Title Page

Specific details relating to work

  • Select date

  • Business Unit

  • Department

  • People present (auditees)

  • Specific detail of work being undertaken

  • Auditor(s)

  • Add media

Planning

  • A scope of work is defined and understood.

  • Hazards and any applicable standard controls have been identified

  • WMS(s) are developed for aspects of the work not controlled with applicable standard controls

On site

  • Is a WMS being used for this work?

  • WMS(s) are specific for the task and conditions they are being developed to manage

  • WMS(s) break down the task into meaningful steps to allow specific and effective hazard identification and control.

  • Relevant standard controls are in place

  • Standard controls suitably address all aspects of the work

  • Controls have been identified and implemented to manage specific hazards

  • A Start Card discussion is held prior to work commencing with involvement from all workers

  • Were any additional hazards identified?

  • Identified controls are implemented and monitored to ensure they remain effective

  • There is genuine Commitment to having a robust start card discussion.

  • Team members have an awareness of aspects that could influence risk management changes?

Agreed Actions

Findings and actions

    Findings
  • Finding details

  • Action required

  • Person
  • Person name

  • Due date

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.