Information
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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
Project information
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PROJECT NUMBER
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PROJECT or MAINTENANCE ACTIVITY
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DATE:
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TIME:
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SITE or LINE
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RECORDED BY:
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AUDIT TYPE
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ATTENDEES:
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Consider/Question - Is the site well organised?
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What risks have been identified and what are the controls?
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Observe - behaviours
People and People's Actions
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Applying Safe Work Practices/Halting works if unsafe
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Fit for Work/Competent
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Recipient/Supervisor/Person in Charge
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Pre-work planning/Hazard ID/Worksite Safety Plan (Tailgate)
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Working at Height/Climbing
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Use of Vehicles/Mobile Plant
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Isolations/Earthing/Bonding
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MAD/MAR/Safety Observer/Live Work
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Site Security/Access/Induction to Site
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Emergency Procedures, first aid kits and equipment
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Facilities - Water/Toilets/Meal/Smoking Areas
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Signage/Notice Boards/Housekeeping
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Observations
Environmental
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Measures/Consents/Permits
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Waste Management/Noise control
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Dirt/Soil Erosion//Site Run-Off/Dust Minimisation
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Vegetation Control/Fire Risk Managed
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Cement/Concrete
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Hazardous Substances-MSDS Transport/Storage/Response
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Observations
Procedures
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Adequate/Available/Known/Understood
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Permits in place/Notified works
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Sufficient level of supervision
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Observations
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Oil spill kit on site and is an adequate size
PPE
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Head, eyes, face and ears
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Hands, arms, trunk, legs and feet
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Respiratory System/Other
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Appropriate for Task
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Condition of PPE
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Observations
Tools and Equipment
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Correct for the job
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Fit for Use/Tagged/Tested
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Used Correctly/Safe Condition
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Ladders used safely
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Gas Cylinders Restrained
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Observations
Vehicles/Plant
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Clean, Tidy Condition
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Certified/Warranted
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Observations
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ADDITIONAL OBSERVATIONS/RECOMMENDATIONS:
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Auditor Signature