Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Project information

  • PROJECT NUMBER

  • PROJECT or MAINTENANCE ACTIVITY

  • DATE:

  • TIME:

  • SITE or LINE

  • RECORDED BY:

  • AUDIT TYPE

  • ATTENDEES:

  • Consider/Question - Is the site well organised?

  • What risks have been identified and what are the controls?

  • Observe - behaviours

People and People's Actions

  • Applying Safe Work Practices/Halting works if unsafe

  • Fit for Work/Competent

  • Recipient/Supervisor/Person in Charge

  • Pre-work planning/Hazard ID/Worksite Safety Plan (Tailgate)

  • Working at Height/Climbing

  • Use of Vehicles/Mobile Plant

  • Isolations/Earthing/Bonding

  • MAD/MAR/Safety Observer/Live Work

  • Site Security/Access/Induction to Site

  • Emergency Procedures, first aid kits and equipment

  • Facilities - Water/Toilets/Meal/Smoking Areas

  • Signage/Notice Boards/Housekeeping

  • Observations

Environmental

  • Measures/Consents/Permits

  • Waste Management/Noise control

  • Dirt/Soil Erosion//Site Run-Off/Dust Minimisation

  • Vegetation Control/Fire Risk Managed

  • Cement/Concrete

  • Hazardous Substances-MSDS Transport/Storage/Response

  • Observations

Procedures

  • Adequate/Available/Known/Understood

  • Permits in place/Notified works

  • Sufficient level of supervision

  • Observations

  • Oil spill kit on site and is an adequate size

PPE

  • Head, eyes, face and ears

  • Hands, arms, trunk, legs and feet

  • Respiratory System/Other

  • Appropriate for Task

  • Condition of PPE

  • Observations

Tools and Equipment

  • Correct for the job

  • Fit for Use/Tagged/Tested

  • Used Correctly/Safe Condition

  • Ladders used safely

  • Gas Cylinders Restrained

  • Observations

Vehicles/Plant

  • Clean, Tidy Condition

  • Certified/Warranted

  • Observations

  • ADDITIONAL OBSERVATIONS/RECOMMENDATIONS:

  • Auditor Signature

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.