Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PRE-REQUISITES
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What operation is being performed today?
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Choose the best Operating Practice / Safe Work procedure relevant to this specific operation
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SUPERVISOR
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CONTRACTOR
RISK ASSESSMENT
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Slippery or uneven underfoot conditions
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Debris/branches and tripping hazards
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Rain, wind, cold temperatures
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Lightning, hail, flooding
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Animals
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Snakes
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Insects
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Burning operations
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High fuel loads
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Ground pollution
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Water pollution
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Falling trees
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High/dangerous stumps/logs
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Thorny plants
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Noise
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Chemicals/Herbicides
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Dust and pollen
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Lifting of heavy objects
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Safe work distance required
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Vehicle roadworthy and safe
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Faults reported and attended to
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Operators authorised and competent
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Fatigue
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Training and competence of supervision
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Level of supervision required
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Trained first-aider and safety rep
REQUIRED PPE
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Overall (Acid/normal)
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Pants
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Top
- Yes
- No
- N/A
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Dust coat
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Apron
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Hard hat
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Gum boots
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Safety shoes
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Safety glasses
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Faceshield
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Welding helmet
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Dust mask
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Respirator
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Ear protector
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FAS
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Gloves
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Operating clothing
