Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Working habits/Competency/Behaviours

  • 1.1.PPE

  • 1.2. Risk Awareness

  • 1.3. Positions of people

  • 1.4. Competency & Training

  • 1.5. Attention/ Understanding of task.

  • 1.6. Adequate supervision.

  • 1.7. Emergency procedure.

2. House keeping/Environment.

  • 2.1. Access/Egress

  • 2.2. Safe working platforms.

  • 2.3. Trips/Slips/Falls/Tidy.

  • 2.4. Lighting.

  • 2.5. Scaffolding.

  • 2.7. Hygiene.

3. Communication & procedures

  • 3.1. Pre start checks.

  • 3.2. Signage.

  • 3.3. Pre start talks.

  • 3.4. JSEA/TSRA covering job.

  • 3.5. Take 5.

  • 3.6. Applicable PTW & Clearances.

  • 3.7. Isolation & lockout.

  • 3.8. Critical procedures.

  • 3.9. Non-verbal / Verbal.

4. Manual handling & Ergonomics.

  • 4.1. Awkward positions.

  • 4.2. Repetitive motions.

  • 4.3. Over exertion.

5. Protection & Elevated Work / Rescue.

  • 5.1. Attached at all times.

  • 5.2. Barricading.

  • 5.3. Overhead protection.

  • 5.4. Elevated work.

  • 5.5. Lanyards on all tools.

  • 5.6. Stacking & storage.

  • 5.7. Rescue plans / procedures.

6. Plant & Equipment.

  • 6.1. Mechanical.

  • 6.2. Electrical / energy.

  • 6.3. Tools/ portable equipment.

  • 6.4. Mobile / Transport.

  • 6.5. Lifting & rigging.

7. Hazards & hazardous work.

  • 7.1. Physical.

  • 7.2. Chemical.

  • 7.3. Biological.

  • 7.4. Environmental.

  • 7.5. Confined space.

  • 7.6. Hot work.

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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.