Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Policies
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Have you read and do you understand the Traffic management plan for each area
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Have you read and do you understand the site environmental management plan ?
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Have you read and do you understand the safe work method statement ?
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Have you read and do you understand the site rules ?
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Do you agree to abide by and follow all the above mentioned policies
Permits and licensing
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Do have a current red card or are you booked in to obtain one [apprentices exempt]
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Have you been shown where the personal protective equipment is kept
Safety
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Have you been shown where the fist aid kits are kept
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Have you been told who are the first aiders are on this site and how to obtain treatment
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Do you understand the procedures for reporting incidents, injuries and hazards
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Do you know the location of the fire extinguishers
Emergency
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Have you been shown the emergency evacuation assembly point
General
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Have you been given the opportunity to ask questions about anything on this form and has your question been answered so you have a full understanding of everything mention above?
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Do you understand who is in charge of the site and that any issues must be reported to them
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Have you been shown where the toilets, drinking water and parking is located
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Please sign here