Title Page

  • Site conducted

  • Conducted on

  • Location
  • Manager:

  • Shift Supervisor:

  • Safety Rep:

  • Safety Rep:

  • Visitor:

  • Vehicle Reg:

  • Area Audited:

Work Area

  • Yard lighting ( natural and artificial ) is good

  • External loading bay lighting is good

  • Traffic light system on loading docks is functioning

  • Adverse weather clothing is available

  • Yard surface is in as good a condition as practicable

  • Safety demarcation is clear

  • Yard speed limits are observed

  • High visibility clothing is worn

  • All jobs have a safe system of work displayed

  • Specified personal protective equipment is worn


  • Vehicle lights are working correctly

  • Wipers and washers are functioning

  • Mirrors are in place and undamaged

  • Reversing beepers function

  • Amber flashing beacon is working

  • Clamps operate correctly

  • Tyres are fit for purpose

  • There are steps and hand rail access to the cab

  • Cab is kept clean and tidy


  • Current safe system of work is displayed

  • Vehicle daily checks are carried out


  • All employees are trained for the tasks they perform

  • Employees are working to the safe system of work

First Aid

  • First aid box / room is adequately stocked

  • All employes know their first aiders


  • All persons know the fire evacuation procedure

  • Directional "Fire exit signs are visible where required

  • Fire extinguishers are correctly positioned

  • Fire extinguishers are full undamaged clean and in test


  • Contractors working in the area are approved

  • Horseplay is prohibited

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.