Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Toolbox Talk Subject Matters discussed (and any commitments by management to investigate/follow-up on) • Correct work clothing – high vis, work boots, gloves, sunscreen/sunhat and sunglasses • Correct PPE use – gloves when accessing pits, hearing protection and safety glasses when drilling and operating the trencher • Work area tidy and delineated by barricades/witches hats/ bunting/signage • Pedestrians/road users have safe 1.2m wide access around site. Pedestrians not ‘pushed off established path’ and onto road to bypass work area unless speed <60km/h, signage and barricades in place • Maintain safe distances when operating EZ trencher. Ensuring equipment is well maintained. • Fall protection (if working greater than 1.2m above ground) • Buried/Overhead services identified and avoided • Asbestos controls/PPE in place. Waste disposed of as per asbestos training • First aid equipment shown to workers and made sure that it is readily accessible • Are trailers tidy, Tools/equipment being looked after. Trailer wheels must be chocked if not attached to a secured vehicle. • Ground being re-instated once work completed. This includes removing all waste and compacting the ground to minimise the potential for water/soil erosion • SWMS is accessible via the IPAD. dial before you dig is also available for each area on your iPad. • In an emergency, suspend work. Evacuate the area if the risk to life exists. • Discuss workers impressions of the workplace and take-on board suggestion for review.

Employee sign off.

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

Management sign off.

  • Managers signature.

  • Safety trainers 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.