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
Name of worker
Department
Workplace
Task observed
Type of observation
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Was the We Care Card filled out correctly?
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Does a policy and procedure exist for this task?
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If so, was a copy provided to the worker?
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If not, should a procedure be developed?
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Was the personal protective equipment (PPE) adequate and in conformity with all applicable Policies, procedures and standards?
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Was it being worn properly?
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Was a pre-op completed and filled out properly?
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We're all practices in conformity with all applicable standards for this task?
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Was the worker performing the task with adequate skills
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If not, what is the recommended follow up action?
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Has there been a risk assessment done on is job? If not, should one be conducted?<br><br>
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Is the worker following all Golden Rules?
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- Fit for work
- Driving
- Ground stability
- Lifting, rigging, hoisting
- Energy isolation
- Working at heights
- Hazardous substances
- Permit to work
- Protective devices
- PPE
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Does the worker have any concerns?, if yes please explain.
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Is there any hazards present? Have they been taken care of?
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Is another task observation necessary relatively soon?
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Describe all conditions or practices that could lead to an accident or material damage
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Employee signature
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Auditor signature
