Site Safety Review

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre-Start

• Has a Pre-Start been held with all employees at the beginning of the work shift?

  Yes

  No

  N/A

• Have all instructions been noted down appropriately?

  Yes

  No

  N/A

• Have all crew members assigned to the job been listed on the JRA appropriately?

  Yes

  No

  N/A

• Has the Crew Leader and Supervisor reviewed the JRA for the correct information and signed off appropriately?

  Yes

  No

  N/A

Site Pre-Start

• Has the Crew Leader gathered all employees and reviewed the proposed works/site

  Yes

  No

  N/A

• Have all hazards been Identified, Assessed and Control Measures been applied using the JRA

  Yes

  No

  N/A

• Are the control measures adequate for the risk?

  Safe

  At Risk

  N/A

• Have all employees signed off on the JRA?

  Yes

  No

  N/A

During Works

• Have all control measures listed in the SWMS and JRA been implemented appropriately?

  Yes

  No

  N/A

• Have all visitors and additional crew members reviewed the JRA and SWMS and signed off appropriately?

  Yes

  No

  N/A

• Have all additional hazards been identified, assessed and control measures been put in place using the JRA

  Yes

  No

  N/A

• Is the worksite creating a safe workplace for all employees?

  Safe

  At Risk

  N/A

• Is the worksite creating a safe workplace for all pedestrians and road users?

  Safe

  At Risk

  N/A

Completion of Works

• Has the site been left as close to original as reasonably possible?

  Yes

  No

  N/A

• Has all equipment been removed from site and left free of hazards?

  Yes

  No

  N/A

• Have all hazards left behind been barricaded and made as safe as reasonably possible?

  Yes

  No

  N/A

• Sign

  Sign