Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site File

  • What site file is in place?

Section 1 & 2

Is the following documentation up to date?

  • QSHE Policy

  • Insurance

  • Targets & Objectives

  • Emergency Procedures

  • Has the QSHE Contract Management Plan been completed?

  • Last review date of plan?

Section 3

  • Are monthly QSHE statistics / reports being submitted.

  • How are complaints & being addressed

Section 4

  • Are Risk Assessments on the Sevron format?

  • Are Risk Assessments in date?

  • Are all hazards addressed?

  • Are Risk Assessments understood by staff?

Section 5

  • Is the Environmental Management Plan in place

Section 6

  • Is ITUS being used effectively?

  • Are there any ongoing reports

  • Are all actions closed out?

  • Has a first aid risk assessment been carried out?

Section 7

  • Is an audit schedule in place

  • Are audits being carried out?

  • Are actions being closed out?

  • Are CATS audits being carried out?

Section 8

Section 9

  • Is a training matrix in place?

  • Are Employee Training Records in place?

  • Training requests

Section 10

  • Are all required registers in place?

  • Are statutory inspections being carried out?

  • Are visual inspections being carried out & documented?

Section 11

Section 12

  • Is the local manager supervisor aware of the procedures in respect of Government Agency Visits?

The Site

  • Have all hazards been identified

  • Photo of any hazards requiring addressing

  • Photo of any hazards requiring addressing

  • Is access and egress suitable?

Site documentation

asbestos

  • Is the asbestos register always available for review?

  • When was the asbestos register last reviewed?

  • Have any identified actions been closed out?

Water

  • Is the Water Management file available for review?

  • Has the Water Risk Assessment been carried out

  • When was the water risk assessment last reviewed?

  • Have all actions been closed out?

  • Are the required checks being carried out?

Fire

  • Is the fire risk assessment available?

  • When was the fire risk assessment last reviewed?

  • Are all contracted checks being carried out (including emergency lighting)?

Inspection acceptance and close out

  • Site Inspection by:

  • Name

  • Site Inspection agreed by:

  • Name

  • Confirmation of action close out:

  • Name

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.