Title Page

  • Audit No

  • PICW

  • Date

  • Location
  • Auditor

  • Work Description

  • Names On Crew

Client Requirements

  • Client Authorisation (PSCS appointment where acting as PSCS)

  • Current Authorisation Notification (AF1/2)

  • Preliminary H&S Plan

  • Corporate clothing being wore on site

  • Compliant with client specific requirements? (Mitigations in place)

  • Client inductions carried out

  • Construction stage Safety and Health Plan

Contractor Documents and Communications

  • Signed up Safety Statement (All Staff)

  • MSDS/COSHH held for chemicals and fuels (and staff signed on)

  • Are all staff on site inducted by Parklawn

  • Crew familiar with Disciplinary Procedures

  • Crew know new employee procedure

  • Crew know H&S reporting structure

  • Who do crew consult with on H&S

  • Crew familiar with Safety Rep (Role/Purpose)

  • Is there a tablet on site and has it been updated to most recent update

  • toolbox talk records (All staff signed on)

  • Briefing records (alerts & incidents)

  • Crew familiar with last TBT/briefing

  • Accident/near miss know the difference

  • Show accident near miss reports

  • Audit deviations closed out

  • PICW self audit completed

  • Safe driving policy (known and implemented)

Safety Procedures

  • Is there a RA for work being done (Staff signed on)

  • Is there a MS for the work being done (Staff signed on)

  • Is work being done per RAMS

  • Roles and Responsibilities assigned and known

  • Is there an SSRA completed

  • Are all staff signed onto SSRA

  • Are all staff conservant with contents of SSRA (List main hazards and risks)

  • Have all identified controls being implemented

  • Are there hazards present not recorded on the SSRA

  • Is Public safety adequately managed

  • Was auditor briefed on site hazards on arrival

  • Is there a work pack available (Work instructions/quotation sheet)

  • Were all hazards identified in PWP

  • Is there safe access / safe work area

  • Are measures to prevent unauthorised access in place and effective

  • Noise controls in place

  • Emergency Nos posted and relevant to area

  • Crew know Emergency procedures

  • All crew members briefed on emergency procedures

  • Has an emergency drill been carried out in the last 6 months

  • Can crew provide an accurate site address

  • Crew know the incident reporting procedure

  • Has crew signed on location via Whattsapp

  • Have all crew members received fire extinguisher training

Environmental Management

  • Trained on Environmental requirement

  • Spill Kit available

  • Environmental Policy (Signed by all crew)

  • Trained on fueling of equipment

  • Fuel/chemicals properly stored

  • Environmental risk assessment carried out

Traffic Management

  • Is vehicular traffic obstructed

  • Is pedestrian obstructed

  • is a traffic plan in place

  • Is SLG cardholder on site

  • Are advance signs in place

  • is there adequate traffic width

  • is there adequate work width

  • are pedestrian arrangements adequate

Training

  • Have all crew current safepass

  • Minimum of 1 Occupational First Aid

  • Have all crew CPR Training

  • Have all crew Manual Handling

  • Drivers licence valid for class of vehicle

  • Relevant NPTC / CSCS cards held

  • All staff inducted

  • Is visitor induction adequate

  • Training on completion of SSWP

Plant, Equipment and Vehicles

  • Current GA1 Certs held

  • Daily/Weekly inspections in order

  • Beacon and alarms on mobile plant

  • Van & Trailer in order

  • Driver cab tidy

  • Keys removed when not in use

  • Road tax and insurance valid

  • PTO cover and Cab guard on tractor

  • Machine cabs tidy

  • Mirrors and glass unbroken

  • Chipper Stop buttons/bar PTO cover

  • Equipment and fuel storage safe and tidy

  • Chain brake and chain catcher in order

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.