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
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Name
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Position
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Task/Activity
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Job Number
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Date & Time
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BEFORE COMMENCING WORK
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Workers have reviewed and signed onto relevant Safe Work Method Statements/Safe Operating Procedures?
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Workers competent to complete work?
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Workers have relevant PPE to complete work?
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Workers aware of emergency facilities/evacuation procedure/route/equipment?
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If required workers have completed plant and equipment per starts?
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If hazardous substances/dangerous goods used labelled SDS & risk assessment available?
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If required lock/tag out equipment or isolate/contain energy undertaken?
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If you have answered NO to any of the above or have concerns pease discuss with your direct supervisor/manager
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Permits Required
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Working at Heights
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Confined Space
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Hot Works
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Excavation
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Ladder
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Live work
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AFTER WORK COMPLETED
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Verify that work meets specifications
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All waste collected for disposal/disposed off
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Work area/site cleaned up
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All tools/equipment accounted for
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All relevant paperwork completed
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Client consultation
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Leaving the work site free of hazards and risks
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Any incidents on site? If yes complete incident report
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Any issues or corrective actions? If yes detail below
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We're these closed out/rectified on site? If yes detail below
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PREPARED BY
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Signature
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Date
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ADDITIONAL PERSONNEL SIGN ON
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Add signature
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Add signature
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Add signature
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Add signature
