• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


If "SAFE" or "N/A "is not entered for each relevant item on the checklist, work must not proceed without further Hazard identification and Controls implemented

1. Do you have permission to access this site?

  • Example: Access Permit, Confined Space Entry Permit

2. Where required, has the land owner been notified?

  • Example: Client/Private owner and/or Thiess Services requirements

3. Cultural Heritage

  • Have Cultural Heritage requirements been satisfied before carrying out site modification or excavation work?

4. Is fire fighting equipment serviced & available before starting work on site?

  • Example: Extinguisher in vehicle or on site?

5. In case of an emergency are alternative exits available?

  • Example: Principal access/egress routes clear alternate escape route established?

6. Is suitable communication equipment carried to enable emergency communication throughout the work?

  • Example: Signal for mobile phone – satellite phone

7. Is the site/proposed work to be undertaken covered by generic Risk Assessment/SWMS/Traffic Management Plan?

  • Example: RAR for Stream Gauging/ Environmental Monitoring/Sampling/Deploy Plan

8. Has a Site Hazard inspection been conducted to determine if potential risks exist? Provide detail in the Comments section

  • Example: Changes to bank, track, surrounding environment, insitu equipment, weather

9. Where required, can third party safety controls be established?

  • Example: Client/ Landowner informed, signage to protect public

Is suitable and serviced plant/equipment available to safely conduct the work?

  • Example: Condition – leaks – spark arrestors

Is suitable PPE available for use during the task being performed?

  • Example: Safety glasses, leather, boots, gloves, hearing protections


  • Note additional Hazards identified and relevant Controls

  • Add a drawing to assist with the identification of a new Hazard, Repair or modification required


  • Note comments here

  • Employee signature

NOTE* This is an IPAD version of form TSWT-036390-MTP-FO-101

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