Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Are lifting chains tagged and in good condition

  • Have they been checked by a competent prson

  • Are slings tagged with the correct coloured tag

Lifting equipment

  • Is there a rescue plan in place

  • Has a risk assessment been carried out

  • Harness's being worn ?

  • Is there a scaffold with edge protection

  • Is a plan of work in place

Working at height

  • Other issues

Other issues

  • Escape procedures in place

  • Risk assessment complete

  • Permit to enter issued

Confined spaces

  • Vibration, job rotation

  • Noise, ear protection

Hazardous operations

  • Secure site access

  • Hoarding or Heras fencing

Site security

  • Sub contractors RAMS

  • Employee training information up to date

  • Site specific employee inductions

  • Relevant H & S posters displayed

  • Risk Assessments in place

  • COSHH Assessments in place

  • Method statement in place and up to date

  • H & S file on site and up to date

Health & Safety file

  • Drying room provided

  • Toilet facilities clean

  • Hot & cold running water in toilet

  • Suitable toilet facilities

  • Welfare area clean

  • Facilities to heat food

  • Facilities to boil water

  • Suitable seating arrangements

  • Supply of drinking water

  • Washing facilities

Welfare arrangements

  • Suitable lighting in place

  • Access & egress routes free of loose cables and trip hazards

  • Stairwells clear

  • All waste materials removed

  • Access and egress routes clear

Houskeeping

  • Eye wash stations

  • Nearest A & E displayed

  • Correct number of 1st aiders and identified

  • 1st aid station suitably identified

  • All contents in date

  • Suitably sized and number of 1st aid boxes

First Aid

  • Emergency exits marked and clear of debris

  • Warning bell/horn

  • Suitable fire extinguishers in place and correctly stored

  • Fire plan displayed

Fire arrangements/procedures

  • Plugs in good order

  • Cables in good order

  • PAT tested and tagged

Electrical plant

  • Flashing beacon in place and working

  • Operators training up to date

  • Seat belt being worn

  • Quick hitch safety pin in place

  • Daily plant check complete

Plant

  • All tools returned to store after use

  • Are all tools in a safe working condition

Portable tools

  • Are all services identified

Overhead /underground services

  • Excavation Safe and shored where required<br>

  • Services isolated

  • Services located by hand dig

  • Service information issued

  • Permit to dig issued

Excavations

  • Appropriate RPE issued and in use.

  • Appropriate PPE issued and in use

PPE/RPE

  • Banksman in use

  • Pedestrian segregation

  • Vehicle segregationists

Access/egress

  • Ladders in good condition and secure

  • Edge protection in place and secure

Edge protection/ladders

  • All personnel briefed

  • Risk assessment in place

  • Plan of Work inplace

Safety critical operations

  • Is paperwork complete and up to date

Daily diary

  • Are meetings logged and up to date

Safety meetings & toolbox talks

  • Are there any issues with the scaffold

  • Has the scaffold had a weekly inspection

  • Is a scafftag system in place

Scaffold

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.