Title Page

  • Date

  • Audit location
  • Name of Supervisor on Site

  • Name of Operatives on Site

  • Do operatives have NRWSA cards with them on site?

Van Safety equipment

  • Is there a First Aid Kit available on site?

  • Are the contents sufficient and in date?

  • Is there a trained First Aider on site?

  • Is there a spill Kit available on site?

  • Is there a Fire Extinguisher available on site?

  • Is it in date and useable condition?

PPE

  • Are all operatives wearing correct PPE? (Hi-vizibility clothing, safety boots (no rigger boots), corporate workwear, hardhat, gloves, glasses, RPE, ect)

  • Are all supervisors on site wearing correct PPE? (Hi-vizibility clothing, safety boots (no rigger boots), and hardhat.

  • Plant on site

  • Water suppression available and being used?

Traffic Management

  • Signage in place, including Pedestrian diversions

  • Barriers in place (suitable and sufficient as per TM plan, clipped together, sand bags, correct support)?

  • Diversions in place (suitable and sufficient as per TM plan, pedestrian diversions, temp areas)?

  • Cones in place (suitable and sufficient as per TM plan, correct spacing)

Signed Off

  • Name and signature of Supervisor/Operative on site

  • Name and signature of Inspector

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.