Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Front of Dwelling

  • Dwelling Address
  • Time and Date

  • Supervisor on Site?

Difficulty

  • In general difficulty of the job being carried out. Taking into account the work being done and complications of the dwelling.

  • Difficulty:

Documents

  • Induction Documents...?

  • Generic Risk Assessments on Site?

  • Asbestos related information about structures on site?

Housekeeping

  • Is the front and back entrances clear from obstruction?

  • How tidy is the work area in the dwelling?

  • How tidy is the work area outside the dwelling?

  • Is floor coverings being used and dust sheets being used to protect furnishings?

  • Are the floor coverings safe?

Operative Apperances

  • Are all operatives wearing steel-toe-capped safety footwear

  • Do operatives have there company Id Badge/gas cards with them?

  • Are the operatives clothes suitable?

Tools

  • Are power tools in safe working order?

  • Are 230 volt tools being used with an residual cicuit device?

Personal Protective Equipment

  • Are operatives PPE Kits in the work area and not in the van?

  • Are fire extinguishers with the operatives? This is required for insurance purposes also.

  • Are workers wearing safety glassess where suitable?

  • Are ear defenders being worn when required?

  • Are respirators being used when required?

  • PPE Observations:

Ladder and Stepladder Safety

  • This section can only be filled in if operatives are using ladders or stepladders at time of inspection?

  • Is the use of the ladders...?

  • Is the use of the stepladders...?<br><br>

  • Are stepladders suitable for the job?

  • Are the ladders suitable for the job?

Hot Work

  • Is the hot work being carried out safely?

Worker Observations

  • Note observations of the operations that workers are undertaking.

  • Observations:

  • Drawing to aid Observations

  • Possitive observations:

Risk Assessment

Principle Hazards

  • 1:

  • Most severe consequences

  • Control

  • 2:

  • Most severe consequences

  • Control

  • 3:

  • Most severe Consequences

  • Control

  • 4:

  • Most severe consequences

  • Control

  • 5:

  • Most severe consequences

  • Control

Persons at Risk

  • Persons at Risk

Sign Off

Sign Off

  • The Following describes the corrective actions taken

  • Corrective Actions :

  • I have undertaken a site safety inspection:

  • Inspector Signs

  • Date/Time

  • My site has been inspected and the issues brought up with my self

  • Supervisor Signs

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.