Information

  • Document No.

  • Location
  • Conducted on

  • Client / Site

  • Audited By.

  • Engineer 1

  • Engineer 2.

  • Compliance Key.
    1=Acceptable
    2=Good Practice/Breach of company procedures.
    3=Risk of improvement order/good practice.
    4=Risk of prosecution notice
    On/Off=Applicable/not applicable

  • Hard Hat-Chin Strap

  • High Visibility Jacket

  • Safety Footwear

  • Hearing Protection

  • Eye Protection

  • Respiratory Protection

  • Gloves Worn

  • First Aid Kit meets legal compliance

  • Plant, Equipment, specifically Ladders and Tools are being used Safely and are in Acceptable condition

  • Harness being used correctly,Stored safely, and are in Acceptable condition.

  • Suitable barriers & signage is in place where required: position and clarity

  • Risk Assessment and Metod Statement are completed before work commences

  • Good House Keeping and Waste disposal

  • Asbestos precautions being followed

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.