Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

ADMINISTRATION

  • Have Safe Work Method Statements (SWMS) being viewed, completed, signed off and match the works that are to be carried out onsite?

  • Does contractor or employee have appropriate certificates or licensing to carry out works onsite?

  • Does mobile plant or equipment operator have all relevant documentation such as Service history, operators manual, risk assessment & SWMS, daily checklist and certificate or licensing. If yes, plant & equipment checklist must be completed.

  • Are Material safety data sheets available where required?

  • Are all electrical tools and equipment been tested and have current tags?

AMENITIES

  • Has vehicle parking locations been identified or explained?

  • Has first aid kit locations and first aiders been identified?

  • Have toilet locations been identified?

  • Has water supply locations been identified?

  • Has power supply locations been identified?

  • Has rubbish bin locations been identified and general housekeeping explained to contractor or employee?

  • Has the process of loading/unloading delivery trucks or vehicles been explained outlining overhead power lines where necessary?

SITE OH&S COORDINATION PLAN SIGN

  • Has nearest hospital and medical centre locations been identified?

  • Has emergency assembly point location been identified?

  • Has site specific hazards been identified to contractor or employee? If yes, they must review their SWMS.

  • Has site safety rules been explained to contractor or employee?

  • Has site contact information been identified to contractor or employee?

INCIDENT NOTIFICATION

  • Has the process of reporting any incident, accident, injury or near misses been explained to contractor or employee?

SIGN OFF

  • Have you been given the opportunity to ask questions about anything on this form and has your question been answered so you have a full understanding of everything mention above?

  • I have completed an induction into this Ingham Drilling job site?

  • I agree to induct all my contractors and employees into the site Employer Safety Pack prior to commencing works onsite?

  • I agree to communicate, report any site specific hazards or incidents to the site supervisor and other personnel onsite?

  • I will review my SWMS whenever they go outside the scopes of works to be completed that is not outlined in my SWMS?

  • Inductee

  • Person conducting Site Induction

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.