Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Documentation

  • Visit recorded in site visitor log book?

  • On site Risk Assessment carried out for task?

  • COSHH assessments and/or Safety Data Sheets available?

Hazard & Control Measures Awareness

  • Can the employee(s) identify 4 main hazards for this task?<br>eg MH, STF, Fall from height, Access/egress

  • Can the employee(s) identify 2 main control measures for each of these hazards?<br>eg Assess lift & Possible 2 man lift, Assess path & Check weather conditions<br>Assess manhole & Place hose in form behind the Railings.

Site Safety

  • Safe access route for vehicle available?

  • Safe hard standing area for vehicle available?

  • Open Manholes protected correctly?

  • Safe pedestrian access to Skip/Bin provided?

  • Adequate lighting (fixed or portable) provided?<br>

  • Safe working practices being following?

  • Lone working procedures followed?

  • Suitable protective clothing being worn?

  • Work equipment suitable and in a safe condition?

  • Activities involving manual handling carried out safely?

  • Housekeeping well maintained and Items stored/placed to minimise hazards?

  • Wastes stored & disposed of safely?

Welfare

  • First aid kit available (in Cab) and well stocked?<br>

  • Eye wash bottles available and in date?

  • Washing facilities available?

Vehicle Safety Checks

  • Daily Check carried out and recorded?

  • Housekeeping well maintained?

  • Protective clothing & equipment storage facilities adequate and in use?

  • Vehicle free from leaks?<br>

  • PPE in good condition and stored appropriately?

  • Appropriate fire extinguisher present and in date?

  • Any other H&S issues

  • Manager

  • Select date

  • Person(s) working on site

  • Select date

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.