Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Emergency Planning

  • Inspect emergency planning procedures?

  • Current Emergency Evacuation Plan & Procedure displayed in appropriate positions around site?

  • Fire Extinguishers are marked correctly on evacuation plan?

  • Emergency assembly & Muster points are highlighted on the evacuation plan?

  • Location of First Aid kits are marked on the evacuation plan?

  • Emergency Exits are marked correctly on evacuation plan

  • Emergency Numbers displayed on evacuation plan?

  • Tick if the emergency numbers displayed on evacuation plan include:

  • Local Police Station

  • Local Fire Brigade

  • Local Hospital

  • Power or electricity source

  • Gas

  • Chemwatch

  • Water & Sewerage

  • Site Managers phone number

  • Firefighting equipment in place and in good condition?

  • Fire extinguishers are correct type for the area?

  • Fire extinguisher signage is in place and correct?

  • Fire extinguishers are serviced every 12 months and fitted with anti-tamper tags?

  • Access to fire fighting equipment is clear?

  • Fire Breaks in place and adequate?

  • Access to switchboards is clear and unobstructed?

  • Smoke alarms fitted in nominated locations?

  • Emergency assembly / muster area(s) sign posted?

  • Emergency assembly / muster area(s) have a clear path to them and are free of debris?

  • First Aid kits are available with correct signage displayed?

  • First Aid kits in good condition and fully stocked (contents list is located on inside of kit - check)?

  • Are names of first aiders on site located on the first aid kit?

  • Emergency 'exit' signs present and illuminates (above fire doors and directing exits)?

  • Exits and stairs clear and unobstructed?

Housekeeping

  • Inspect housekeeping standards?

  • Access / Egress to work sites up to standard?

  • Caps on star pickets & rebar?

  • Rubbish bins provided and used?

  • Materials neatly stacked?

  • Work platforms clear?

  • Adequate lighting for night work?

  • All hoses off ground?

  • Correct signage in place & readable?

  • Hazardous Sub's labeling & storage?

  • Waste stored / removed correctly?

  • Recycling is occurring?

  • Do employees pick up stock / litter / spillages off floor & site area?

Offices and Toilets

  • Inspect office and toilet facilities?

  • Crib room clean, tidy and hygienic?

  • Floors are clean, clear with a safe path of travel throughout area?

  • Floor coverings / surfaces in good condition?

  • Toilets clean and hygienic?

  • No evidence of sewage spills or overflows?

  • Access and Egress; trip hazards, condition of flooring, anti-slip, handrails?

  • Emergency Evacuation Plan present?

  • Air conditioning & Ventilation adequate?

  • Leads, Lighting, Emergency Lighting all safe and do not present a hazard?

  • Housekeeping, cleanliness, food / rubbish disposal, hygienic?

  • Individuals Work Stations clean and tidy?

  • Equipment such as chairs, desks, computers, etc. are in good working condition?

  • Lights are working, covers in place where required and adequate for the job?

  • Electrically operated machines have current testing and tagging (includes kitchen appliances older than 12 months)?

  • Double adaptors are not being used?

  • First Aid Kit available?

  • Material Safety Data Sheets available?

Personal Protective Equipment (PPE)

  • Inspect PPE practices?

  • PPE available at the worksite?

  • PPE stored correctly and is accessible to workers?

  • Are sufficient stocks of PPE kept?

  • All appropriate PPE being worn by workers?

  • PPE in safe condition (no rips, no cracks, clean and tidy)?

Mechanical / Workshop

  • Inspect mechanical and workshop safety?

  • Only appropriate sized grinders in use?

  • Correct discs used in grinders?

  • Clips fitted to all hoses?

  • Ladders secured and tagged?

  • Guards fitted to machinery/ tools?

  • All power tools fitted with dead man?

  • Portable electrical equipment Tagged and current?

  • Wheel chocks in use / available?

  • Hand held tools are in good condition and stored appropriately?

  • Manual handling aids available?

  • Ladders used are in good working condition?

  • Safety warning signs present include:

  • Manual Handling

  • Eye protection

  • Keep out - Authorised Personnel Only

  • Visitors report to the Office

  • Chemicals

  • A register of authorised employees to operate plant / equipment is available?

  • Stacked items are safe - not overhanging or leaning?

  • Are pallets in good condition?

Electrical

  • Inspect electrical safety?

  • Condition of leads, plugs etc - adequate upon assessment?

  • ELCB / RCD used for portable tools - adequate upon assessment?

  • All equipment tagged correctly?

  • Leads off ground not near water?

  • Isolations appropriate & completed?

  • Earth leads on welders good condition?

Vehicles and Traffic

  • Inspect vehicles and traffic safety?

  • Traffic management plans are in place?

  • Speed limits are marked correctly?

  • All vehicles parked according to parking rules?

  • Park up areas are correct?

  • Are vehicles and equipment clean / no loose debris?

  • Radio procedures being followed?

  • Vehicles meet mine power requirements?

  • Adequate pre-start inspections are completed and logged on all machinery?

  • Flashing lights & headlights working and being used?

Roads and Surfaces

  • Inspect roads and surfaces?

  • Windrows at correct height?

  • Surfaces firm and safe?

  • Roads have adequate width?

  • Delineators are in place?

Excavations and Mining

  • Inspect excavations and mining safety?

  • Walls are appropriately battered back?

  • Walls are barricaded correctly?

  • Easy entry and exit to Digger?

  • Loading of Trucks sequenced?

  • Correct method of digging is being used?

  • Dump truck park up defined?

  • All signals appropriate?

Start of Day

  • Inspect start of day procedures?

  • Daily supervisor checks and critical control checks complete?

  • Access/egress to work area appropriate?

  • Regular risk and hazard analysis appropriate & completed?

  • Permits appropriate & completed?

  • Isolations appropriate & completed?

  • Work area de-marked and sign posted?

  • Material Safety Data Sheets (MSDS) available for chemicals at the workplace?

Hot Work

  • Inspect hot work procedures?

  • Hot work permit in place and current?

  • Flashback arresters on cylinders and hand pieces?

  • All equipment (hoses, etc) in good condition?

  • Fire extinguishers available for all Hot Work?

  • Earth clamps in correct location?

Crane Operations

  • Inspect crane operations?

  • Crane log books and documentation in place in the crane?

  • Cranes set up correctly?

  • Crane operator competent and trained appropriately?

  • Crane lift risk assessment form in place?

  • Crane suitable for work tasks?

Confined Space

  • Inspect confined space procedures?

  • All confined space permits in place and current?

  • All sentry space permits in place and current?

  • Correct confined space procedures being followed?

Hydrocarbon Storage

  • Inspect hydrocarbon storage?

  • All hydrocarbon materials inside bunds?

  • Oil spill equipment available, status?

  • No evidence of stains / spillage?

  • Bunds fully effective?

  • Fuel-containing equipment and plant in trays or provided with other bunding?

Chemicals

  • Inspect chemical safety?

  • Are only approved chemicals being used as per the Approved Chemical Register?

  • Chemicals stored on site are not expired or obsolete?

  • Are all the chemicals clearly labelled?

  • Containers in which chemicals are stored are in good condition and are not leaking?

  • Material Safety Data Sheets present at location where Chemicals are kept and easily accessible?

  • Is there adequate ventilation where chemicals are stored?

  • Are emergency showers or eye wash stations available & easily assessable?

General Safety Procedures

  • Noise levels acceptable?

  • Dust levels low and controlled?

  • Fibrous Material is being controlled?

  • Vibration is being controlled?

  • Has a register of Hazardous Materials been developed?

  • Names of OH&S Reps Displayed on Notice Board?

  • Danger Tags are available and being used correctly site wide?

  • Have controls been put in place to control hazards identified?

  • Have all employees completed job role training?

  • Has each work crew been established with a First Aider?

  • Have employees who conduct specialist tasks have received appropriate OH&S training?

Sign off

  • General Remarks

  • Person completing form

  • Witness/Participant

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.