Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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We're all team members present at the pre-job briefing?
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Are team members fit for work?
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Is the permit to work, SWMS, JHA, and take 5 available and understood?
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Have all team members been trained in W@H?
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Does the area have a high standard of housekeeping?
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Has a W@H permit, dropped object inspection been completed for the area and actions addressed prior to starting work?
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Have all areas where an object may fall through been covered to protect dropped objects? Are blankets and mono flex available?
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Do all members have adequate personal protective equipment, including Falls arrest Equipment?
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Has an exclusion zone been set up below the work area where required? Is there adequate signage warning of people working above?
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Have all tools and equipment required for the task been fitted with tool lanyards
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Positive observation
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Comments/Feedback
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Safety issue
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Comments/Feedback
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Improvement
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Comments/Feedback
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Action
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Comments/Feedback
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Photo 1
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Photo 2