Information

  • General Health & Safety Audit

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

    Work Site

1. Permit to work

  • 1.1. Is the permit to work on site

  • 1.2. Is the PTW holder or person in charge of the permit on site

  • 1.3. Is the Permit to work signed off by the relevant people.

  • Tick what documentation is within the permit.

2. Plant and Equipment

  • 2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)

  • 2.2. Incorrect plant /equipment for job? (e.g. grinding discs for cutting)

  • 2.3. Unsafe or incompatible attachments used with plant/equipment?

  • 2.5. Lack of safe work instructions?

  • 2.6. Lack of training in safe operation, clean-up and maintenance?

  • 2.7. Lack of inspection regime? has the daily check sheet been completed.

  • 2.8. Does the equipment to to be in good working order

3. Lifting Equipment

  • 3.1. Unsafe or damaged plant?

  • 3.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 3.3. Lack of maintenance, testing and inspection?

  • 3.4. Lack of SWL information displayed?

  • 3.5. Lack of daily inspection protocol?

  • 3.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • 3.7. Lifting equipment unlabelled, does not meet standard no SWL displayed?

  • 4.8.. SWL of plant or any lifting equipment exceeded?

4. Working at Heights

  • 4.1. Fall risks of 1.8m or more? (including voids, pits, and trenches)

5. Hazardous Manual Tasks

  • 5.1. Lack of identification hazardous manual tasks?

  • 6.2. Lack of assessment of hazardous manual tasks?

  • 6.3. 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)

  • 8.2. Inadequate spill containment equipment?

  • 8.3. Safety Data Sheets not accessible on site?

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

  • 8.5. Excessive quantities stored on site or in vehicles?

  • 8.6. Insufficient ventilation?

  • 8.7. Insufficient, or incorrect, PPE?

  • 8.9. Unsuitable storage containers? (unlabeled or stored in food containers)

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 training and rehearsal of emergency plans? if teh answer to yes what was the date a drill was carried out

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

  • 9.5. Insufficient access to formally trained First Aiders for all shifts?

  • 9.6. Unsuitable or inadequate communication equipment?

10. Personal Protective Equipment (PPE)

  • 10.1. Lack of, or inadequate PPE (including sun protection)

  • 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. Work Environment

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

  • 11.2. Insufficient lighting?

  • 11.3. Inadequate housekeeping?

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

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.