate ventilation provided?

  • Are eye washes and showers easily accessed?

  • Spill kits are available and ready to use?

Waste management

  • Bins located at suitable points around site?

  • Bins emptied regularly?

  • Organic waste in covered bins?

  • Waste separated by recycling / reuse criteria? [e.g. plastic & metal, paper, organic, print cartridges, wood splits]

  • Waste water is treated on site?

  • Solid waste is treated on site?

Machines & platform rigs

  • Platform designation

  • Work areas are clean and debris free?

  • Are the floors around the machines kept clean?

  • Guards in good condition?

  • Starting and stopping devices within easy reach of operator? [including emergency stops].

  • Waste/off cuts removed and stored safely?

  • Anti spill trays [or other e.g. drip pans or absorbent] under machines to prevent spillage?

  • Adequate work space?

  • Is lighting adequate?

  • Noise levels controlled?

  • No bending or stooping required?

  • Machine's intervention area is restricted only to authorized personal?

  • Safety signs are clear, proper and visible?

  • Operators trained/inducted into the operation of the machines?

  • Do operators comply with the training? [e.g. safety procedures, PPE]

  • Are lockout procedures implemented and followed?

  • Bins located at suitable points around site?

  • Bins emptied regularly?

  • Waste separated by recycling / reuse criteria? [e.g. plastic & metal, paper, organic, print cartridges, wood splits]

  • waste water is treated on rig site?

Vehicles Condition

  • Schedule maintenance performed?

  • Condition of tyres?

  • Brake performance?

  • Lights? (Check operation of brake, indicator and reversing lights)

  • Condition of drivers seat?

  • Condition of other seats?

  • First aid kit supplied and adequate?

  • Storage provisions? [recommended in off road travel: fuel, water and food]

Emergency response

  • Are emergency numbers displayed?

  • Are all workers aware of the procedures in case of an Emergency?

  • Are we able to control a fire or a major emergency scenario?

Emergency plan

  • Does the emergency plan content the following scenarios?

  • Please describe other:

  • The ER plan is available to all workers?

First Aid response

  • Are emergency kits and contents clean and orderly?

  • Are contents regularly checked?

  • No contents past their expiry date?

  • Emergency kits clearly labelled?

  • Is there easy access to emergency kits?

  • Staff is aware of location of first aid kits?

  • Staff have first aid training? [at least 50%, check for expiration dates of training]

  • Are first aid officers/first aid trained staff accessible during work hours?

HSE culture and communication

  • Safety induction is updated, clear and cover all the key points?

  • HSE company standards are followed?

  • Equipment manuals are availiabe?

  • Incidents are discussed in safety meetings?

  • Life saving rules:

  • Describe others:

  • Safety core rules:

  • Describe others:

  • HSE Bulletin board is used?

  • If YES please describe the content:

  • Please describe other:

  • Safety talks are implemented?

  • If YES please describe the content of the safety shares?

  • Please describe other:

Conclusions

  • Major corrective actions with high priority

Sign Off

  • On site representative [s]

  • Auditor's signature

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