Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Working Habits<br>Are personnel working in a safe manner?

  • Correct

  • Not Correct

  • Housekeeping<br>Is the site clean? Are walkways free from trip hazards?

  • Correct

  • Not Correct

  • Electricity and Lighting<br>Is there sufficient light for working? Are electrical leads in date?

  • Correct

  • Not Correct

  • Scaffolds and Ladders<br>Are scaffolds tagged and cleared for use?

  • Correct

  • Not Correct

  • Protection Against Falls<br>Is appropriate fall protection in place? Are handrails compliant?

  • Correct

  • Not Correct

  • Plant and Equipment<br>Is the plant cleared for use onsite?

  • Correct

  • Not Correct

  • PPE Compliance<br>Do personnel have all the correct PPE? Are individuals using task appropriate PPE?

  • Correct

  • Not Correct

  • Any Final Comments?

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