NCIG - PTO - Housekeeping

• Audit Title/Client/Date (reverse order)

• Prepared by

• Location
  Address

• Personnel

EVALUATION

• Are all activities performed in compliance with an accepted JSEA that is still adequate for the current tasks & conditions?

  Yes

  No

  N/A

• Do all persons appear to understand the requirements of the JSEA & have signed off?

  Yes

  No

  N/A

• Is there appropriate, safe & clear access to & egress from the workplace?

  Yes

  No

  N/A

• Is there clear access to emergency equipment?

  Yes

  No

  N/A

• Is there a safe system for collecting, storing & disposing of excess or waste materials? i.e. bins or containment facilities

  Yes

  No

  N/A

• Have all non-essentials been removed from the work site

  Yes

  No

  N/A

• Is there enough area allocated to safely store materials or plant?

  Yes

  No

  N/A

• Is adequate safety signage in place?

  Yes

  No

  N/A

• Are signs maintained & in good condition?

  Yes

  No

  N/A

• Are protruding objects made safe? i.e. star pickets & reo bars capped

  Yes

  No

  N/A

• Is lighting supplied, adequate & maintained for the work being done?

  Yes

  No

  N/A

• Are work surfaces free of debris & work areas clear of trip hazards?

  Yes

  No

  N/A

• Are there any other risks or issues associated with the activities observed?

  Yes

  No

  N/A

• If yes, provide details

• Location of Observation

• COMMENTS & RECOMMENDATIONS

• Comments & recommendations to be actioned by

• Signature of observer

  Sign