Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Section A - Client General Safety Systems

General Information

  • Number of personnel on site

  • How many years has the company been operating?

  • Is there an organisational chart available

Emergency Response

  • Does the client have a formal emergency response procedure?

  • Does the client conduct emergency drills at least annually?

  • Does the client have the following treatment facilities on site:

  • Dedicated first aid room?

  • On site nurse/paramedic?

  • First aid boxes available?

Safety Management System

  • Does the client have a safety management system? (If YES complete Section B)

  • Does the client monitor it's safety performance (safety statistics)

  • Section A Total YES answers

  • Company LTIFR?

  • Total number of workers compensation claims in past 12 months?

  • Total number of LTI days in past 12 months?

Section B - Client Safety Management System

  • Does the client have current OHS Policies

  • Are they signed by the CEO or Managing Director?

  • Does the client have an Injury Management System?

  • Would alternative duties be made available?

  • Does the client have a Drug and Alcohol Policy

  • Does the client conduct random testing of employees?

  • Are pre-employment medicals performed on all employees?

  • Name of company preferred medical provider?

  • Does the client have a dedicated OSH Officer

  • Does the client hold regular safety meetings/toolbox meetings?

  • Have the client's supervisors received training in OSH?

  • Have the clients supervisors been trained in incident investigations?

  • Does the client conduct safety inductions for all staff (including RecruitWest)?

  • Name of person that runs the induction and approximate length

  • Does the client have a formal Safety Management Plan document?

  • Does the client provide OSH training to it's employees?

  • Is there a training register to monitor OSH training completed?

  • Are all operators required to be authorised prior to using plant and machinery?

  • Does the client monitor the correct use of PPE?

  • Are workplace inspections carried out?

  • Does management get involved in the inspections?

  • Is there a safety issue resolution procedure?

  • Does the client have a hazard reporting procedure?

  • Is this explained in the induction?

  • Does the client carry out risk assessments of the workplace?

  • Does the client have safe work procedures documented for all tasks?

  • Does the client carry out Job Safety Analyses (JSA)

  • Does the client have job/position descriptions for all employees?

  • Does the client identify health hazards to employees?

  • Section B Total YES answers

Section C - Workplace Hazards

  • Will our employees be exposed to working in hazardous processes such as: noise, fumes, working at heights, radiation?

  • Please state hazard/s

  • What controls are in place?

  • Will our employees be exposed to hazards associated with plant and equipment? (eg OHT Cranes, forklifts, earthmoving equipment)

  • Please state hazard

  • What controls are in place?

  • Will our employees be performing manual handling tasks?

  • Please state nature of tasks

  • What controls are in place?

  • Will our employees be exposed to hazardous environments? (eg heat, cold, inclement weather, dust, night shift)

  • Please state environment

  • What controls are in place?

  • Will our employees be required to undertake confined space work?

  • If YES what controls are in place?

  • Will our employees be required to work with or handle hazardous materials such as asbestos or synthetic mineral fibres?

  • If YES what controls are in place?

  • Will our employees be required to handle chemicals or other hazardous substances?

  • If YES please state identified chemicals

  • What controls are in place?

  • Does the client carry current MSDS?

  • Section C Total YES answers

  • Section A + B + C total YES answers

  • RISK SCORE: 0-10 (very high); 11-20 (caution); 21-32 (adequate); 33-43 (low)

  • Client Representative Sign

  • OSH Manager Sign

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.