Title Page

  • Auditor Name

  • Site

  • Gang

  • Date and Time of Audit

  • Site Address
  • Site Supervisor

Audit - Supporting photographic evidence to be included for each question.

  • Is there a risk assessment completed?

  • Is there a Courtesy Board displayed at the entrance to the works both end? (take photo)

  • Are advance warning signs in place and in good<br>condition?

  • Traffic lights setup correctly and working (where<br>required)?

  • Have appropriate lead in and exit tapers been<br>established as required?

  • Cones sufficient and in good condition?

  • Are vehicles parked in a safe considerable manner?

  • Are there adequate measures in place to prevent the<br>general public from entering the work zone?

  • Is the site clean and tidy?

  • Checked no spoil, tools, equipment leaning up against<br>customer properties?

  • Appropriate provision for pedestrian access<br>including 1m walkways and safety zones?

  • Are site walkways/access routes free from defects and obstructions which could cause slips, trips and falls?

  • Are all path boards free from defects?

  • Barriers are in place and in good condition, free from trip hazards?

  • Kerb ramps installed where required and in good<br>condition?

  • Sand bags on all signs and every second barrier<br>(where barriers are being left overnight)?

  • Are all steps being taken to minimise impact on<br>customers (road plates to provide access to properties<br>etc)?

CORRECTIVE ACTION

  • Detail the Correction Action/s

  • Corrective Action On (Team Names/Site)

  • Corrective Action Issued To (i.e. Supervisor)

  • How was the Corrective Issued (i.e. Call, Emails etc)

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.