Title Page


  • Date and Time

  • Employee Name

  • Site Name Location

  • Task Description

  • Vehicle Type

  • Vehicle Registration

  • is the employee licensed for this type of and vehicle and is the license current?

Personal Protective Equipment

  • Eye Protection

  • Hand Protection/ Gloves

  • Steel Capped Footwear

  • Long Sleeves and Long Leg Clothing

  • Hi Visibility Clothing or Vest (Vic Road Standard)

  • UV Protection - Broad Brimmed Hats, Sun Cream

Traffic Management and or Site Protection Measures

  • Flashing Lights Operational

  • Hazard Warning LIghts Operational

  • Site Has Advanced Warning Signs

  • Site Has Been Barricaded (cones, barrier tape)

  • Traffic Management Measures Employed

  • Traffic Management Plans Available

Working Environment

  • Housekeeping Adequate

  • Load Secured

  • Daily Plant Checklist Completed

  • First Aid Kit Available and Fully Stocked (no expired items)

  • Other items to be included in the audit

Tools And Equipment

  • Hand Tools Appear in Good Condition

  • Warning Stickers In Place And In Good Condition

  • Powered Plant In Good Condition

  • Warning Lights Operational

  • Guarding In Place

  • Lifting Equipment are Tagged, And In Good Condition

  • Fire Extinguishers Fitted And Testing Current (within the green zone)

Documentation / Risk Assessment

  • Are Standard Operational Procedures Available and Understood

  • Are Safe Work Method Statements Available And Understood

  • Site Specific Risk Assessments Performed

  • Safety Data Sheets Readily Available For All Chemicals Being Used

  • All Chemicals In Approved Containers

  • Has Employee Been Trained On The Plant And Equipment

Observations And Comments

  • Comments and Observations

  • Follow up Inspection Required

  • Followed Up Audit Due On - Insert date

  • Auditors Signiture

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.