Information

Audit Details

  • Audit Title

  • Document No.

  • Date

  • Prepared by

  • Payroll

  • Craft Audited

  • Location

  • Personnel

1.

Reactions of People

  • Adjusting Personal Protective Equipment<br>

  • Changing Position

  • Rearranging Job

  • Stopping Job

  • 3m rule plant

  • Access/egress to work area

  • Applying Earths

  • Applying Isolation

  • Other

2.

Positions of People

  • Striking Against or being Struck by Objects

  • Caught in, On or Between Objects

  • Working at Heights

  • Contacting Temperature Extremes

  • Contacting Live Conductors

  • Inhaling, Absorbing or Swallowing a Hazardous Substance

  • Repetitive Montions

  • Awkward Positions / Static Positions

  • Falling

  • Other

3.

Vehicles

  • Clear Cab Policy

  • Vehicle Condition In / Out

  • Vehicle Fit for Use

4.

Personal Protective Equipment

  • Head-to-toe Check

  • Head

  • Eyes and Face

  • Ears

  • Respiratory System

  • Hands

  • Whole Body Cover

  • Feet

  • Legs

  • Other

5.

Tools and Equipment

  • Right for the Job

  • Used Correctly

  • In Safe Condition

  • Tested / Calibrated

  • Other

6.

Procedures

  • Available

  • Adequate

  • Known

  • Understood

  • Followed

  • Risk Assessments

  • Other

7.

Orderliness Standards

  • Known

  • Understood

  • Followed

  • Other

8.

Safe Acts Observed. Taken to Encourage Continued Safe Performance

9.

Unsafe Acts Observed. Immediate Corrective Actions. Actions to Prevent Recurrance

10.

Details of Items Discussed or Further Comments, briefs etc

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.