Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

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

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