Information

  • Audit Title

  • Region

  • Department

  • Location
  • Location

  • Conducted on

  • OFI Number

  • Prepared by

  • Signature

Site Activity

  • What are they doing?

  • Activity level

  • Site looks safe?

  • Site looks tidy?

  • Crew adequately resourced?

PPE / PPC

  • Is it used correctly? - per tasks?

  • Is it in good condition?

  • Any non-compliances? List

Hazard Management

  • Pre-start tailgate completed to review planned work?

  • Haz register / task analysis reviewed?

  • Hazards / controls identified, including environmental, and explained

  • Controls effective?

  • Signed by staff / subbies / visitors?

  • Specialist equipment required e.g. gas detector, respirator? List

Traffic Management

  • TMP on site?

  • TMP approved by RCA?

  • Site complies with TMP?

  • Traffic control - site feels safe?

Plant / Equipment

  • What plant and equipment is on site? List

  • Is it fit for purpose?

  • ROPs fitted and seatbelts worn?

  • RUC / COF / Rego current?

  • Operators have licences on them?

  • Equipment certified / calibrated?

  • Are there caution tags on site?

  • All daily plant checks completed?

Site Documentation

  • Job details / specifications / drawings on site?

  • Permits to work completed?

  • Job sheets / work instructions / SOPs on site?

  • Evidence of quality control checks - Inspection and testing records?

  • Incoming materials checked for quality?

  • Emergency plan, including spill response on site?

  • Safety data sheets on site?

Manual Handling

  • Are gloves being worn to protect against cuts, scratches or puncture wounds?

  • Are walkways clear when carrying things on site?

  • Are there any high lifts being conducted?

  • Are there any repetitive tasks being conducted?

Environmental

  • Resource consents for job on site? List

  • Weather forecast known?

  • Spills / puddles / discolouration / litter on the ground or in drains / catchpits?

  • Leaking or corroding equipment, valves, seals, containers or lines?

  • Catchpit protection properly installed and maintained?

  • Concrete waste contained and disposed (cutting, washing, exposed aggregate)?

  • Stockpiles covered and anchored?

  • Exposed areas, including site access, stabilised or sediment controls in place?

  • Tracking of mud / sediment to road?

  • Spill kits accessible and fully stocked?

  • Staff aware of spill procedures?

  • Excavations, machines, vehicles or materials under trees or trees damaged?

  • Tree work / removal approved by aborist?

  • Dust / odour emissions controlled?

  • Noise mitigation measures implemented?

  • Equipment / vehicle washing provided for?

  • Solid wastes separated for recycling?

  • Water use / take approved?

General

  • Comments

  • All unsafe acts or non compliances observed have been corrected and discussed with staff

  • All positive observations have been discussed and reinforced with staff

  • All corrective actions recorded on an OFI

  • Overall Impression of Site

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.