Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Hard hat to EN397

  • Being worn or available

  • Suitable for task

  • Condition

  • Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Safety glasses to EN 166

  • Being worn or available

  • Suitable for task

  • Condition

  • Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Safety boots to BS EN 345 S3

  • Being worn or available

  • Suitable for task

  • Condition

  • Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Safety gloves to EN 388 (minimum performance level 4131)

  • Being worn or available

  • Suitable for task

  • Condition

  • Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

High visibility vest to EN 471 class 2

  • Being worn or available

  • Suitable for task

  • Condition

  • Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Full body harness to EN 361

  • Being worn or available

  • Brought into service date

  • Suitable for task

  • Condition

  • Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Energy absorber lanyard to EN 355

  • Being worn or available

  • Brought into service date

  • Suitable for task

  • Condition

  • Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Lanyard to EN 354

  • Being worn or available

  • Brought into service date

  • Suitable for task

  • Condition

  • Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

General notes

  • Notes

Signatures

  • Auditor

  • Audited

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.