• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Did the person being observed attend the daily pre start meeting?

  • Is the task being conducted covered by a JSEA or Procedure?

  • Has the person being observed signed the JSEA or Procedure?

  • Has a Take 2 been completed for the task? (if NO, then please detail reasons)

  • Are all site management rules being complied with during the task? (PPE requirements, traffic management, etc)

  • Does the person being observed have the appropriate competencies required for the task?

  • Has a Pre Start Check been completed for the items of plant being used?

  • Is all plant being used for the task fit for purpose and in a safe and serviceable condition?

  • Is the working environment safe to complete the task? (bund walls in place, weather conditions, etc)

  • Is adequate communication being used between workers completing the task? (two way radios, visual, etc?)

Instructions or Advice Provided to Person Being Observed?

  • Instructions Provided

  • Advice Provided

  • Positive Feedback to Observed Person

  • Opportunities for Improvement


  • Person Conducting Observation

  • Person being Observed

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.