Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • FOCUS ON .... Eyes on Hands, Eyes on path and line of fire

STOP and think through the job

  • Are you fit to perform the required task

  • Do you understand the job

  • Are you competent to do the work and familiar with the equipment

  • Are the tools and equipment in a safe condition

  • Do you have an SWI and JHA for the task

  • Have you informed others that may be affected by your work

ASSESS THE WORK. Dose the job involve any of the following?

  • Equipment isolation

  • Confined space work

  • Working at heights

  • Use of cranes or other lifting devices

  • Use of mobile equipment

  • Hot work

  • Assistance from others

  • Use of barricades

  • Communication in noisy areas

  • Potential environmental impacts

SEE THE HAZARDS- Look to identify any potential hazards

  • Gravity

  • Vehicles

  • Human

  • Electrical

  • Mechanical

  • Vibration

  • Hazardous atmosphere

  • Chemicals

  • Thermal

  • Pressurized system

  • Radiation

  • Flying objects

  • Trip Hazards

  • Manual handling

  • Caught in- rotating or moving equipment

  • Noise

  • Engulfment

  • Sunlight

  • Fibres

  • Cold surfaces

  • Gases

  • Dust

  • Other

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.