Title Page

  • Audit Title

  • Client / Site/ Building

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Instructions:

    1. Answer "Yes", "No", "N/A" for the questions below.
    2. Add photos and notes by clicking on the paperclip icon.
    3. To add a Corrective Measure, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

1. Personal Hazards

  • 1.1 Plant is protected from any hair, clothing, gloves, jewelry, brushes, rags or other materials becoming entangled with moving parts.

  • 1.2 Risk of crushing from parts of plant falling off, or uncontrolled or unexpected movement of plant has been addressed.

  • 1.3 Risk of being cut, stabbed or punctured due to contact with moving parts, or materials loaded into or taken out or ejected, has been addressed

  • 1.4 Risk of being injured from shearing (caught between moving parts), friction or being struck has been addressed

  • 1.5 There is protection from contact with electricity, heat, explosion, steam, hydraulic fluid and toxic substances.

  • 1.6 Plant is protected from contact with overhead or underground power lines and public authority services.

2. General Hazards

  • 2.1 Access and egress provisions are safe.

  • 2.2 Risks associated with the plant when it is not in use or when undergoing maintenance have been addressed.

  • 2.3 Controls are suitably identified and conveniently located.

  • 2.4 Controls can be locked off and power disconnected when not in use.

  • 2.5 Guarding is adequate for the type of plant and the work being undertaken.

  • 2.6 Regular inspections and maintenance programs are carried out as scheduled (including electrical testing).

3. Competency and Training

  • 3.1 Is a certificate of competency required?

  • Has it been obtained?

  • 3.2 Is training required for operation?

  • Have operators been trained?

  • 3.3 Operating instructions are available and easily understood.

4. Environmental Hazards

  • 4.1 The environment is protected from contamination by vapour, fumes, noise etc.

  • 4.2 The discharge of hazardous substances has been contained.

  • 4.3 Plant has been monitored for air emission controls where required.

5. Hazards with Plant used for Lifting People or Materials

  • 5.1 Lifting capacity is below the designated safe working load.

  • 5.2 Loads are protected if they are required to be suspended over people

  • 5.3 Safe egress is possible in the event of a plant failure

6 Ergonomics

  • 6.1 Frequently used controls are within easy access

  • 6.2 Excessive force is not required to operate the plant or controls

  • 6.3 Work postures for operators are not constrained or awkward.

  • 6.4 Does the operator need to over-reach, stretch, lift, carry or bend in such a way that it may cause body strain?

7 Chemical Aspects

  • 7.1 MSDS available for any hazardous chemicals

  • 7.2 Containers are labelled with chemical name and Class diamonds

  • 7.3 Chemicals are stored appropriately

8 Regulatory Aspects

  • 8.1 Is there a register of all plant & equipment with up to date maintenance and testing records?

  • 8.2 Does the plant meet current standards and relevant regulations?

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.