Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Job Details

  • 1.1 Have all relevant job details been documented?

2. Site Conditions

  • 2.1 Have all relevant site conditions been documented &/or controlled?

3. General Hazards

  • 3.1 Have all relevant General Hazards been documented &/or controlled?

4. High Risk Activities

  • 4.1 Have all relevant High Risk Activities been documented &/or controlled?

5. Emergency Rescue Planning

  • 5.1 Have all relevant Emergency Rescue Plans been documented &/or controlled?

6. Equipment & Tools

  • 6.1 Have all relevant Equipment and Tools been documented &/or controlled?

7. Permits/ Records Required on The Job

  • 7.1 Have all relevant Permits/ Records Required on The Job been documented &/or controlled?

8. Licences & Competancies

  • 8.1 Have all relevant Licences & Competencies been documented &/or controlled?

9. Personal Protective Equipment

  • 9.1 Has all relevant PPE required for the job been used and recorded &/or controlled?

10. General Public Safety

  • 10.1 Have all relevant Public Safety risks and controls been documented &/or controlled?

11. Task Risk Assessment

  • 11.1 Have all Risks & Controls relevant to the activities been implemented and documented &/or controlled?

12. Work Team Hazard Control Acknowledgement- Sign-on Record

  • 12.1 Have all personnel involved with the activities been inducted into the relevant risk management documents?

13. Ongoing Monitoring

  • 13.1 Have all relevant changes been considered and recorded &/or controlled?

14. Additional Information/ Comments

  • Add media

16. Internal/ External Audits

  • Name, Occupation & PCBU name of person consulted during inspection

  • Add signature

  • Name, Occupation & PCBU name of person consulted during inspection

  • Add signature

  • Person Conducting Inspection- Name & Position:

  • Add signature

  • Person Conducting Inspection- Name & Position:

  • Add 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.