Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Location
  • Personnel

  • Name of SWI

  • No. SWI

  • Description of Work

  • Potential Hazards

Personal Protective Equipment (PPE)

  • Personal Protective Equipment (PPE) Required (Check the box for required PPE):

  • Other PPE

  • Risk Score

  • If Score is high - Supervisor approval required

  • PRE-Operation:

  • Operation:

  • Post Operation:

  • Note: Maintenance is to be carried out by authorised persons only. Any equipment found to be faulty must be tagged “Out of Service” and reported to your supervisor as soon as possible.

  • Further Information and Related Documents:
    This SWI does not cover all possible hazards and must be used in conjunction with the following references:

  • Office Use Only
    Issue Date: THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED Authorised By: Manager Human Resources
    Last Reviewed:
    Next Review Date:

  • Name

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.