Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • We're all team members present at the pre-job briefing?

  • Are team members fit for work?

  • Is the permit to work, SWMS, JHA, and take 5 available and understood?

  • Have all team members been trained in W@H?

  • Does the area have a high standard of housekeeping?

  • Has a W@H permit, dropped object inspection been completed for the area and actions addressed prior to starting work?

  • Have all areas where an object may fall through been covered to protect dropped objects? Are blankets and mono flex available?

  • Do all members have adequate personal protective equipment, including Falls arrest Equipment?

  • Has an exclusion zone been set up below the work area where required? Is there adequate signage warning of people working above?

  • Have all tools and equipment required for the task been fitted with tool lanyards

  • Positive observation

  • Comments/Feedback

  • Safety issue

  • Comments/Feedback

  • Improvement

  • Comments/Feedback

  • Action

  • Comments/Feedback

  • Photo 1

  • Photo 2

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.