Information
-
Document No.
-
SITE LOCATION WHERE AUDIT IS CONDUCTED
-
AUDIT CONDUCTED ON
-
AUDIT TEAM MEMBERS
-
SITE MANAGEMENT MET DURING THE AUDIT
Personal Protective Equipment
-
All site PPE being worn?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Hard hat with chin strap?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Name and Company logo on hard hat?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Hand protection correct for task?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Eye/Face protection suitable?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Hearing protection if applicable?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
MSDS required PPE being used?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
SUMMARY
-
Remarks:
-
Add media
Procedures/Safe System of Work
-
PTW available for inspection?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
All crew members have signed TBT?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
TBT form completed?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Supervisor has visited job site?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
All supporting certificates available?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Communication with adjacent workers?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
SUMMARY
-
Remarks
-
Add media
Emergency Response
-
Operators know emergency actions?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Operators know emergency number?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Crew know location of exits?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Crew know where muster point is?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Location of nearest spill kit known?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
SUMMARY
-
Remarks:
-
Add media
Housekeeping
-
Work area being maintained tidy?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Location of bins known by crew?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
No trailing leads on floor?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Off-cuts binned immediately?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Floor free of debris and trip hazards?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
No loose objects left at a height?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
No objects stored at a height?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Clear ownership of lay down area?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Lay down area is tidy?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Lay down area has signage in place?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Barrier erected and maintained?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Correct and sufficient signage in place?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
SUMMARY
-
Remarks
-
Add media
Scaffolds/MEWP's
-
Scaffold tagged and signed off (weekly)?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Scaffold platform tidy?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
MEWP platform maintained tidy?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
6 month inspection form available?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
SUMMARY
-
Remarks:
-
Add media
Environment
-
Are all chemicals in bundling?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Is there any leaks on plant and machinery?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Do workers know contents of MSDS?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Are spill kits/drip trays available in the area?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Are the spill kits stocked and checked weekly?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
SUMMARY
-
Remarks:
-
Add media
Tools and Equipment
-
Portable tools tagged and inspected?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Company owner identifiable on tool?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
All guarding in place on tool?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Tools in good condition?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Lifting equipment tagged with colour code?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Spill mats in place under generators?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Bunds in place under liquid containers?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Vehicles have dipped headlights on?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Toolboxes have no knives or untagged tools?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Site boxes are maintained clean and tidy?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Equipment earthed if required?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Are the operative using safety knives?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
SUMMARY
-
Remarks:
-
Add media
Office Safety
-
Objects stored at a height?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Floors free of trip hazards?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Exit doors free of obstruction?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Fire extinguishers working and in date?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Clothes on racks/hooks?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Photocopier area free of clutter?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
No unnecessary fire hazards (paper etc)
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
-
Fire exits open and free of obstructions?
-
Action Required to correct issue:
-
Action by Whom:
-
Date for action to be completed by:
SUMMARY
-
Remarks
-
Add media
Sign-Off
-
Remarks
-
Supplementary Photos
-
Site Manager
-
Inspection Auditor 1
-
Inspection Auditor 2
-
Date/Time
