Pre-start site assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hazards

• Falling material

  Yes

  No

  N/A

• Ladders

  Yes

  No

  N/A

• Scaffolding

  Yes

  No

  N/A

• Roofs

  Yes

  No

  N/A

• Cranes

  Yes

  No

  N/A

• Elevated platforms

  Yes

  No

  N/A

Trenches/confined spaces

• Pits and trenches

  Yes

  No

  N/A

• Tanks

  Yes

  No

  N/A

• Shafts

  Yes

  No

  N/A

• Confined spaces

  Yes

  No

  N/A

Plant

• Wot/current test tag

  Yes

  No

  N/A

• Machine guards

  Yes

  No

  N/A

• Rcds

  Yes

  No

  N/A

• Leads

  Yes

  No

  N/A

• Vibration

  Yes

  No

  N/A

General environment

• Public access

  Yes

  No

  N/A

• Signage/barriers

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Wet slippy environment

  Yes

  No

  N/A

• Hazardous materials

  Yes

  No

  N/A

• Chemicals

  Yes

  No

  N/A

• Services water gas power

  Yes

  No

  N/A

• Exposure to weather

  Yes

  No

  N/A

• Extreme temperatures

  Yes

  No

  N/A

• Traffic

  Yes

  No

  N/A

• Noise

  Yes

  No

  N/A

• Dust and debris

  Yes

  No

  N/A

• Explosion /fire

  Yes

  No

  N/A

• Machinery

  Yes

  No

  N/A

• Mobile plant

  Yes

  No

  N/A

Ppe

• Saftey boots

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Eye protection

  Yes

  No

  N/A

• Hi viz

  Yes

  No

  N/A

• Saftey helmet

  Yes

  No

  N/A

• Respiratory protection

  Yes

  No

  N/A