Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Important - this is a conversation to learn about health, safety and the environment on this site, and understand
    the sites risks , any employee concerns requiring action and what they are proud of/do well from a HSE perspective. This is not intended as a detailed HSE audit, if you believe a detailed audit is required pls ask your HSE resource to undertake this seperately.

What are the top 3-5 concerns you have regarding health, safety and the environment

  • Concern 1

  • What do we have in place to mitigate Concern 1

  • Is the mitigation effective?

  • Mitigation should follow the Heirarchy of control: Eliminate-Substitute-Isolate- Engineering-Admin-PPE

  • Concern 2

  • What do we have in place to mitigate Concern 2

  • Is the mitigation effective

  • Mitigation should follow the Heirarchy of control: Eliminate-Substitute-Isolate- Engineering-Admin-PPE

  • Concern 3

  • What do we have in place to mitigate Concern 3

  • Is the mitigation effective?

  • Mitigation should follow the Heirarchy of control: Eliminate-Substitute-Isolate- Engineering-Admin-PPE

Are any of our subcontractors on site? Can we see what they are doing?

  • Are they working safely?

  • Comment on what you observe

  • Only add photos if needed - remember there is a 20MB total limit if you are using a free account

Positive HSE aspects

  • What are the positive HSE aspects you've observed on site?

  • Only add photos if needed - remember there is a 20MB total limit if you are using a free account

Implementation of systems and processes

  • Inductions

  • Risk Register

  • SWMS/JSEA (employees)

  • Works Authorisation (subcontractors)

  • SWMS/JSEA (subcontractors)

  • Permit to Work (eg for Hot Works, Work Height)

  • Licence copies for subcontractors

  • Comments

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.