Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PPE

  • Head

  • Eye / Face

  • Hearing

  • Respiratory

  • Hand

  • Body

  • Feet

Procedure

  • JSA / SWMS

  • Pre-start Checks

  • Tag / Test / Lock

  • Job Preparation

  • Chemical Use (MSDS)

Working Environment

  • Housekeeping

  • Barricading

  • Thermal Comfort

  • Storage

  • Facility / Site Condition

  • Working Conditions

Tools / Equipment

  • Appropriate Selection

  • Condition

  • Correct Use

  • Current Tags - Electrical

  • Current Tags - Scaffolding

  • Current Tags - Rigging

Body Use / Position

  • Line of Fire

  • Lifting

  • Pushing / Pulling

  • Carrying

  • Walking

  • Climbing

  • Posture

Mobile Equipment

  • Condition

  • Use / Operation

  • Entry / Exit

Commendable Safe Behavious Observed

Sign Off

  • On site representative

  • Auditor's signature

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.