Information

  • Document No.

  • Audit Title

  • Client / Site

  • Prepared by

  • Conducted on

  • Personnel

Job Number

  • Enter Job Number

Work Description

  • Describe the work being carried out.

Equipment

  • Equipment being worked on

Administrative Procedures

  • Have obtained permits (Excavation, Hot Works, Confined Space etc)

  • Site Induction for workers current

Note - All risk scores are determined using Risk Assessment Matrix

  • Add media

  • Job Steps

  • Job Step

Job Steps and Risk Scores

  • Details for Job Step

  • Enter Hazards for the job

  • Hazard
  • Hazards for Job Step

  • Add media

  • Enter Control Prompt

  • Control Prompt
  • Control Prompt in use

  • Add media

  • Further control measures put in place to manage hazards.

  • Risk Score before control measures?

  • Risk Score after control measures?

Other Corrective Actions

  • Enter any corrective actions that will be undertaken

Drawings

  • Any drawings or sketches that apply to the job

  • Any pictures that apply to the job

  • Text

Sign Off

  • Risk Assessment Completed by:

  • Site Manager or Supervisor/ Representative if Available

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.