Audit

HIGH RISK WORK

HIGH RISK WORK

Excavations

Permit to work completed correctly?

Excavation permit completed correctly?

Dial Before You Dig acquired and understood?

Site drawings acquired and understood?

Working at heights

Permit to work completed correctly?

Working at heights permit completed correctly?

Asbestos removal

Permit to work completed correctly?

Asbestos Removal Control Plan completed correctly?

Hot works

Permit to work completed correctly?

Hot works permit completed correctly?

Confined space

Permit to work completed correctly?

Confined space permit completed correctly?

Electrical/HV

Permit to work completed correctly?

RISK ASSESSMENTS

RISK ASSESSMENTS

Take 5

Completed correctly?

Hazard ID effective?

Controls successfully implemented?

JHA

Completed correctly?

Hazard ID effective?

Controls successfully implemented?

SWP

Read and understood by worker?

Signed onto by worker?

Referenced in JHA?

Guidelines followed and controls implemented?

HOUSEKEEPING & SITE SETUP

HOUSEKEEPING & SITE SETUP

Site box in place and correctly set up?

Access to site clear?

Site barricading sufficient?

Sufficient signage in place?

Site secured when unattended?

Materials and equipment neatly organised?

Waste materials being correctly dealt with?

CHEMICALS

CHEMICALS

Chemicals on approved list?

MSDS available for each product?

Storage method compliant?

Waste disposal methods suitable?

PPE

PPE

Clothing and body protection required?

Correctly implemented?

Eyewear / face protection required?

Correctly implemented?

Head protection required?

Correctly implemented?

Hearing protection required?

Correctly implemented?

Protection class

Respiratory protection required?

Implemented?

Fit test completed?

User clean shaven and adhering to facial hair policy?

Model used?

Filter used:

Correct for task?

Correct for task?

Gloves required?

Correctly implemented?

MANUAL HANDLING

MANUAL HANDLING
Task

Description

Mechanical aids used

Add media

Back

Risk level

Shoulders

Risk level

Arms

Risk level

Legs

Risk level

USE OF PLANT / EQUIPMENT

USE OF PLANT / EQUIPMENT

Portable power tools

Tools used

Prestart check completed?

Operator competent?

Hand tools

Prestart check completed?

Operator competent?

Concrete saw

Prestart check completed?

Operator competent?

Jackhammer

Prestart check completed?

Operator competent?

Angle grinder

Prestart check completed?

Operator competent?

Other

Description

Prestart check completed?

Operator competent?

VEHICLES & MACHINERY

VEHICLES & MACHINERY

Vehicle / machine inspection

Vehicle

Description

Correctly parked?

Prestart check completed?

Mechanically sound?

Vehicle file complete and current?

Machine use?

Machines used

Operator competent?

Operated safely?

Spotter in place?

ACTIONS

ACTIONS
Action

Description

By whom?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.