• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


Traffic Management

  • Safety signage appropriate to job?

  • Safety signs correctly located?

  • Adequate cones used?

  • Is pedestrian safety ensured?

  • Is work site well protected?

Personal Protective Equipment

  • Approved hard hat worn?

  • Approved footwear worn?

  • Approved glasses worn?

  • Approved hearing protection worn?

  • Is UV protection being used? (hats, sunscreen, long sleeve/pants)

Equipment Testing

  • Prestart vehicle checks carried out?

  • Prestart plant checks carried out?

  • Equipment in test/tagged?

  • Vehicle condition (image)?

  • Vehicle/ plant within service date?


  • Are environmental risks identified & controlled?

  • Are control measures being used to manage water runoff & collection?

  • Is spill kit available?

First Aid

  • Is the container intact?

  • Is the kits location marked and known to the crew?

Work Practices

  • Is the pipe and fitting installed to required standards?

  • Has excavation been battered/shored/shields used? Access restricted?

  • Is machine access restricted?

  • Are trenches correctly backfilled and compacted? (clean spoil/crushed rock/wacker used)

  • Does broken concrete/bitumen have clean saw cut edges?

  • Does broken concrete/bitumen have a temporary repair?

  • Are Asbestos materials handled and disposed of in accordance with Legislative requirements ?

  • Is the worksite tidy with no trip or slip hazard?

  • Are hoses, pipes etc guarded?

  • Fire equipment in date & available?

Work Planning

  • Has SWMS been completed and signed by all on site?

  • Is the detail contained in the SWMS adequate?

  • Does the SWMS reference the Generic Risk Assessments?

  • Are all employees aware of The identified Hazards and Controls

  • Is a job sheet on site?

  • Is DBYD Dial Before You Dig documentation on site?



Corrective action to be undertaken and by Who and by When


  • Add a drawing to assist clarification of an area of concern where appropriate

  • Person in control of the Workplace.

  • Person conduction the Audit

NOTE* This form is an IPad version of TSWT-037074-MTP-FO-012

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.