Pioneer Contractor Health & Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Safety

• Sign-in Register has legible names

  Yes

  No

  N/A

• All contractors have been inducted

  Yes

  No

  N/A

• Contractors have completed qualification paperwork

  Yes

  No

  N/A

• Hazardous Substances Register and MSDS sheets at entrance

  Yes

  No

  N/A

• Hazard Board has current work hazards entered

  Yes

  No

  N/A

• Hazardous substances labelled and stored in appropriate cabinets

  Yes

  No

  N/A

• Work area is clean, safe and tidy while work is in progress (housekeeping)

  Yes

  No

  N/A

• Physical hazards have been fenced off<br>

  Yes

  No

  N/A

• Permit area is managed

  Yes

  No

  N/A

• Site is secure, doors to restricted areas are locked or under constant supervision

  Yes

  No

  N/A

• Appropriate PPE equipment is being used as and where required

  Yes

  No

  N/A

• Portable equipment is tested and tagged for current period

  Yes

  No

  N/A

• Emergency equipment is in place (fire extinguishers etc.)

  Yes

  No

  N/A

Job Documentation

• Contractors are adhering to their Safety Plan

  Yes

  No

  N/A

• Log Book has been filled in correctly if isolations are in place

  Yes

  No

  N/A

• Access/Test Permit has been completed correctly

  Yes

  No

  N/A

• Hot Work/Confined Space Permit has been completed correctly

  Yes

  No

  N/A

• All work party members have signed the Tailgate (or similar) and risks identified have been controlled

  Yes

  No

  N/A

• Permit Holder / Staff Competency certificates are valid

  Yes

  No

  N/A

• Job plan / instructions are on site relating to the specified maintenance / project

  Yes

  No

  N/A

General comments and or observations