Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

CONTRACTORS

  • Contractors working on site

  • Are you completing a Contractor audit

  • Name of person completing audit

  • Is an Appointed Supervisor Onsite

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Are All Operators authorised?

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Does all equipment have current VEMP Inspection?

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Correct PPE Worn

  • Photographs

  • STOP Task Issue Correct PPE

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Signage in Order

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • General Housekeeping

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Bunding in Place

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

PLANT

  • Is there plant being used on site

  • Are you completing a Plant audit

  • Name of person completing audit

  • Does all equipment have current VEMP Inspection?

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Are Pre-start Books available for each piece of plant?

  • Photographs

  • STOP Task Issue Correct PPE

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Are Pre-start Books being used and current for each piece of plant?

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • General Housekeeping

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Are defects being reported and corrected?

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

ADMINISTRATION

  • Are you completing an Administration audit

  • Name of person completing audit

  • Are the SWIs available to all persons?

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Are the Correct and current Acts and Regulations available to all persons?

  • Photographs

  • STOP Task Issue Correct PPE

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Is the Mine Record compete and up to date?

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Is there an Appointed SSE

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Are all Operators Authorised?

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Are all Persons In Statuary Positions Appointed By the SSE

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

PPE

  • Are you completing a PPE audit

  • Name of person completing audit

  • Is adequate PPE Available to all Persons?

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Does all PPE meet Australian Standards?

  • Photographs

  • STOP Task Issue Correct PPE

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Is the required PPE easily accessible ?

  • Photographs

  • Corrective Actions

  • Due Date For Corrective Actions

  • Responsible Person

  • Comments

  • Comments

  • Person(s) completing audit

  • Person
  • Audit Complete

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