Title Page

  • Audit Title/ Area Name

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

HSE Inspection & Behavioural Observations Form

  • INSTRUCTIONS

    1. Answer "Yes" or "No" on the questions below.
    2. Add photos and notes by clicking on the paperclip icon
    3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
    4. Complete audit by providing digital signature
    5. Share your report by exporting as PDF, Word, Excel or Web Link

1. General Safety

  • Are walkways clear?

  • Is lighting sufficient?

  • Is the H&S Policy Statement on display?

  • Are employees exposed to hazardous substances?

  • Are up to date risk assessments available in the office?

  • Are contractors working in the area? If so, are they using relevant PTW?

  • Are Local Level meeting minutes on display?

  • Are goods and/or equipment stored safely & securely?

2. Safe Systems of Work (STOPS)

  • Is there a STOP available for the task being observed?

  • Is the STOP adequate?

  • Is the STOP being followed and understood?

  • Is there a RA for this task, and if so is it adequate and up to date?

3. Emergency Aids

  • Are First Aider names and photos on display?

  • Is there a first aid box in the area? If so, is it correctly stocked with ‘in date’ supplies?

  • Is there an accident book in the area?

  • Are fire escape routes clear?

  • Is fire equipment not blocked i.e. extinguishers and call points?

4. Behavioural Observations

  • Is there any horse play?

  • Are there any repetitive motions?

  • Is the mandatory PPE being worn correctly?

  • Is job specific PPE being used and if so, is it being worn correctly?

  • Are colleagues putting themselves and/or others at risk?

5. Tools and Equipment

  • Is the condition of the tools and/or equipment being used fit for use?

  • Are they correct for the job?

  • Are tools and/or equipment being used in the correct manner?

6. Environmental

  • Is waste being correctly segregated?

  • Are correct waste containers being used?

  • Are there any spill kits in the area? If so, are they fully stocked?

  • Is there any evidence of spillages that could have an adverse effect on the environment?

  • Is machinery running unnecessarily when not in use?

  • Is there any evidence of water leaks or taps/hoses being left on?

  • Is there any evidence of excessive water usage?

  • Lights left on

7. Additional Comments/Observations

  • Click ADD Comments to enter additional comments and observations

  • Comments
  • Comments/Observations

  • Scroll up and click +ADD to add a new entry

Completion

  • Name & Signature

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.