Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Work Site Address
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Date and Time of Audit
Site Control
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Have the signed in and do they know they must sign in and out every time they have entered or leave
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Is the worker qualified to do the task or will they be supervised on site? If supervised, by whom?
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Does the worker know the assembly location point and what to do while on site?
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Does the worker know the location of the first aid kit, fire extinguisher and who is the site first aider?
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Has the worker had industry recognised safety training eg Site Safe or other? Note which course
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Has the worker been introduced to the Site Safety Officer, Site Foreman or Safety Representative?
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Does the worker know where the toilets and drinking water are located?
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Does the worker know all injuries, near misses or hazards must be reported to the site foreman?
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Does the worker have the correct PPE available if required and know how to wear it correctly?
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Does the worker know the site hazard management procedures and where to check for new hazards?
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Is the worker familiar with the hazards and safe work practices for the tasks they will be doing?
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Has the worker completed a TA for the work they are doing?
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Is the worker bringing on to site or taking away any hazardous material. A copy of SDS and relevant certificates must be kept on site if YES
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Is specialised equipment required and is the worker trained and competent to use it?
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Does the worker require permits to work and have these been obtained. A copy is required is YES
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Has the worker had the opportunity to ask questions and is now clear on all points?
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I have participated in the induction process. I have read and I am familiar with the project safety plan. I understand what is expected of me and agree to work safely and comply with these procedures at all times.
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Name of Worker
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Inducted By: