Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Working at Heights

  • 1.1. Are full height or capped lockable hoardings fitted?

  • 1.2. Do the hoardings have the correct slam locks and notices displayed?

  • 1.3. Are entrance barriers and toe boards fitted inside the hoardings where entrances have been removed?

  • 1.4. Where landing entrances are retained are entrance barriers available?

2. Scaffolds

  • 2.1. Is shaft scaffolding erected.

  • 2.2. Is the scaffolding unsafe or incomplete?

  • 2.3. Is there an inspection protocol for scaffold?

  • 2.4. Is the scaffold inspection tagged?

3. Lifting Equipment

  • 3.1. Is the SWL information displayed on the lifting point?

  • 3.2. Is the test certification available on site?

  • 3.3. Is there any unsafe or damaged lifting equipment, including ropes, slings, chains, hooks being used?

  • 3.4. Lifting equipment unlabelled with no SWL displayed?

4. Access routes

  • 4.1. Access route to the lift shaft safe

  • 4.2. Suitable floor protection provided on access route

5. Harness and Equipment

  • 5.1. Unsafe or damaged harness or equipment?

  • 5..2 Unsafe or uncertified anchor points?

  • 5.3. Lack of inspection protocol for equipment?

  • 5..4. Lack of or inadequate formal training for operators?

6. Ladders

  • 6.1. Unsafe or damaged ladders?

  • 6.2. Unsafe positioning of ladders?

  • 6.3. Ladder not properly secured?

  • 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

7. Hazardous Manual Tasks

  • 7.1. Lack of identification hazardous manual tasks?

  • 7.2. Lack of assessment of hazardous manual tasks?

  • 7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  • 7.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

8. Hazardous Chemical (including fuel and oil)

  • 8.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 8.3. Inadequate spill containment equipment?

  • 8.4. Safety Data Sheets not accessible on site?

  • 8.5. Lack of emergency procedures for injury/spills/fire etc?

9. Emergency Response

  • 9.1. Lack of, or no emergency plans for site?

  • 9.2. Emergency procedures not displayed at site?

  • 9.3. Lack of, or inadequate first aid kits aid equipment for site?

  • 9.4. Insufficient access to formally trained First Aiders?

10. Personal Protective Equipment (PPE)

  • 10.1. Lack of, or inadequate PPE

  • 10.2. Lack of system to issue, inspect, replace and monitor PPE?

  • 10.3. Lack of training in safe use, clean-up and inspection of PPE?

11. Housekeeping

  • 11.1. Inadequate housekeeping, site untidy with rubbish/ materials obstructing access?

  • 11.2. Equipment stored in container or agreed storage location?

  • 11.3. All stored equipment correctly protected against damage?

12. Work Environment

  • 12.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 12.2. Insufficient lighting of work area/shaft/motor room?

  • 12.3. Lack of, or inadequate noise/ vibration control?

13. Electrical Hazards

  • 13.1. Unsafe electrical leads? (damaged, out of test date or untested)

  • 13.2. Lack of RCD protection?

  • 13.3. Where a transformer is being used, 240v power lead less than 2m long and safely run?

  • 13.3. Electrical equipment near water?

  • 13.4. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

15. Administrative Procedures

  • 15.1. Lack of/or inadequate Site Safety Plan?

  • 15.2. Failure to obtain permits (Council, EPA, WHS, also Hot Works, Confined Space etc)

  • 15.3. Lack of, or inadequate, induction for workers, contractors, visitors?

  • 15.4. Lack or, or inadequate, supervisory arrangements?

  • 15.5. All operatives carrying suitable CSCS cards for works they are undertaking?

  • 15.6. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  • 15.7. Lack of, or inadequate system to review SWMS as needed?

  • 15.8. Lack of/or inadequate incident notification procedures?

  • 15.9. Lack of, or inadequate, routine inspections, monitoring, audits?

  • 15.10. Lack of/or inadequate consultative arrangements?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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.