Audit

Team Members List

Additional or temporary Staff

Task or Operation

Was the pre-start checklist on vehicles and equipment completed before leaving the depot?

Did the staff complete a site specific dynamic risk assessment before works commenced?

Reason for non compliance:

Select PPE being used at the time of the inspection.

Is the relevant PPE being worn and used correctly?

Reason:

Is there any other PPE more relevant to this task that should be in use?

Are staff working in a safe manner?

Reason:

Are the correct warning signs on show?

Reason:

If hazardous substances are being used (petroleum products) are staff aware of safety data, COSHH sheets and the correct usage?

Reason:

If pesticides are being used, are staff aware of safety data, COSHH sheets and the correct usage?

Reason:

Are task operating procedures being followed?

Reason:

Are staff following their manual handling training?

Reason:

Is a review date required?

If Yes, When?

Is urgent action or task required on anything found?

If Yes, When?

Sample Summary and Signoff
Name and Signature of team leader
Name and signature of inspector
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.