Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Work Site

  • 1.1 - On arriving to work site are signs and cones being used clean and in good order?

  • 1.2 - Has everyone on site signed the hazard ID register including subsides on this day?

  • 1.3 - Is there a current TMP?

  • 1.4 - Has the TMP been signed by the engineer or approved person?

  • 1.5 - Is the TMP current and not out of date?

  • 1.6 - Does the TMP match the current work site layout IE: cones with signs, signs at the correct spacing , correct distance off carriageway.

  • 1.7 - Is there a power permit? (Required if working within 4 meters of overhead wires )

  • 1.8 - If excavating with-in 4 meters of a power pole , is there a permit for this task.

  • 1.9 - Have the under ground services been located?

  • 1.10 - Are Utes and subbies vehicles Parked in a safe zone.

  • 1.11 - Has an excavation permit been filled out

2.0 - Personal Safety

  • 2.1 - Are employee's safety vests clean and in good order?

  • 2.2 - Are employees PPE in good order (boots, safety glasses, hearing protection, wet weather gear ETC)

  • 2.3 - Pedestrian, traffic and plant movement are adequately managed.

  • 2.4 - Are spotters or any persons near an excavator or any construction equipment above shoulder height wearing an approved and current hard hat? ( safety hard hat not more than three years old)

  • 2.5 - Are there toilet facilities on site?

3.0 - Machines, plant and equipment.

  • 3.1 - Operators trained and inducted for the operation of the plant they are using and have their competency book signed.

  • 3.2 - Pre start check sheet up to date and current.

  • 3.3 - is the correct machine or plant being used for the task that it is performing ?

4.0 - Electrical equipment.

  • 4.1 - All portable power tools have current safety electrical tag.

  • 4.2 - All portable power tools in good working order.

  • 4.3 - All power cords have current safety electrical tag.

  • 4.4 - All power cords are in good working order.

  • 4.5 - Are RCD's (residual- current device ) being used?

  • 4.6 - Is generator or pumps in good working order.

  • 4.7 - Is the generator or pump in a safe place as not to create a hazard and away from moving machinery.

5.0 - First Aid

  • 5.1 - Is there a first aider on the job site.

  • 5.2 - Is there a first aid kit on site and clearly marked as to where it is?

  • 5.3 - Is the contents of the first aid kit up to date and kept serviced?

6.0 - Fire extinguisher.

  • 6.1 - Is there a fire extinguisher on site and clearly marked of its location.

  • 6.2 - Is there easy access to the fire extinguisher?

  • 6.3 - is the fire extinguisher fully charged?

  • 6.4 - Has the fire extinguisher got a current service and inspection tag?

Sign off

  • Date and Time

  • On site representative

  • Auditors 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.