M80 Site Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Emergency Assembly Area

• Select date

  Date

General

• Correct PPE being worn

  Yes

  No

  N/A

• Are all materials stacked neatly

  Yes

  No

  N/A

• Work areas tidy

  Yes

  No

  N/A

• Walkways clear and free of trip hazards

  Safe

  At Risk

  N/A

• Caps on star pickets

  Yes

  No

  N/A

• INSERT PHOTO OF COMPLETED SITE DAILY JSEA CHECKLIST

  Media

Excavations & Trenches

• Bunting erected where required

  Safe

  At Risk

  N/A

• Holes / pit covers secure

  Safe

  At Risk

  N/A

• Excavations battered / benched

  Yes

  No

  N/A

• Access to excavation suitable

  Safe

  At Risk

  N/A

• Permits in place

  Yes

  No

  N/A

Signage

• Correct signage posted

  Yes

  No

  N/A

• Speed limits clearly defined

  Yes

  No

  N/A

• All signage clearly visible

  Yes

  No

  N/A

Electrical

• Power leads raised and clear of walkways

  Yes

  No

  N/A

• Tools tagged

  Yes

  No

  N/A

• RCD devices/earth stakes used

  Yes

  No

  N/A

• Leads clear from walkways

  Yes

  No

  N/A

Hazardous Substances

• MSDS availiable

  Yes

  No

  N/A

• Stored and/or bunded correctly

  Safe

  At Risk

  N/A

• Spill kit present

  Yes

  No

  N/A

• Fire extinguishers available

  Yes

  No

  N/A

Vehicles / Plant

• Flashing lights used

  Yes

  No

  N/A

• Pre-starts completed

  Yes

  No

  N/A

• Seat belts worn

  Yes

  No

  N/A

• INSERT PHOTO OF CREW COMPLETED VEHICLE CHECKLIST

  Media

• INSERT PHOTO OF CREW COMPLETED PLANT CHECKLIST

  Media

Working at heights

• Safety Harnesses used correctly

  Safe

  At Risk

  N/A

• Handrails installed where required

  Yes

  No

  N/A

• Access/Egress Ladders used correctly and in good condition

  Yes

  No

  N/A

• Scaffolds tagged

  Yes

  No

  N/A

• Person submitting inspection report?

  Sign