Title Page
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Site conducted
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Plant/Area:
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Employee/Contractor Name:
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Conducted on
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Prepared by
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Line Manager
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Location
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Task description:
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Does the employee have a valid site safety induction?
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Did the visitor/contractor employee complete the online safety induction?
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Did the visitor/contractor employee complete the visitors register granting him/her access to the facility?
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Does the employee have a training profile specific to his tasks/job?
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Is there an operating instruction/ procedure for the work being conducted?
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Is there a planned job observation for the task? Check if the employee has undergone PJO for the task.
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Is there a CRA or PTRA completed for the task?
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Is the employee/contractor authorised to work in the facility?
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Are the employee performing tasks within his/her scope of work? (Example: only scaffold builders are authorised to modify scaffold)
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Are the employee's declared competent for the work being performed? (Passed-out. Example: forklift driver)
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Comments: Where deviations have been noted, indicate the corrective action taken. Also report the matter to the supervisor
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Auditors signature:
