Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Audit Purpose
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Purpose: To identify and evaluate potential risks on-site and ensure that control measures are in place.
Identification of Hazards
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Have all potential hazards been identified?
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Specify identified hazards
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Types of Hazards
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Falls from height
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Electrical risks
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Machinery-related hazards
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Chemical exposure
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Other (please specify)
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Attach Photos
Assessment of Risk Levels
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Likelihood of occurrence
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Severity of consequences
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Overall Risk Rating
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Additional Comments
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Attach Photos
Implementation of Control Measures
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Have control measures been identified and implemented?
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Specify control measures
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Types of Control Measures
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Are control measures effective?
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Additional Comments
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Attach Photos
Review and Update of Risk Assessments
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Have all risk assessments been reviewed and updated?
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Date of Last Review
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Is additional training required for workers?
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Is ongoing monitoring required?
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Additional Comments
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Attach Documents
Audit Summary
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Overall Risk Management Rating
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Summary of Findings
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Actions Required
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Person Responsible for Actions
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Due Date for Actions
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Sign-Off
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Date of Completion
