Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add location
  • Add media

  • 1 Jun 2012

Permit to Work

  • Is permit to work open at time of inspection?<br><br>

  • Is work description accurate?

  • Are all authoring signature on the permit?

  • Have all hazards been identified?

Job Safety Analysis

  • Is a hard copy of the Job plan available on site?

  • Does the Job plan relate to reviewed work permit?

  • Is the team aware of the Job plan content&precautions?

  • Has everyone signed onto the plan?

Emergency Respond

  • Does the team know where the first aid is located?

  • Has the at muster point been agreed location?

  • First Aid kit on site?

  • Is there fire extinguisher on site?

  • Other comment

General Working Area Condition

  • Is the access equipment in date and in good order?

  • Is there a good housekeeping?

  • Are the safety signs good condition?

  • Is there any specific finding?

  • Are all safety equipment good condition and ready to use?

Storage Area

  • Is the material stored safely?

  • Container closed unless activity being use

Scaffolding

  • Are scaffolders trained?

  • Are scaffolders wearing a full body safety harness with double land yard?

  • Is scaffold tagged?

  • Appropriate PPE

Work activity

  • Is equipment in good order?

  • Area isolated from other area

  • Barricaded and warning signs posted

  • Are COSHH sheets and MSDS available?

  • Good house keeping

  • Appropriated PPE

  • Compressor in good working order and certified

  • Hose , connector, grounding in safe condition

  • PPE breathing , blasting hood in safe condition

  • Dust control in place and effective

  • Whip line fitted to all pressures hoses

  • Other comment

Waste Management

  • Is the waste stored safely?

  • Waste container in good condition

  • Other comment

Summary

  • Is this site safe?

  • Overall rating

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.