1. Working at Heights

  • 1.1. Fall risks of 2m or more? (including voids, pits, and trenches)

2. Scaffolds

  • 2.1. Unlicensed persons erecting scaffold above 4m?

  • 2.2. Unsafe or incomplete scaffold?

  • 2.3. Lack of inspection protocol for scaffold?

  • 2.4. Incompatible scaffold components? Unlabelled or do not meet AS?

  • 2.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

3. Lifting Equipment

  • 3.1. Unsafe or damaged plant?

  • 3.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 3.3. Lack of maintenance, testing and inspection?

  • 3.4. Lack of SWL information displayed?

  • 3.5. Lack of daily inspection protocol?

  • 3.6. Lifting equipment unlabeled, does not meet AS, no SWL displayed?

  • 3.7. Unlicensed operators?

4. Harness and Equipment

  • 4.1. Unsafe or damaged harness or equipment?

  • 4.2. Incompatible hooks/equipment?

  • 4.3. Unsafe or uncertified anchor points?

  • 4.4. Lack of inspection protocol for equipment?

  • 4.5. Lack of or inadequate formal training for operators?

5. Ladders

  • 5.1. Unsafe or damaged ladders?

  • 5.2. Unsafe positioning of ladders?

  • 5.3. Ladder not properly secured?

  • 5.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

6. Hazardous Manual Tasks

  • 6.1. Lack of identification hazardous manual tasks?

  • 6.2. Lack of assessment of hazardous manual tasks?

  • 6.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  • 6.4. Lack of training in risk controls and safe lifting/ team lifting techniques?

7. Emergency Response

  • 7.1. Lack of, or no emergency plans for site?

  • 7.2. Emergency procedures not displayed at site?

  • 7.3. Lack of training and rehearsal of emergency plans?

  • 7.4. Lack of, or inadequate first aid kits aid equipment for site?

  • 7.5. Insufficient access to formally trained First Aiders for all shifts?

8. Personal Protective Equipment (PPE)

  • 8.1. Lack of, or inadequate PPE (including sun protection)

  • 8.2. Lack of system to issue, inspect, replace and monitor PPE?

  • 8.3. Lack of training in safe use, clean-up and inspection of PPE?

9. Work Environment

  • 9.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 9.2. Insufficient lighting?

  • 9.3. Inadequate housekeeping?

  • 9.4. Lack of, or inadequate noise/ vibration control?

10. Electrical Hazards

  • 10.1. Contact with overhead electrical lines?

  • 10.2. Overloading outlets?

  • 10.3. Electrical equipment near water?

  • 10.4. Electrical equipment near flammables?

  • 10.5. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

11. Administrative Procedures

  • 11.1. Lack of/or inadequate Site Safety Plan?

  • 11.2. Lack of, or inadequate, induction for workers, contractors, visitors?

  • 11.3. Lack or, or inadequate, supervisory arrangements?

  • 11.4. Lack of/or inadequate training, licenses, skills, experience?

  • 11.5. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?

  • 11.6. Lack of, or inadequate system to review SWMS as needed?

  • 11.7. Lack of/or inadequate incident notification procedures?

  • 11.8. Lack of, or inadequate, routine inspections, monitoring, audits?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's 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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.