Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Policies

  • Have you read and do you understand the Traffic management plan for each area

  • Have you read and do you understand the site environmental management plan ?

  • Have you read and do you understand the safe work method statement ?

  • Have you read and do you understand the site rules ?

  • Do you agree to abide by and follow all the above mentioned policies

Permits and licensing

  • Do have a current red card or are you booked in to obtain one [apprentices exempt]

  • Have you been shown where the personal protective equipment is kept

Safety

  • Have you been shown where the fist aid kits are kept

  • Have you been told who are the first aiders are on this site and how to obtain treatment

  • Do you understand the procedures for reporting incidents, injuries and hazards

  • Do you know the location of the fire extinguishers

Emergency

  • Have you been shown the emergency evacuation assembly point

General

  • 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?

  • Do you understand who is in charge of the site and that any issues must be reported to them

  • Have you been shown where the toilets, drinking water and parking is located

  • Please sign here

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.