• Document No.

  • Audit Title

  • Client / Site

  • Description of plant

  • Make and Model of Plant

  • Asset ID (If applicable)

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 Plant condition and Guarding

  • 1.1 Are all moving parts (belts, pulleys, sprockets, chains and shafts that could expose workers to machinery entanglement, adequately guarded?

  • 1.2 Are operator manuals available for the machine?

  • 1.3 Are all fittings clean and in working order (Lights, reflectors, windscreens, rear-view mirrors, etc....)

  • 1.4 Are operators able to adjust the seat to their individual requirements?

  • 1.5 Is the exhaust system functional to protect the operator from noise and exhaust gas fumes?

  • 1.6 Are steps and hand rails on plant adequate and situated to allow safe access and egress?

  • 1.7 Are hydraulic hoses and fittings in good condition with no leaks?

  • 1.8 Are PTO master shields, shaft and PIC guards in place and good order and condition?

  • 1.9 Is the machine/plant located out of high volume traffic areas, while still allowing access for plant to load and unload if required?

  • 1.10 Are all instruments and gauges functional and in good working order?

  • 1.11 Are all brake and steering systems functional and within safe operating limits?

  • 1.12 Are all lock-out and limit switches in good working order and fitted where necessary?

  • 1.13 Are there Safe Working Load (SWL) limits displayed on material handling plant such as fork-lifts and cranes?

  • 1.14 Is pant and equipment fitted with tag-out systems and physical lock-out mechanisms; that prevent the accidental energising or starting of plant and machinery when maintenance or repairs is being performed?

2.0 Hazard Protection and Adminstrative Controls

  • 2.1 Is suitable hearing protection available if noise levels exceed a safe threshold level?

  • 2.2 Is suitable eye protection available if required?

  • 2.3 Have workers (relevant operators) been inducted into the safe operating procedures for the machine or plant?

  • 2.4 Are there first-aid kits available to operators in the work environment?

  • 2.5 Are there trained first-aid persons available in the workplace?

  • 2.6 Is a fire extinguisher available, if a risk assessment has determined that a fire risk is associated with the job task?

  • 2.7 Is plant and equipment routinely serviced and maintenance records kept of the services?

  • 2.8 Are daily pre-operational checks performed before using the machine or plant?

  • 2.9 is appropriate respiratory protection available for operators using plant and machinery that may generate chemical particles, vapour, fumes or respirable dusts?

3.0 Plant and Equipment Operational Policy - General

  • 3.1 Is there a policy of skills assessment of new and existing workers to determine their competency to operate machinery and vehicles in a safe and competent manner?

  • 3.2 Are operators, who are under training, adequately supervised and mentored until such times as they are deemed competent to operate relevant plant and machinery?

  • 3.3 Are operators instructed to check for pedestrian traffic and children who may be present in the work area?

  • 3.4 is there a policy in place that prohibits persons, without adequate seating, from riding on machines or in vehicles unless the activity is deemed to be a "specific work activity"

  • 3.5 Has a documented risk assessment and a safe work procedure been developed and implemented for those "specific work activities" that may require a person to operate in an unrestrained manner from a machine or vehicle, in certain operational circumstances? (I.e. Fire fighting from the back of a Ute)

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.