Places for People Site Health & Safety Audit Report V1

• Conducted on

  Date

• Site Location

• Name of person audited

• Region

Safety Performance Standard Key to use of scoring system

• Ratings
  5 = 80-100% Excellent
  4 = 60-79% Good
  3 = 40-59% Satisfactory
  2 = 20-39% Poor
  1 = 0-19% Unacceptable
  0 = 0% Disaster
  

Activity

• 1 Safe Places of work

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 2 Steps and Ladders

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 3 Manual Handling

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 4 Protective Clothing/Equipment

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 5 Welfare

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 6 Protecting the Public

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 7 Plant & Machinery

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 8 Traffic & Vehicles

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 9 Fire & Emergency

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 10 Hazardous Substances

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 11 Noise

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 12 Hand Arm Vibration

  Select Excellent Good Satisfactory Poor Unacceptable Disaster N/a

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster
  • N/a

• Are there Health & Safety issues or concerns Identified:

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• 13 Any other issues identified

  yes

  no

• Health & Safety issues Identified:

• Comments & Actions Taken:

• Overall Health and safety Performance Standard

  Select Excellent Good Satisfactory Poor Unacceptable Disaster

  • Excellent
  • Good
  • Satisfactory
  • Poor
  • Unacceptable
  • Disaster

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