General information

Railway station

Personnel on site

Time cleaner or maintenance person arrived/was on-site
Work Site photo
Audit Items

Do they have correct information from SIMPro?

Check JSA has been completed?

Check plant and equipment, test and tag and condition


Is access equipment in a safe condition and being used correctly


Van and/or work area housekeeping acceptable?


Are hazardous substances being safely stored/used and are relevant risk assessments available to the staff?

If required has an emergency HSE plan been written and available for the work being carried out?

Have appropriate steps been taken to ensure the safety of the public and commuters? Eg- signs posted, area barricaded etc.

Are there adequate first aid facilities available?

Are there arrangements for the safety coordination and cooperation of subcontractors or visitors?

Additional comments

Audit scores

Please select the %age audit score as per the calculation shown above

Stop all work immediately make site safe and remove contractor from site

Instruct contractor on necessary changes required before any work can continue. Actions to be dated and person responsible noted below.

Successful Audit make notes below on any improvements/actions required

Congratulations on a fantastic audit score - note any comments or follow up below

Follow up action required

Auditor to sign
Staff member to sign
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.