Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job details

  • Client

  • Phone number

  • Job description

Equipment required

  • Equipment details

  • Did all the equipment pass inspection

  • If not, what equipment failed inspection and why?

  • All equipment has been inspected for damage and faults.

  • Truck Medium

  • Truck Light

  • 4wd

  • Chipper

  • Elevated work platform

  • Chainsaw small

  • Chainsaw medium

  • Chainsaw large

  • Pole saw

  • Hedge trimmer

  • Leaf blower

  • Climbing harness, apparatus, spikes, poles trap, tool lanyard.

  • Ropes

  • Slings and pulleys

  • T bar lowering device

  • Friction drum lowering device

  • Log roller

  • Rakes

  • Shovels, pitch forks

  • Stump grinder

  • Bobcat

  • Excavator

  • Other

  • Details

Job tasks

  • Clear fell tree sections

  • Clear felling of tree/trees

  • Pruning

  • Deadwooding

  • Reducing crown

  • Detailing

  • Hedging

  • Emergency tree works

  • Mulch all brush

  • Stump grind

  • Dispose of green waste at tip local resource centre

  • Cut logs into firewood

  • Clean site at the end of the job

Risk assessment

  • Risk assessment notes

  • Are there any activities nearby

  • Provide further details if you answered "yes"

  • Are there any dangerous ground conditions

  • Provide further details if you answered "yes"

  • Are the public in any danger

  • Provide further details if you answered "yes"

  • Is visibility or communication difficult

  • Provide further details if you answered "yes"

  • Is the weather hazardous

  • Provide further details if you answered "yes"

  • Does the job require any training, certificates or special permission

  • Provide further details if you answered "yes"

  • Will all employees use required P.P.E. for the job

  • P.P.E includes steel cap boots, high vis clothing, helmet, hearing protection, eye protection, gloves.

  • Have you discussed emergency procedures with the employees

  • Additional emergency procedure notes

  • Is there any dangers in site access

  • Provide further details if you answered "yes"

  • Are there any overhead obstructions

  • Provide further details if you answered "yes"

Environmental considerations

  • Notes

  • Fuel

  • Risk

  • Fuel must be kept in no larger than 20L containers

  • Unleaded petrol

  • 2 stroke petrol

  • Diesel

  • Fumes

  • Risk

  • Petrol

  • Diesel

  • Provide details of risk

  • Falling debris

  • Risk

  • Provide details of risk

  • Chemicals

  • Risk

  • Roundup poison

  • Provide details of risk

  • Tree and plant allergies

  • Provide details of risk

  • Other

  • Provide details of risk

Extra job details

  • Additional notes for job if required

  • Photos for job if required

  • Addition drawing for job if required

  • Monitor for condition changes

  • After 1 hr

  • Provide details of any changes

  • After 3 hours

  • Provide details of any changes

  • After 6 hours

  • Provide details of any changes

Employees declare they are free from drugs and alcohol.

  • Add signature

  • Add signature

  • Add signature

  • 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.