Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site Documentation

  • Hazard Board on site

  • SSSP on site

  • Have all staff been inducted to site

  • Is there a sign in/out

Emergencies

  • Emergency plan on site

  • First aider on site

  • First aid kit on site

  • Fire extinguisher on site

Electrical safety

  • Good electrical practices followed

  • Test/Tag currant

Height safety

  • Ladders in good condition and used correctly

  • Scaffolds over 5 meters erected by certified scaffolder and tagged

  • EWP's certified and checked daily

  • Harness worn in EWP's

  • Mobile scaffold erected to manufacturers specification

  • Over head power lines

PPE

  • PPE being worn and adequate for task and compliant with site rules

Protection of public and other trades

  • Work area isolated

  • Appropriate signage used

General site conditions

  • Housekeeping

  • Protrusions - eg. re bar, pipe work, scaffold

  • Lighting

  • Weather conditions

Other site hazards

  • Trenches, holes and excavations

  • Demolition

  • Crane and overhead lifting

  • Fumes and dust

  • Asbestos

  • Other

Welfare

  • Toilet facility on site

  • Area to take breaks

  • Facility to heat food/liquids

Your sub contractos

  • Are sub contractors being used (List)

  • Is their SSSP on site

  • Working safely

  • PPE being worn

Conclusion

  • Gary O'Rourke signature

  • Add signature

  • Senior operative

  • Add signature

  • Select 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.