TECSIDE group Client Review Questionnaire

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Client Name:

• Date of Review:

• TECSIDE branch:

Safety Assessment Actions

• Is there a current Safety Assessment that has been completed and up to date with the business activities?

  Yes

  No

  N/A

• Have action items from the Safety Assessment been addressed? If yes, how?

  Yes

  No

  N/A

• Do any actions remain outstanding? If yes, what?

  Yes

  No

  N/A

Workplace Hazards

• Has any new hazards been introduced to site since the safety assessment was completed?

  Yes

  No

  N/A

• Has there been any changes to the job role/s since the last safety assessment or client review? If yes, what?

  Yes

  No

  N/A

• Have all new identified hazards been risk assessed by competent personnel?

  Yes

  No

  N/A

Accident/Incident/Near Miss/Hazard Reports

• Have any reports of accidents, incidents, near misses or hazards been conducted onsite in the past 3 months?

  Yes

  No

  N/A

• Have corrective actions been implemented?

  Yes

  No

  N/A

• When did TECSIDE conduct the last Toolbox Talk? What was the topic of the last Toolbox Talk?

• Was there any issues raised by the attendees of the Toolbox Talk?

  Yes

  No

  N/A

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• TECSIDE Representative

  Sign

• Client Representative

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