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
Personal Behaviours
Personal Behaviours.
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Are people moving safely around site?
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Are they choosing a safe route avoiding hazardous activities?
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Are the avoiding walking under structure or workers where there is a risk of being struck by falling objects?
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Are people looking where they are going, avoiding slips and trips?
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Are they using proper climbing techniques (safe technique, 3 point contact, foot and hand placement)?
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Are they staying clear of unprotected edges thus avoiding the risk of falling?
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What actions are they taking before entering hazardous areas?(observation/stopping/caution/hazard identification)
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Are they pacing themselves avoiding getting over tired?
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Are they stopping work when it is unsafe to continue (STOP process)
PPE
Use and care of personal protective equipment (PPE)
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Is the PPE being worn correctly?
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Does it fit?
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Is it fit for purpose
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Is cleaning/replacement a problem?
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Do they have all the PPE they need?
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Enter any photos
Local health and safety arrangements
Local health and safety arrangements.
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Is there an awareness of local site rules?
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Is there an awareness of safety requirements(e.g. Golden rules, instruction and guidance documents?
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Are safety incidents and near misses reported? When was the last one reported?
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Has the employees received safety training?
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Any information?
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Add media
Safe sytems of work
Safe systems of work
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Are safety briefing held (toolbox talks)
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Are the necessary procedures(permits for work, safe systems) in place?
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Is the supervision/hosting appropriate for the area being visited?
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Are the people involved safety and technically competent?
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Add information
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Add media
Tools and equipment
Tools and equipment
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Have people on site got the right equipment?
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Do they appear to know how to use it?
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Is it in good condition?
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Add information
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Add media?
Other
Other
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Is house keeping in good order with clear walkways and clean areas?
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Does the client/third party show an interest in their personal safety?
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Add information
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Add media?
Comments
Unsafe acts observes
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Enter any unsafe acts observed
Safe acts observed
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Enter any safe acts observed
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Add media?
Actions
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Add any actions below
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Enter when action are to be completed by
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Enter signature
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Select date