Marbut Stone Quarterly Compliance Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

INDUSTRY INDUCTION LICENSES

• Is the installer carrying industry induction card?

  Yes

  No

  Other (list comments at bottom)

PPE

• Hearing protection

  Yes (sufficient)

  yes (insufficient)

  NO

• Safety glasses are being used when cutting / grinding?

  Yes

  No

• First aid kit

  Yes (sufficient)

  Yes (insufficient)

  NO

• Safety vest or high vis polo

  Yes

  No

• Safety footwear

  Steel toe

  no steel toe

  no safety footwear

• Respirator with P2 filter is being used when cutting / grinding and P2 filter has been replaced?

  Yes

  No

• Hard hat

  Yes

  No

• Safety Gloves

  Yes

  No

• Dust coat is available and being used when cutting / grinding?

  Yes

  No

ESSENTIAL EQUIPMENT

• Cutting warning sign is being used when cutting / grinding and consultation is happening with other workers around the dust hazard?

  Yes (displayed while cutting)

  Yes (not displayed)

  Does not have sign with

  Does not have sign at all

• Tool tagging date on tools (test due date)

  Date

• Licensed test and tag certificate number (located on log sheet)

• Are there any tools or equipment that do not have an up to date test and tag

  Yes

  No

• Take a photo of a tag

  Media

• Safety guards in place on all tools

  Yes (in good order)

  Yes (requiring attention)

  No (faulty-broken-missing) comment below

• NO double adapters in use

  Yes (none in use)

  No (non compliant double adapter in use)

• Grinder and or Polisher with guards, on site, in good condition

  Yes

  No

• Photo of Grinder and or Polisher

  Media

SAFETY DOCUMENTS AND REGISTERS

• SWMS - Safe Work Method Statement - Has the SWMS been sighted for this audit, read and has been signed by all workers and are complying to all safe work practices?

  Yes

  No

• Is installers folder, including safety management documents, MSDS, tool tag registers, incident forms etc in work vehicle

  Yes

  No

• Are chemicals used on site only of those that are authorised on the MSDS Registers?

  Yes

  No

• How many builders audits have been conducted in the last 3 months

  None

  One

  Two

  Three

  More

• CORRECTIVE ACTIONS This section is for non conformity. For any audit questions that's are answered as 'NO' or 'INSUFFICIENT' must have a corrective action entered here. This must detail what needs to be done to rectify the non conformance.

• Due date for corrective actions

  Date

• Please list any other relevant information, requests, or comments

• I declare the information listed above has been supplied and sited as current and complies with Clayton's safety standards

  Yes

  No

• Auditors signature

  Sign

• Installers signature

  Sign