Title Page
-
Job Ref
-
Document No.
-
Audit Title
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Job Details
-
Select date
-
Job Ref
-
Address
Job Start
-
Has the job started
-
Have all risks,hazards and control measures been identified and implemented?
-
Have you been adequately briefed before signing on?
PPE Adherence / Condition / Testing
-
Hard Hat
-
Safety Glasses
-
Long / Long work wear
-
Safety Boots
-
Hearing Protection ( if noisy ambient )
-
Fall Protection ( if working at heights )
-
Mechanical Gloves ( i.e if fleeting off duct from a drum )
Public Safety / Traffic Management
-
Is there a CAR ( Corridor Access Request ) on Site?
-
Is there a TMP ( Traffic Management ) Plan Onsite?
-
Has an STMS ( Site Traffic Management Supervisor) been assigned to the site?
-
Is there a level 1TC ( Traffic Controller ) onsite?
-
Are there Safety Cones,Barriers and signs predominantly displayed so that clear go and no go areas are clearly defined for the public?
-
When pedestrians are diverted off the footpath onto the carriageways are ramps installed on and off the kerbs?
-
Are temporary reinstatements executed in a manner so there are no trip hazards?
Environmental Safety
-
Have all riks,hazards and control measures been implemented to prevent the contamination of the air,soil and waterways?
-
Have all risks,hazards and control measures been implemented to prevent the contamination from waste management,noise control and dust suppression?
General
-
Actions taken to Acknowledge/Reinforce safe behaviours/Conditions.
-
Actions taken to confront/Correct unsafe behaviour/Conditions.
-
Add signature