Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Questions - if no consult supervisor

  • 1.1. Are you at your correct place of work

  • 1.2 Are you wearing the correct PPE

  • 1.3. Do you have the correct documentation (RAMS)

  • Type of RAMs

  • Show New RAMS to supervisor/ M&E Manager

  • 1.4 Do you have the correct tools

  • 1.5 Do you have the correct training for the task

  • 1.6 Have you the means to restrict access by the parties? (locks, signage, barriers)

  • 1.7 Have you notified the control room

  • Confirm you have read and understood the above

2. Physical Injury - Hazards

If High Risk - consult supervisor before commencing works

  • 2.1. Mobile Plant

  • 2.2. Moving parts or machinery

  • 2.3 Working/falls from heights

  • 2.4. Use of access equipment

  • 2.5. Slips, trips and falls

  • 2.6 Pressurised systems

  • 2.7 Electricity HV

  • 2.8 Electricity shocks

  • 2.9 Hazardous areas

  • 2.10 Hot work

  • 2.11 Fire/explosion

  • 2.12Work equipment use

3. Physical Agents - Hazards

  • 3.1. Temperature - High/Low

  • 3.2 Noise/Vibration

  • 3.3. Hazardous Substances

  • 3.4. Chemicals

  • 3.5. Asbestos

4. Manual Handling - Hazards

  • 4.1 Heavy/ Awkward Lifting

  • 4.2 Stretching

  • 4.3 Moving materials

5. Environmental - Hazards

  • 5.1 Adverse weather

  • 5.2 Discharge to air

  • 5.3 Spillage/ contamination

6. Miscellaneous - Hazards

  • 6.1 Lone Working

  • 6.2 Confined space

  • 6.3 Restricted Access

  • 6.4 Operating plant or machinery

  • 6.4 Motorised Traffic

  • 6.5 Pedestrians

Sign Off

  • signature

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.