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
Job details
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Client
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Phone number
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Job description
Equipment required
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Equipment details
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Did all the equipment pass inspection
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If not, what equipment failed inspection and why?
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All equipment has been inspected for damage and faults.
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Truck Medium
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Truck Light
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4wd
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Chipper
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Elevated work platform
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Chainsaw small
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Chainsaw medium
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Chainsaw large
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Pole saw
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Hedge trimmer
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Leaf blower
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Climbing harness, apparatus, spikes, poles trap, tool lanyard.
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Ropes
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Slings and pulleys
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T bar lowering device
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Friction drum lowering device
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Log roller
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Rakes
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Shovels, pitch forks
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Stump grinder
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Bobcat
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Excavator
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Other
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Details
Job tasks
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Clear fell tree sections
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Clear felling of tree/trees
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Pruning
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Deadwooding
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Reducing crown
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Detailing
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Hedging
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Emergency tree works
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Mulch all brush
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Stump grind
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Dispose of green waste at tip local resource centre
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Cut logs into firewood
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Clean site at the end of the job
Risk assessment
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Risk assessment notes
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Are there any activities nearby
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Provide further details if you answered "yes"
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Are there any dangerous ground conditions
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Provide further details if you answered "yes"
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Are the public in any danger
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Provide further details if you answered "yes"
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Is visibility or communication difficult
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Provide further details if you answered "yes"
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Is the weather hazardous
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Provide further details if you answered "yes"
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Does the job require any training, certificates or special permission
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Provide further details if you answered "yes"
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Will all employees use required P.P.E. for the job
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P.P.E includes steel cap boots, high vis clothing, helmet, hearing protection, eye protection, gloves.
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Have you discussed emergency procedures with the employees
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Additional emergency procedure notes
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Is there any dangers in site access
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Provide further details if you answered "yes"
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Are there any overhead obstructions
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Provide further details if you answered "yes"
Environmental considerations
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Notes
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Fuel
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Risk
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Fuel must be kept in no larger than 20L containers
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Unleaded petrol
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2 stroke petrol
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Diesel
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Fumes
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Risk
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Petrol
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Diesel
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Provide details of risk
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Falling debris
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Risk
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Provide details of risk
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Chemicals
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Risk
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Roundup poison
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Provide details of risk
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Tree and plant allergies
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Provide details of risk
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Other
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Provide details of risk
Extra job details
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Additional notes for job if required
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Photos for job if required
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Addition drawing for job if required
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Monitor for condition changes
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After 1 hr
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Provide details of any changes
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After 3 hours
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Provide details of any changes
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After 6 hours
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Provide details of any changes
Employees declare they are free from drugs and alcohol.
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