Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

SITE DEMARCATION AND BARRICADING

  • A site identification board with the correct details is displayed.

  • The demarcation and barricading conform to the standard

  • Site access and exits are available

  • Waste is identified and demarcated

  • Safety notices and signs are available and in place

HOUSEKEEPING

  • Tools and equipment are stored correctly

  • Working and walking areas are kept clean

  • All walking and working areas free of potential hazards

  • Working areas is adequately illuminated and ventilated

  • The general contractor is using good stacking and storage practices

SECURITY-SITE DEMARCATION

  • Movement takes place within the demarcated area

FIRE FIGHTING-SITE DEMARCATION

  • The correct fire fighting equipment is available /accessible and within service date

  • Fire fighting equipment is in a good condition and certified for use

  • Personnel are trained and know how to use the equipment

EMERGENCY PROCEDURE AND GENERAL SAFETY

  • All contractors employees are familiar with the emergency procedure for the site specific and assembly point

  • Contractor supervision is physically on site

  • The vehicles are roadworthy and drivers of vehicles can produce a valid drivers licence

HAZARDOUS MATERIALS

  • Hazardous material is stored safely

  • Material data sheets MSDS are available

  • All equipment and tools leaving site are decontaminated

  • There are no smoking materials,food or drinks on site -safety distances (explosives act)

  • There are no illegal substances on site

SCAFFOLDS AND LADDERS

  • The area is identified for overhead work in progress

  • The scaffolds have been tagged with a date visible

  • Scaffold is in a good condition and the structure is secured correctly

  • Scaffold is identified and certified for use(register in place)

  • Safety harnesses/belts are used as required by legislation

  • Ladders are in a good order and used correctly

EQUIPMENT AND GENERAL SAFETY

  • PORTABLE ELECTRICAL EQUIPMENT-all portable extension cables are earthed

  • PORTABLE ELECTRICAL EQUIPMENT-all plug outlets and extension cables are in good working condition

  • PORTABLE ELECTRICAL EQUIPMENT-all portable equipment are in a good condition fit for use with no frayed cables or other hazardous conditions present

  • LIFTING EQUIPMENT - is in a good working condition

  • LIFTING EQUIPMENT-is identified and load tested

CUTTING AND WELDING

  • Pipes,fittings and gauges are in a working order

  • Cylinders are stored and secured correctly

  • Flashback devices are fitted on all equipment

GENERAL

  • Safety devices and protective guards are in place and working condition

  • Necessary safety precautions are taken in the use of equipment

SAFETY MANAGEMENT

  • Correct PPE is used for the area and type of work done

  • Employees have received induction training and safety talks are held regularly

  • There is an appointed HES representative on site

  • Competent person has been appointed _safety rep

  • Risk assessment has been completed and site specific

ENVIRONMENTAL MANAGEMENT

  • All environmental risk impact assessments have been completed and all relevant impacts been identified

  • All workers are familiar with the environmental risks and their impacts with preventative measures

ERGONOMICS

  • Stress factors(eg:noise ,heat,fumes,vibration etc) are minimized

  • The work is performed under acceptable ergonomic conditions

FIRST AID

  • The first aid box is available and accessible

  • The contents of the first aid box comply with the minimum requirements

  • Trained first aided are available on site

  • Incidents and accidents have been recorded with an investigation

  • Address of site details
  • Date and time

  • Authorized person

  • Signature of confirmation

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.