Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

THINK THROUGH THE DESIGN

  • Do you understand the design scope?

  • Do you have the relevant study/scope definition documents?

  • Have you reviewed the relevant standards applicable to this design?

  • Do you understand the applicable site practices/procedures?

  • Have you consulted with the relevant subject matter experts applicable to this design? ( Construction/Operations/Maintenance)

HAZARD IDENTIFICATION

  • Are there hazards related to construction of the item?

  • Are there hazards related to operating/maintaining the item?

  • Are there hazards associated with the control system?

  • Are there any personnel/plant/equipment hazards?

  • Are there any vehicle/personnel/equipment interaction hazards?

  • Are there any access hazards for vehicles/personnel/equipment?

CONTROL IDENTIFICATION

  • Has the "Hierarchy of Controls" been followed?

  • Have the correct personnel been consulted regarding controls?

  • Have existing procedures been considered/reviewed?

  • Are there any cost/schedule implications relevant to controls?<br>(if YES, follow the "Change Management Procedure")

ASSESS THE RISKS

  • Has the risk score for each hazard been identified?

COMPLETE THE DESIGN WITH ONGOING REVIEW

  • Next planned risk review

HAZARDS AND CONTROLS IDENTIFIED (max 3 per audit sheet)

Hazard 1

  • Hazard description

  • Existing control

  • Existing risk score - refer Risk Assessment Matrix (Low 1 to Extreme 25)

  • Additional control

  • Residual risk score - refer Risk Assessment Matrix (Low 1 to Extreme 25)

  • Hazards and controls identified on which drawings and documents?

Hazard 2

  • Hazard description

  • Existing control

  • Existing risk score - refer Risk Assessment Matrix (Low 1 to Extreme 25)

  • Additional control

  • Residual risk score - refer Risk Assessment Matrix (Low 1 to Extreme 25)

  • Hazards and controls identified on which drawings and documents?

Hazard 3

  • Hazard description

  • Existing control

  • Existing risk score - refer Risk Assessment Matrix (Low 1 to Extreme 25)

  • Additional control

  • Residual risk score - refer Risk Assessment Matrix (Low 1 to Extreme 25)

  • Hazards and controls identified on which drawings and documents?

Actioned

  • Signed off (when completed)

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