Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Is the site housekeeping satisfactory?

  • Has a step back 5 by 5 been completed?

  • Is correct PPE being worn for this job?

  • Are vehicles parked safely?

  • Are staff operating in a safe manner?

  • Risk and Hazard management

  • Are the staff onsite knowledgeable about the health and safety aspect of the job?

  • What are the current hazards and risks of your job?

  • What things/actions do you use to control these risks/hazards?

  • How do you encourage safety in your workplace?

  • What is your emergency plan if something goes wrong?

  • Comments/Observations

  • Signature of Auditor

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.