Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Job Details
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1.1 Have all relevant job details been documented?
2. Site Conditions
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2.1 Have all relevant site conditions been documented &/or controlled?
3. General Hazards
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3.1 Have all relevant General Hazards been documented &/or controlled?
4. High Risk Activities
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4.1 Have all relevant High Risk Activities been documented &/or controlled?
5. Emergency Rescue Planning
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5.1 Have all relevant Emergency Rescue Plans been documented &/or controlled?
6. Equipment & Tools
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6.1 Have all relevant Equipment and Tools been documented &/or controlled?
7. Permits/ Records Required on The Job
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7.1 Have all relevant Permits/ Records Required on The Job been documented &/or controlled?
8. Licences & Competancies
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8.1 Have all relevant Licences & Competencies been documented &/or controlled?
9. Personal Protective Equipment
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9.1 Has all relevant PPE required for the job been used and recorded &/or controlled?
10. General Public Safety
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10.1 Have all relevant Public Safety risks and controls been documented &/or controlled?
11. Task Risk Assessment
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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
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12.1 Have all personnel involved with the activities been inducted into the relevant risk management documents?
13. Ongoing Monitoring
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13.1 Have all relevant changes been considered and recorded &/or controlled?
14. Additional Information/ Comments
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16. Internal/ External Audits
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Name, Occupation & PCBU name of person consulted during inspection
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Name, Occupation & PCBU name of person consulted during inspection
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Person Conducting Inspection- Name & Position:
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Person Conducting Inspection- Name & Position:
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