Audit

General Information
Time Begun
Today's Date
Location

Site Code

Service Code

Subcontractor

Subcontractor

Task Observed

Observer

Observations
People/Protection

Inducted/Trained

PPE Appropriate

'Line of Fire' Hazard

Fatigue/Heat Stress

Manual Handling

Traffic Management

Places

General Housekeeping

Spills/Leaks/Bunds/Drains

Chemical Management

Environmental/Weather Hazards

Conservation of Water/Power

Risk of Falling Objects

Plant

Tools/Plant Condition

Tools Right for Task

Plant Logbooks

Safe Access and Egress

Electrical Test and Tag

Barricades Appropriate

Fire Safety Considered

First Aid Appropriate

Process

Job Start Done

Job Analysis Appropriate

Procedure Compliance

Isolations in Workplace

Valid Permit to Work

Communications Process

Signage

Out of Service Tags

At Risk Behaviour Observations

Description of At Risk Behaviour

Rectified?

Escalate?

Description of At Risk Behaviour

Rectified?

Escalate?

Positive Observations

Description of Positive Behaviour

Crew Acknowledged?

Summary

Any Other Conments

Photo
Signature
Time Finished
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.