Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Hazards

  • Falling material

  • Ladders

  • Scaffolding

  • Roofs

  • Cranes

  • Elevated platforms

Trenches/confined spaces

  • Pits and trenches

  • Tanks

  • Shafts

  • Confined spaces

Plant

  • Wot/current test tag

  • Machine guards

  • Rcds

  • Leads

  • Vibration

General environment

  • Public access

  • Signage/barriers

  • Housekeeping

  • Wet slippy environment

  • Hazardous materials

  • Chemicals

  • Services water gas power

  • Exposure to weather

  • Extreme temperatures

  • Traffic

  • Noise

  • Dust and debris

  • Explosion /fire

  • Machinery

  • Mobile plant

Ppe

  • Saftey boots

  • Hearing protection

  • Eye protection

  • Hi viz

  • Saftey helmet

  • Respiratory protection

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.