Title Page

  • Contract:

  • Site

  • Date

  • Auditor

  • Location
  • Instructions:

    1. Answer "Compliant", "Minor Non-Compliance", "Major Non-Compliance", "N/A" on the questions below.
    2. Add photos and notes by clicking on the paperclip icon.
    3. To add a Corrective Actions, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

Management / Site Paperwork

  • Red folder (Gang Pack) available?

  • Are there emergency procedures and contact numbers on site?

  • Construction Phase Plan available?

  • F10 displayed? (if applicable)

  • Specific Method Statement(s) available?

  • Specific Risk Assessment(s) available?

  • Are Supervisors aware of their responsibilities?

  • Are all Accidents and near misses recorded?

  • Is there a permit for associated works? (Hot works / Streetworks / Permit to Dig)

Training

  • Are all persons suitably trained?

  • Are relevant certificates available?

  • Are Toolbox Talk's completed?

Security

  • Is there a security plan?

  • Are larger plant brought back to the depot?

General site conditions / Working area

  • Information / Permit board displayed on site?

  • Chapter 8 traffic management in place?

  • Are Pedestrian walkways clear & safe for use?

  • Are there clear lines of sight for all road users?

  • Are interlocking barriers correctly used?

  • Are safety zones & working space maintained?

  • Is site clear and free from obstruction?

  • Are correct safety lines applied for resurfacing works?

  • Are correct lifting equipment in place?

  • Are all operatives HAVS assessed?

Personal Protective Equipment (PPE)

  • Are all high visibility clothing clean?

  • Are 5 Point PPE worn by all personnel on site? (Hat, Gloves, Goggles, Hi-Viz, Boots)

  • Digging overalls used excavations?

  • Are site specific PPE used?

  • Correct warning / instruction signs on site?

  • Site in possession of a fully refreshed First Aid Kit?

  • Eye Wash available on site?

Vehicles, Plant & Equipment

  • Are vehicles clean and free of debris?

  • Are Daily Vehicle & Plant check sheets completed?

  • Small plant condition in good working order?

  • Large plant in good working order?

  • Are all plant serviced and in date?

  • Is the maintenance planned?

  • Are all lifting equipment marked and tested?

  • All reversing vehicles on site under banksman control?

  • Depth reading CAT & Genny on site and being used?

Site Accommodation

  • Are site welfare facilities fully operational?

  • Are mess room / offices clean and tidy?

  • Are the toilet facilities clean and tidy?

  • Is H&S at work notice displayed?

  • Emergency Instructions displayed clearly?

  • Fire signs / notice & evacuation procedure displayed?

Environmental

  • Spill Kit available?

  • Is dust suppression available?

  • Are Noise blankets required?

  • Are Vehicle / Plant engines not left running?

  • Restrictions relating to noise levels / working hours observed?

Working at height

  • Any Work at height equipment inc. SSRA & JBS on site?

  • Working at height carried out by competent & authorised person(s)?

  • Equipment used for working at height inspected prior to use?

  • MEWPs hold 6 monthly test & operators IPAF trained?

  • Class 1 Ladders / steps, inspected pre use & used by authorised persons?

Electrical / Street Lighting

  • All tools for electrical works are free from defects?

  • All Electrical equipment PAT, in good order & suitable for use?

Other Observations

  • List all other observations (click "Add Observation")

  • Observation
  • State observation

  • Compliance

Completion

  • Auditor Sign Off

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.