Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Pre-Job Setup

  • The Job Hazard Analysis/Work Method Statement has been reviewed and is posted in the area of work

  • All site specific paper work complete

  • The required permits are posted at the job site

  • Permit conditions understood and followed

  • Traffic control on site

Personal Protective Equipment

  • Are employees wearing PPE correctly

  • Is hearing protection being worn where required

  • Is eye protection being worn where required

  • Are safety harnesses being used where required

  • Safety harnesses in good condition and tagged

Housekeeping

  • Is the work area well arranged and free of trip hazards

  • Are the nails removed from the timbers

  • Signage in place

  • Adequate barricades erected

  • Adequate number of refuse containers

  • Clear and unobstructed access and egress to work area

Environment

  • Is there adequate ventilation

  • Is there adequate lighting

  • Is there any evidence of fibres (asbestos etc)

  • Is dust kept to an except able level

  • No oils, contaminated water etc spilled

  • Is the height of work area expectable (roof height)

Machinery / Plant

  • Does the operator hold the appropriate ticket and competency

  • Is there a barricade around the machinery

  • Is the machine per-start checklist completed

  • Are name plates/controls legible

  • Has maintenance schedules been maintained and signed

  • Is high vis clothing worn around machinery

Power Tools

  • Are guards and safety devises in place

  • Is employee wearing double eye protection when required

  • Is the employee using the tool correctly

  • Has the power tools been tested and tagged

  • All power tools used through a RCD

  • Are the tested tools in date

Excavations

  • Is access provided for entry and exit of the excavation

  • Are barricades provided around excavations

  • Are barricades placed clear from edge

  • Are trenches shored or battered

  • Is the spoilage placed at least 1 meter from the edge

Electricity

  • Electrical leads tested and tagged

  • Is an RCD fitted

  • Are leads in good condition

  • Are extension leads protected from damage

  • Are electrical leads placed 2 meters above walkways

Confined Spaces

  • Is there a confined space permit

  • Have entrants, entry supervisor and hole watch been trained

  • Was JHA/WMS performed and documented

Job Hazard Analysis and/or Work Method Statement

  • Has the JHA/WMS been completed for the activity being undertaken

  • Is the JHA/WMS current

  • Has the JHA/WMS been completed correctly

  • Is the JHA/WMS on the job site with personnel

  • Has the JHA/WMS been signed by all personnel

Risk of falling (persons and objects) Working at Hieghts

  • Does the work need to be done at heights (can it be done on the ground)

  • Is the scaffold complete and scaffold tag in date

  • Has mobile scaffold been erected by a competent person

  • Are three points of contact maintained while using ladders

  • Have all persons wearing harnesses been height trained

  • Are lanyards connected at all times

  • Has falling objects been identified and controlled

Post Scope Works

  • Job site cleaned up

  • Barricades removed from site

  • Plant, equipment and material removed from site

  • Final clean up on site carried out

  • Post clean up on site carried out

  • Hazards identified by work crew to be rectified

  • Final inspection carried out

  • Site Supervisor/Manager

  • Auditor

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.