Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Basic Information

  • Date and Time of Inspection

  • Location

  • Signature

Active Area

  • Location / Area

  • Findings

  • Actions

Active Area

  • Location / Area

  • Findings

  • Actions

Active Area

  • Location / Area

  • Findings

  • Actions

Active Area

  • Location / Area

  • Findings

  • Actions

Seat Belt Verification Inspection Details

  • Location

  • Vehicle ID

  • Seat Belts Worn?

  • Number of Passangers ?

  • Actions

Risk Assessments and Permits

  • For work being completed in the above areas, was a risk assessment conducted for the task observed?

  • For the work being completed in the above areas, was the appropriate Sub-Permit / Authority observed?

Checklist

General

  • Hazards – clearly marked, appropriately managed

  • Personal protective equipment – adequate for task

  • Plant Safety Inspections (Pre-starts) – completed, defects rectified

  • Risk assessment – suitable quality, appropriate for task, positive communication

  • Signage – appropriate, in place, visible, mounted correctly

  • Positive Communication – when entering area and interacting work areas

  • Parking areas – clearly indicated and demarcated

  • Waste management – correct bins, accumulated waste, spill kits, sumps

  • Hazardous Materials – stored and labelled correctly

  • Supervisor area inspection – shift area inspection completed, actions rectified

Access Road

  • Roads in good condition – graded, contoured, clearly signed

Truck, Shovel, Excavator and Dozer Operations

  • Roads in good condition – graded, contoured, clearly signed

  • Cable Management – delineated and laid out correctly

  • 50m Active Mining Area in place and functional

  • Loading and discharge – correct process in place, procedures followed

Draglines

  • In pit parking areas – clearly demarcated and correctly set up

  • Roads in good condition – graded, contoured, clearly signed

  • Cable Management – delineated and laid out correctly

Drill & Blast

  • In pit parking areas – clearly demarcated and correctly set up

  • Roads in good condition – graded, contoured, clearly signed

  • Blast boards – functional and current

General Comments

  • General Comments

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.