Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Names

  • Location

Site Set Up

  • 1. Familiar or Inducted onto the site?

  • Do not start work until you are familiar or have been inducted

  • 2. Signed onto the site?

  • Ensure the customer is aware you are on site

  • 3. Adequate task specific PPE for the works?

  • Do not start work until you have adequate task specific PPE , Issues - report

  • 4. Welfare available on site e.g. Toilets, Washing Facilities,?

  • Do not start work ,Issues - report

  • 5. Pre inspection of the work tools and equipment checking for faults or damage?

  • Do not use, Replace where necessary, Issues - report

  • 6. Ensure adequate safe protection of the work area?

  • Do not start work until a safe work area can be established, Issues - report

Hazards

  • 1. Are there any significant Slips, trips or falls on site?

  • Remove significant STF Hazards before undertaking your works?

  • Issues - Report

  • 2. Are there any risk of falls from height?

  • Implement adequate controls to prevent falls from height e.g. Avoidance, Mechanical Platforms, Barriers, PPE - Restraint/Arrest.

  • Issues - Report

  • 3. Does the work involve the use of COSHH (Substances Hazardous to Health)?

  • Ensure you understand the relevant COSHH risk assessment for the substance being used e.g. Segregation, PPE

  • Issues - Report

  • 4. Is there a risk of Falling objects, Materials?

  • 5. Protect work area e.g. Segregation, Barriers, PPE -Hard hats

  • Issues - Report

  • 6. Is there a risk of Heat/Fire/Explosion/Hot works

  • Ensure ignition sources are separated from sources/fuels, segregation controls, appropriate extinguishers nearby

  • Issues - Report

  • 7. Risks towards Asbestos

  • Ensure you have Asbestos awareness, request Asbestos building register, (DO NOT DISTURB ASBESTOS CONTAINING SUBSTANCES)

  • Issues - Report

  • 8. Risks towards Collapse

  • Do not work until structure, equipment, excavation, building has been certified safe - supports fitted.

  • Issues - Report

  • 9. Risks of Manual handling<br>

  • Avoid by using mechanical means, splitting loads, team lifts, Kinetic handling - TILE (Task, Individual, Load, Environment)

  • Issues - Report

  • 10. Risks towards Plant & Vehicle movements<br>

  • Separate and segregate people from plant/vehicle movements, barriers, PPE, Banksman/Watcher

  • Issues - Report

  • 11. Risks towards Confined spaces (Permit Req’d)<br>

  • Do not undertake work in a confined space unless trained and competent and a PTW has been issued

  • Issues - Report

  • 12. Risks of Noise<br><br>

  • Do not work in noisy environments without adequate protection, isolate noise source, mandatory ear defenders at 85db

  • Issues - Report

  • 13. Risks towards Temperature Hot/Cold<br>

  • Ensure body is protected with garments to protect from cold, ensure relevant PPE including sun protection from heat, accompanied with job rotations and exposure times

  • Issues - Report

  • 14. Risks of Vibration<br><br>

  • Identify exposure limits through HSE calculations, Vibration Monitoring devices, Job rotations and exposure times, Hand vibration PPE

  • Issues - Report

  • 15. Risks towards Electricity<br><br>

  • Trained and competent, Isolation of power sources, Segregation, Lock out , Tag out, PPE

  • Issues - Report

  • 16. Risks towards Contamination - Chemicals, Fumes<br><br>

  • Eliminate substance or chemical by replacing it, COSHH risk assessment controls available - PPE requirements, Barriers/segregation

  • Issues - Report

  • 17. Risks of Poor lighting<br><br>

  • Do not undertake work until, you have appropriate lighting, torches, headlamps, portable lighting, work in daylight hours

  • Issues - Report

  • 18. Risks towards Adverse weather<br>

  • Do not work unless you and equipment can be adequately protected (outside) PPE, Tents, Shelters

  • Issues - Report

  • 19. Risks towards Dust/Fumes<br>

  • Do not work until ventilation/extraction of dust/fumes is adequate, isolation, segregation, exposure times, PPE

  • Issues - Report

  • Additional notes

Completion

  • Supervisor 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.