Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Action plans

  • Has previous identified actions been submitted and closed out

Team Appearance

  • PPE worn meets site standards?

  • Information boards & team messages are current & well organised?

Team Appearance Comment

Safety

  • Safety Sam, (or equivalent) program is in place & actively working?

  • Hazard reporting program can be evidenced?

  • JHA's are completed for all tasks not covered by SWP's?

  • SWI library is accessible to all staff?

  • Workshop signage for PPE requirements for hearing/eye protection & minimum requirements are in place?

  • Yard clear of debris with items tied down/secured as required?

  • One person from workgroup is qualified to render first aid, an adequate first aid facility is in place for employees?

  • Barricading and excavation from staff or contractors follow safety policy. Works impacts are well timed & communicated - All barricading is tagged?

  • Chemical storage, bundling and MSDS meets compliance requirements?

Safety Comment

Room Access & Key Security

  • Maintenance calling cards are used every time a room is entered?

  • Maintenance key security protocols are in place and well managed?

Room Access & Key Security Comment

Pool Services

  • Daily pool cleaning & chemical level checks?

  • Mandatory signage is in place & in good condition?

Pool Services Comment

Operations

  • Pronto maintenance program is updated daily with all outstanding issues identified as priority?

  • Daily maintenance register is maintained and sent to client?

  • Weekly BBQ gas bottles are checked & changed?

  • Monthly emergency lighting checks?

  • Smokers ceasefires are serviced as required?

  • Grease trap disposal?

  • Monthly fire extinguisher checked?

  • Monthly fire hose reels & bags checked?

  • Monthly smoke detector tests in all rooms and common areas?

  • 6 monthly electrical test & tag program evidenced?

  • RCD checks evidenced?

  • 6 monthly kitchen exhaust ducting cleaned?

  • Annual pest control - and as required?

  • 6 monthly compliancy check of extinguishers are completed?

  • Compactor & surrounding area is kept clean at all times?

  • Rubbish bins are emptied & kept clean?

Operations Comment

Storage

  • Is there a sufficient level of holding stock on big ticket items available, eg bar fridges, & TV's stored securely and appropriately?

  • Is there a sufficient level of day to day operational spares available eg lights, smoke alarms, light diffusers etc stored appropriately?

  • Is there a comprehensive and up to date inventory list of holding stock & usage?

Storage Comment

Vehicle Inspections - Including Buggies

  • Vehicles clean inside & out - exterior cleaned weekly at minimum?

  • Vehicles are in a good state of repair?

  • Vehicles meet all site requirements including identification?

  • Pre-starts checklist completed daily?

Vehicle Inspections - Including Buggies Comments

Workshop/yard

  • Workshop is neat clean & orginised?

  • All external storage containers are secured when not in use?

  • Gas storage is organised, secured & compliant?

Workshop/yard Comment

Preventative Maintenance

  • Maintenance manuals & maintenance program's are evidenced, correct, up to date and completed as per manufactures instructions?

  • Preventative pool maintenance schedule and checks evidenced, correct & current?

  • Workplace fire systems inspection - in place/functional/in date, evacuation plans displayed?

Preventative Maintenance Comments

Storage Shed/Locker Room

  • Is the facility secured, with access keys tightly controlled?

  • Are there good house keeping measures evident?

  • Are all items stored safely?

  • Has all equipment eg, forklifts etc, been tested/tagged or deemed as safe for use?

  • Have all operators of any equipment being trained and deemed competent in their use?

Storage Shed/Locker Room Comments

Other / Overall Comments

Sign off

  • ESS Representative

  • Bechtel Representative

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.