Title Page
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Client
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Site conducted
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Location
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Conducted on
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Prepared by
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Signature
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Accompanied by
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Scoring
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Report
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High Risk Activities
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Worker Engagement
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Risk Assessments/Method Statements
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Hazardous Substances
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Supervision
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Competence
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Plant/Equipment
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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PPE
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Housekeeping
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Welfare Facilities
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Fatigue Management
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
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Waste Management
- 5 - Major Issue
- 4 - Moderate Issue
- 3 - Non-compliance with company standard
- 2 - Company standard achieved
- 1 - Good practice/innovation.
- Not Applicable/Unassessed
