Audit

GENERAL

Fire Extinguisher

Expiry Date

Full Finger Gloves

Hearing Protection

Safety Glasses

First Aid Kit

Traffic Cones

Amount

OHS Manual

Up to Date?

Warning Signs

Mowing In Progress

Spraying In Progress

Rectification Date

Sun Screen (30+)

SWMS

Rectification Date

Blank Document

Completed Document for Listed Services

Blank Injury Report Form

UNIFORM

Hi-Vis shirt

Hat

Steel Cap Boots

SERVICES PROVIDED

Mowing

Brush Cutter Guard

Edger Guard

Cracks in Case

Gardening

Chainsaw/Pruning

Hard-Hat/Hearing Protection & Visor Combo

Chaps

Working Chainsaw Break

Gutters

Single Storey

Industrial Rated Ladder (>120Kg)

Ladder Lock

Double Storey

Rated Harness

WorkSafe Qualification (Working at Heights)

Expiry Date

Spraying

Commercial Spraying Licence

Expiry Date

Chemical Resistant Gloves

Respirator

Chemical Resistant Googles

EMPLOYEES

Does Franchisee have employees?

Name

Induction Training Record

PPE

Record of Safety Meeting

Jims Mowing Hi-Vis Shirt

CONCLUSION
Franchisee Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.