Site safety scoring

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE

• Eye Protection on

  Safe

  At Risk

  N/A

• Breathing Protection on

  Safe

  At Risk

  N/A

• Body Protection on (high vis, sun screen...)

  Safe

  At Risk

  N/A

• Safety Shoes

  Safe

  At Risk

  N/A

• All Hard Hat On.

  Safe

  At Risk

  N/A

• Hand Protection

  Safe

  At Risk

  N/A

• Ear Protection on

  Safe

  At Risk

  N/A

Environment

• Sun Protection

  Safe

  At Risk

  N/A

• Rain Protection

  Safe

  At Risk

  N/A

• Wind Protection

  Safe

  At Risk

  N/A

• Public Safety/ Protection

  Safe

  At Risk

  N/A

• Site hygiene

  Safe

  At Risk

  N/A

• Run off Protection/sediment control

  Safe

  At Risk

  N/A

• Noise control

  Safe

  At Risk

  N/A

Traffic

• Fencing 1.8m/1.5m

  Safe

  At Risk

  N/A

• Stop /Go

  Safe

  At Risk

  N/A

• Traffic Lights

  Safe

  At Risk

  N/A

• Traffic signs and cones

  Safe

  At Risk

  N/A

• Hard /soft/orange Barriers

  Safe

  At Risk

  N/A

• Road Paint

  Safe

  At Risk

  N/A

• Radio/mobile Phones communications

  Safe

  At Risk

  N/A

• First Aid Kit

  Safe

  At Risk

  N/A

• Traffic Plan

  Safe

  At Risk

  N/A

Site Specific safety

• MSDS sheets

  Safe

  At Risk

  N/A

• Safety plans

  Safe

  At Risk

  N/A

• Inductions Information

  Safe

  At Risk

  N/A

• Hazard control boards up to date

  Safe

  At Risk

  N/A

• Site meetings / Toolbox reports

  Safe

  At Risk

  N/A

• Safety signs (e.g.Confined Space work )

  Safe

  At Risk

  N/A

• First Aid Kit

  Safe

  At Risk

  N/A

• Access control /safety

  Safe

  At Risk

  N/A

• Electrical Gear all safety tagged

  Safe

  At Risk

  N/A

• Site clean and clear from trip Hazards

  Safe

  At Risk

  N/A

• All Containers Labeled correctly

  Safe

  At Risk

  N/A

• Fire Extinguisher

  Safe

  At Risk

  N/A

• Site register

  Safe

  At Risk

  N/A

• Storage containers clean

  Safe

  At Risk

  N/A

• Emergency procedures in place

  Safe

  At Risk

  N/A

• Equipment safety register

  Safe

  At Risk

  N/A

• Hot works permits

  Safe

  At Risk

  N/A

• Hazard work notification register

  Safe

  At Risk

  N/A

• Safety net register

  Safe

  At Risk

  N/A

• Scaffold register

  Safe

  At Risk

  N/A

• Gas testing works

  Safe

  At Risk

  N/A

• Working at hight rope/harness logbook

  Safe

  At Risk

  N/A

• Hygiene

  Safe

  At Risk

  N/A

• Ladders

  Safe

  At Risk

  N/A

Vehicles

• WOF/ROPS/FOPS/TOPS

  Safe

  At Risk

  N/A

• Safety guards

  Safe

  At Risk

  N/A

• MSDS as per DOT

  Safe

  At Risk

  N/A

• Operator licensed/competency

  Safe

  At Risk

  N/A

• Safety tags of chains/slings

  Safe

  At Risk

  N/A

• Driver/operator logbook

  Safe

  At Risk

  N/A

• Fire extinguisher

  Safe

  At Risk

  N/A

Personnel on site

• Logbook for operators /drivers

  Safe

  At Risk

  N/A

• Training cert (high risk jobs e.g. electricians)

  Safe

  At Risk

  N/A

• NZQA certificates (e.g. confined space certified)

  Safe

  At Risk

  N/A

• Add signature

  Sign