Information

  • Audit Title

  • Client

  • Conducted on

  • Prepared by

  • Accompanied by

  • Location
  • Personnel

  • Company Division

Project Overview:

  • This report is to be used by the assessor to inspect the site and record any safety, health and environmental hazards. The assessor should also pick an area of further inspection (e.g. SSOW, PUWER, Emergency Response Plan etc) to ensure these are compliant with regulations and internal procedures.

  • Overview of Current Works:

  • Have items from the previous inspections been closed out?

Hazard Spotting:

    Hazard
  • Hazard Risk & Severity Assessment:

  • Close out Action & Timeframe:

  • Hazard Definition:

  • Root Causality:

  • Closed out by:

  • (sign & date on site once complete)

Environmental and Sustainability:

  • Has the EMP & SWMP been updated:<br>(Eg. updated from tender copy / to reflect site progress?

  • Have both documents been briefed out to key members of staff:<br>(Eg. briefed to supervisor and above?)

  • Is there any evidence of materials / liquids being migrated outside of site boundary:<br>(Eg. mud on road etc)<br>

Positive Observations:

    Positive Observation
  • Positive Noted:

SSOW Review:

    SSOW Reviewed:
  • Non - Compliance noted:

  • Causality

Document Compliance:

    Procedure Reviewed:
  • Non - Compliance Noted:

  • Causality

SHEQ Bulletins & Displayed Information:

  • Information up to date and relevant:

Inspection Recipient Sign Off:

  • Add signature

Hazard Rating

  • Please record the Hazard Rating using the following criteria for each occurrence:
    24 hour - score 5.
    3 day - score 3.
    7 day - score 1.
    If items from previous inspection have not been closed out in allocated timescale immediately score additional 10 points.
    This will give you a total hazard rating for the site.
    Next score the Positive Observations 1 point for each positive observation during the audit.
    Where site demonstrates the implementation of observation cards add 1point for each card up to a maximum of 10 points only if the cards are being closed out, the site is displaying Sorted = Reported poster and details are being entered.

  • Hazard Rating Total:

  • Positive Actions Total:

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.