Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PROCESS
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Site identified
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Site conditions
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Site coordinator designator
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WHRA completed
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All personnel authorised
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SMP on site
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SWMS on site for work and signed
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ESR on site
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Traffic control needed
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Traffic control used
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TCP on site
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Drop zone created
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Notifications delivered
HUMAN BEHAVIOUR
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Comprehensive site induction
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Authorization / licences on site
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Personnel signed WHRA
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Personnel involved in WHRA
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Personnel understand WHRA
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Personnel following SWMS
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Personnel understand SWMS
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Personnel following ITP
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Personnel understand ITP
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Good team communication
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Good house keeping
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Adequate breaks
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Positive feedback
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PPE worn correctly
PLANT
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Plant within testing date
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Plant registered
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Plant log completed
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Operators licenced and in date
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Observer used
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Observer familiar with plant
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Warning lights / signs operational
TOOLS
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Test equipment in date
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CAT IV low voltage tester
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CAT IV ammeter
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CAT III phase sequence tester
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Independent earth
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Commercial ladders used
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Ladders tied off
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Insulated height stick
PPE
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Hard hats used and in date
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Protective clothing and footwear used
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Eye protection used
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Insulated gloves used
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Outer leather gloves used
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Full body harness used
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Approved line covers used
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Approved mat used
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UV protection used
SAFETY KITS
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First aid kit available and in date
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Spill kit available
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CDD available
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LV rescue kit ready for immediate use
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Pole top rescue kit ready for immediate use
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Fire blanket available and in date
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Fire extinguisher available and in date
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Safety kits clearly identified
COMMENTS
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General comments
