• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Risk assessment and paperwork

  • Site specific risk assessment completed and signed?

  • COSHH details for chemical available

  • Emergency procedures manual present

  • Photo of risk assessment

  • First Aid qualified person on site?

  • Notes

Safety equipment and PPE

  • First Aid kit present

  • Bandages and plasters within date?

  • Anti-histamines within kit?

  • Eyewash?

  • Spill kit present

  • Fire extinguisher present, in date and fit for purpose?

  • Photo of fire extinguisher

  • Disposable suit being worn?

  • Mask/Breathing equipment being worn?

  • Disposable (yellow) bag for incineration available?

  • Notes

Site set up

  • Vehicle present on site?

  • Spray type

  • Safety features of sprayer explained by personnel on ground?

  • Cones in use/traffic or person management?

  • Signage board to explain work?

  • Photo of site set-up

  • Leaflets available for the public?

  • Notes

Summary of site visit

  • Notes

  • Add signature

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.