Pensar Fast 10 - task safety compliance audit - Gravel Placement

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Project Details

• Project name

• Project location

• Name of on-site Pensar management

• Date of audit

  Date

Compliance questions

• Is the task identified and documented in the pre-start meeting record?

  Yes

  No

  N/A

• Have all interaction issues been identified and controlled?

  Yes

  No

  N/A

• Are all workers engaged in these works fully aware of the controls that have been put in place?

  Yes

  No

  N/A

• Are spotters used for these works?

  Yes

  No

  N/A

• Is the spotter controlling the works adequately?

  Yes

  No

  N/A

• What means of communication are being used?

• Are tipping zone requirements being met?

  Yes

  No

  N/A

• Are travel routes for delivery trucks defined and being adhered to?

  Yes

  No

  N/A

• If works are being carried out near overhead services, are adequate controls in place?

  Yes

  No

  N/A

• Are the work being carried out safely?

  Yes

  No

  N/A

• Signature of person completing this audit

  Sign