Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Adminstaration

  • 1.1 - Is the Site Safety file available and up to date?

  • 1.2 - Is the PUWER 98 register up to date?

  • 1.3 - Are all the relevant conformance certification available and in date?

  • 1.4 - Is there evidence of Hot works permit issue and controlled?

  • 1.5 - Safety tours - how many safety tours carried out by management between bi weekly visits

  • Additional Comments

2.0 - Previous Inspection

  • 2.1 - The last safety inspection report has been reviewed by LTC site management?

  • 2.2 - Are there any outstanding actions?

3.0 - Training & Competency

  • 3.1 - Has the roofing crew read and signed the risk assessment, and received the relevant information relating to the current scope of works?

4.0 - Information, Instruction

  • 4.1 - When was the last toolbox talk given?

  • 4.2 - What was the last toolbox talk subject?

  • 4.3 - Is the risk and method statement relevant to the current scaffold task?

5.0 - Roofing works

  • 5.1 - Ensure that edge protection is provided to prevent persons, or materials falling?

  • 5.2 - Ensure that precautions have been taken to stop falls through fragile materials when working on roofs?

  • 5.3 - Has adequate precautions been implemented to segregate people below the roof work?

  • 5.4 - Has the company implemented procedures for adverse weather?

Observation Report

  • A5.1 - Location of roofing works

  • A5.2 - Description of activity being carried out

  • Area of inspected

  • B5.1 - Location of roofing works

  • B5.2 - Description of activity being carried out

  • Area of Inspected

  • 5.4 - Are there any matters that could give rise to the Risk to the Health and Safety?

  • 5.5 - Details of any actions taken in respect of at Risk matter identified above?

  • 5.6 - Can the work be carried out safely? (If not - enter why and name of the person informed)

  • Observation Comments

6.0 - Fire Risk and Management

  • 6.1 - Is there a fire risk assessment in place?

  • 6.2 - Ensure there are emergency procedures for evacuation from the workplace in case of a fire, or explosion?

  • 6.3 - Has all LTC operative know what these procedures are?

  • 6.4 - Check that there is an adequate means of raising the alarm, and that it is regularly tested?

  • 6.5 - Ensure that there are adequate escape routes and that these are kept clear of obstructions?

  • 6.6 - Ensure that the quantity of flammable gasses are kept to a minimum, and are adequately stored?

  • 6.7 - Check that suitable fire extinguishers are provided, and that they are maintained, at key access points?

  • 6.8 - check that all fire extinguishers have had an annual inspection?

  • 6.9 - Is the fire plan relevant from the workplace, and direct you to a safe place, or muster area?

  • Fire Risk Management None Conformance

  • Additional Comments

7.0 - Scaffolding/Working platforms

  • 7.1 - Are the ladders secured at both stiles, correct angle and in good order?

  • 7.2 - Are all the platform fully boarded with guardrails correctly fixed?

  • 7.3 - Are trapdoors/gates or barriers at key ladder access points?

  • 7.4 - Are the Ladders correctly secured and no tubes obstructing rungs?

  • 7.5 - Are the Ladders in a serviceable condition?

  • 7.6 - Is the Scaff tag signed and displaying the relevant date?

  • Scaffolding None Conformance Compliant

  • Additional Comments

8.0 - Vehicle Movement Controls

  • State unloading area

  • 8.1 - Traffic routes sufficient for safe and easy movement ?

  • 8.2 - Vehicles and pedestrians segregated ?

  • 8.3 - Designated loading areas clearly define, and segregated?

  • 8.4 - Pedestrian routes clearly define?

9.0 - Waste Management

  • 9.1 - Is MACE waste management plan in place and suitable?

  • 9.2 - Is the plan being maintained?

  • 9.3 - Is the waste controls being applied by the operatives, and disposing waste correctly?

  • 9.4 - Are skips, bins clearly labelled?

  • 9.5 - Are waste transfer notes available and correctly completed?

10.0 - Compressed Gasses

  • 10.1 - Are they kept away from flammable liquids?

  • 10.2 - Are they properly stored in a purpose made cage, with suitable signage?

  • 10.3 - Are gasses segregated by type?

  • 10.4 - Is the cylinder valves fully closed when not in use?

  • 10.5 - Do all line connections only have approved fittings and clips, with no Jubilee clips?

11.0 - Site Operatives

  • 11.1 - Are all the operatives wearing the correct PPE?

  • 11.2 - Is the PPE adequate, and in good condition?

  • 11. 3 - Are the operatives working safely?

  • 11.4 - Are the operatives adequately supervisied?

  • Observations

  • None Conformance

12.0 -

  • 12.1 -

  • 12.2 -

  • 12.3 -

  • 12.4 -

  • 12.5 -

  • Observations

  • None Compliance

13.0 - Welfare

  • 13.1 - Welfare facilities are clean and tidy?

  • 13.2 - Toilet facilities are clean and tidy?

  • 13.3 - Toilet facilities with soap, hand towels, hot and cold water?

  • 13.4 - Facilities to dry wet clothing?

  • 13.5 - Secure facilities for own clothing and work wear?

Corrective Action plan

  • Corrective Actions assigned to

  • Listed non conformance

  • Key Performance Indicator

  • KPI Conformance

Sign Off

  • Auditor's signature

  • The date and time of issue

  • Name of the site person receiving this report

  • The date and time of receipt

Closure

  • I confirm all actions highlight in this report have been actioned on

  • Name of person closing this report

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.