Information

  • SR #

  • Location
  • Audit Title

  • Conducted on

  • Personal

  • Prepared by

1 Traffic Control

  • 1.1Signs and cones in place

  • 1.2TMP on site

  • Add media

  • 1.3 Certified

  • 1.4 I.d

2 Site Condition

  • 2.1 Is the site clean

  • 2.2 Are there barriers in place

  • Add media

3 PPE Gear

  • 3.1 Hard hat

  • 3.2 Gloves

  • 3.3 Hi vis Worn and done up

  • 3.4 Steel cap foot wear worn and gumboots on site

  • 3.5 Uniform worn <br>

  • 3.6 Are there ear muffs available

4 has the pre-start been done

  • 4.1 Was an induction done

  • 4.2 Hazard Id form

  • 4.3 Is the field manual on site

  • 4.4Truck and plant

  • 4.5 Are all site plans on site

  • Are all vehicles parked in the rite place

5 vehicle

  • 5.1 Firefighting equipment available

  • 5.2 First aid equipment

  • 5.3 Materials storage safe

  • 5.4 Emergency procedure understood by all

  • 5.5 Is the vehicle clean

6 Dewatering

  • 6.1 is there filter control in place

  • Add media

Sign off

  • Comments

  • Leader on site

  • Audit sign off

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