Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Paperwork

  • Has the WORKING ON ROOF PROTOCOL PAPERWORK been fully signed off and is ONSITE?

  • Has the correct SWMS been selected and filled out fully with all signatures of people working Onsite.

  • Has the daily JSA been filled out and signed by all workers on site?

  • Has a Pre Start checklist been completed for all equipment being used on site?

Safety

  • Are all workers wearing Fluor clothing or Fluro Vests

  • Is the correct PPE being used for all tasks being undertaken?

  • Are there adequate barricades set up to keep the public out of work areas?

  • Is there adequate signage warning the public of overhead work being done.

  • Is there any Hire Equipment on site.

  • If the answer is Yes is it tagged as tested and serviceable?

  • Are all workers trained in their particular task.

  • Are all safety standards as laid out in the JSA being followed?

  • Are all materials required for the job stored in a safe place out of harms way?

  • Are all materials being handled and moved around the job site in a safe manner?

  • If there is heavy machinery on site is the ground protected adequatley with boards or other protection?

  • Are there any overhead wiring in the work area?

  • If the answer is YES are they protected with Tiger Tails?

  • Are they using a Safety Harness to complete the work?

  • If yes is the Safety Harness Fitted Correctly?

  • If yes is there an adequate anchor point set up ?

  • Is the work site clean and tidy?

COMPLIANCE

  • Do they have a Van Pack in their Vehicle?

  • Is their Material Safety Data Sheet Register filled out correctly?

  • Are they carrying the correct MSDS for all chemicals ONSITE and in Vehicle?

  • Is the vehicle carrying a Fully Charged Fire Extinghuisher?

  • Is there a First Aid Kit in the Vehicle?

General Comments.

PERFORMANCE RATING.

  • How would you rate the overall performance of the workers on the day?

  • Select from range

COMPLETION SIGN OFF.

  • Add 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.