Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Safe Place of Work

  • Is there a safe access for all on site to reach their place of work ie good roads, gangways, passageways, hoists, staircases, ladders and scaffolds?

  • Is artificial lighting required on site?

  • Are there proper arrangements for the disposal of waste?

  • Other hazards

Working at Height

  • Is adequate types of access in place? Ie crawl boards/ladders etc?

  • Edge protection for materials/people?

  • Are there roof lights?

  • Are people working below requiring protection from falling objects?

  • Is scaffolding required?

  • Does the scaffolding require permits?

  • Is MEWP necessary?

Electricity

  • Is there an electric underground cable near the work being carried out, has it been located and marked and precautions take to avoid contact?

  • Are there overhead lines within confine of site?

Mobile Plant

  • Has location been identified for the storage of onsite plant and equipment?

  • Would the equipment noise output have a significant impact on the surrounding environment?

  • Is general noise going to be a problem during site access/egress and on site?

Health Risks

  • Have harmful materials been identified?

  • Safety equipment required PPE?

  • Are protective measures required within the work areas?

  • Is confined space works required?

  • Is dust screening required?

  • HA vibrations?

Risks to the public

  • Does the work create risks to members of the public? Eg materials falling, site plant, access and egress

  • Is the site perimeter fencing adequate to keep out the public?

  • Is the site secure during non working hours and periods?

Welfare

  • Are there toilets?

  • Are there wash basins, hot water, soap and towels?

  • Is there a room or area where clothes can be dried?

  • Is there a room where workers can shelter and have meals with facilities to boil water?

  • Is there a supply of drinking water provided?

Fire and emergencies

  • Are hot works going to be carried out?

  • Fire extinguishers required?

  • Additional escape routes?

Compressed gases

  • Are cylinders to be stored on site?

Traffic routes and vehicles

  • Does the work require traffic management?

  • Is there suitable parking for onsite vehicles?

Environmental

  • Is a water course on site?

  • Is there flora or fauna protection of planted areas?

  • Is it a Cultural Heritage area?

  • Are there endangered or protected species?

  • Is the building listed or protected?

Existing Infrastructure

  • Are there existing structures close to the worksite that may be damaged by the works?

  • Is there existing cabling and equipment close to the worksite that may be damaged by the works?

Worksite

  • Sketch detailing the proximity of worksite to existing infrastructure.

  • Additional information

  • 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.