Information
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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
1. Working at Heights
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1.1. Fall risks of 2m or more? (including voids, pits, and trenches)
2. Scaffolds
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2.1. Unlicensed persons erecting scaffold above 4m?
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2.2. Unsafe or incomplete scaffold?
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2.3. Lack of inspection protocol for scaffold?
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2.4. Incompatible scaffold components? Unlabelled or do not meet AS?
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2.5. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)
3. Lifting Equipment
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3.1. Unsafe or damaged plant?
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3.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?
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3.3. Lack of maintenance, testing and inspection?
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3.4. Lack of SWL information displayed?
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3.5. Lack of daily inspection protocol?
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3.6. Lifting equipment unlabeled, does not meet AS, no SWL displayed?
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3.7. Unlicensed operators?
4. Harness and Equipment
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4.1. Unsafe or damaged harness or equipment?
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4.2. Incompatible hooks/equipment?
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4.3. Unsafe or uncertified anchor points?
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4.4. Lack of inspection protocol for equipment?
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4.5. Lack of or inadequate formal training for operators?
5. Ladders
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5.1. Unsafe or damaged ladders?
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5.2. Unsafe positioning of ladders?
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5.3. Ladder not properly secured?
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5.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)
6. Hazardous Manual Tasks
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6.1. Lack of identification hazardous manual tasks?
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6.2. Lack of assessment of hazardous manual tasks?
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6.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)
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6.4. Lack of training in risk controls and safe lifting/ team lifting techniques?
7. Emergency Response
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7.1. Lack of, or no emergency plans for site?
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7.2. Emergency procedures not displayed at site?
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7.3. Lack of training and rehearsal of emergency plans?
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7.4. Lack of, or inadequate first aid kits aid equipment for site?
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7.5. Insufficient access to formally trained First Aiders for all shifts?
8. Personal Protective Equipment (PPE)
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8.1. Lack of, or inadequate PPE (including sun protection)
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8.2. Lack of system to issue, inspect, replace and monitor PPE?
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8.3. Lack of training in safe use, clean-up and inspection of PPE?
9. Work Environment
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9.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)
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9.2. Insufficient lighting?
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9.3. Inadequate housekeeping?
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9.4. Lack of, or inadequate noise/ vibration control?
10. Electrical Hazards
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10.1. Contact with overhead electrical lines?
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10.2. Overloading outlets?
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10.3. Electrical equipment near water?
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10.4. Electrical equipment near flammables?
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10.5. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?
11. Administrative Procedures
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11.1. Lack of/or inadequate Site Safety Plan?
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11.2. Lack of, or inadequate, induction for workers, contractors, visitors?
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11.3. Lack or, or inadequate, supervisory arrangements?
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11.4. Lack of/or inadequate training, licenses, skills, experience?
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11.5. Lack of/or inadequate Safe Work Method Statements (SWSM) for high- risk work?
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11.6. Lack of, or inadequate system to review SWMS as needed?
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11.7. Lack of/or inadequate incident notification procedures?
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11.8. Lack of, or inadequate, routine inspections, monitoring, audits?
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature
