Safe Behaviour Observation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle

• Pre-Start checklist completed?<br>

  Yes

  No

  N/A

• Fault reporting completed?

  Yes

  No

  N/A

• Vehicle clean and free from rubbish?

  Yes

  No

  N/A
• Address of Site
  Address

• Photo

Manual Handling of Equipment

• Group lifting technique used?

  Yes

  No

  N/A

• Mechanical aids used when needed?

  Yes

  No

  N/A

• Operator trained and competent?

  Yes

  No

  N/A

• Equipment is safe for use?

  Yes

  No

  N/A

• Slings are in good condition and inspected?

  Yes

  No

  N/A

• Faults Reported?

  Yes

  No

  N/A

HSEC

• Take 5 completed?

  Yes

  No

  N/A

• JSA completed, read, understood and signed by all?

  Yes

  No

  N/A

• Work Permit obtained and completed?

  Yes

  No

  N/A

• Confined Space Permit obtained and completed?

  Yes

  No

  N/A

• Hot Work Permit obtained and completed?

  Yes

  No

  N/A

Site Access

• Follow all site rules for vehicle access?

  Yes

  No

  N/A

• Speed limits adhered to?

  Yes

  No

  N/A

• Spotter used when reversing?

  Yes

  No

  N/A

• Personal observations used when moving?

  Yes

  No

  N/A

Electrical

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• Portable Power Tools in good condition?

  Yes

  No

  N/A

• No temporary leads on floor?

  Yes

  No

  N/A

• RCD used?

  Yes

  No

  N/A

• Equipment, leads tested and tagged?

  Yes

  No

  N/A

Set Up

• 3points of contact maintained when mounting / dismounting vehicle/ ladders and stairs?

  Yes

  No

  N/A

• Vehicle parked in appropriate position as close to the work area as practicable?

  Yes

  No

  N/A

• Barriers in place with information labels attached?

  Yes

  No

  N/A

• Signage in place?

  Yes

  No

  N/A

PPE

• All personnel have correct PPE for the task?

  Yes

  No

  N/A

• Staff competent in correct use of PPE?

  Yes

  No

  N/A

Hazardous Substances

• MSDS available for chemicals being used?

  Yes

  No

  N/A

• Containers clearly labelled?

  Yes

  No

  N/A

• Adequate ventilation and extraction?

  Yes

  No

  N/A

• Disposal of helical waste defined?

  Yes

  No

  N/A

Confined Spaces

• Confined Space check listed completed?

  Yes

  No

  N/A

• Atmosphere testing current?

  Yes

  No

  N/A

• Site lock out procedure followed?

  Yes

  No

  N/A

• Job rotation in confined space adequate?

  Yes

  No

  N/A

• Sentry in place and aware of responsibilities?

  Yes

  No

  N/A

Outdoor Areas

• Procedures in place to reduce work in the sun and heat?

  Yes

  No

  N/A

• Adequate PPE and equipment?

  Yes

  No

  N/A

Machinery

• Clean

  Yes

  No

  N/A

• Adequately guarded?

  Yes

  No

  N/A

• Operators trained and competent?

  Yes

  No

  N/A

• Adequate space around machine?

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

• Fumes and exhaust controlled?

  Yes

  No

  N/A

Scaffolding/EWP/Forklift

• Staff tag fitted and signed?

  Yes

  No

  N/A

• Operated by licensed operator?

  Yes

  No

  N/A

First Aid

• Kits appropriate for location?

  Yes

  No

  N/A

• Kits easy to access?

  Yes

  No

  N/A

• Accident records maintained?

  Yes

  No

  N/A

Fire Extinguishers

• Fire extinguisher clearly marked and regularly serviced?

  Yes

  No

  N/A