Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Personal Behaviours

Personal Behaviours.

  • Are people moving safely around site?

  • Are they choosing a safe route avoiding hazardous activities?

  • Are the avoiding walking under structure or workers where there is a risk of being struck by falling objects?

  • Are people looking where they are going, avoiding slips and trips?

  • Are they using proper climbing techniques (safe technique, 3 point contact, foot and hand placement)?

  • Are they staying clear of unprotected edges thus avoiding the risk of falling?

  • What actions are they taking before entering hazardous areas?(observation/stopping/caution/hazard identification)

  • Are they pacing themselves avoiding getting over tired?

  • Are they stopping work when it is unsafe to continue (STOP process)

PPE

Use and care of personal protective equipment (PPE)

  • Is the PPE being worn correctly?

  • Does it fit?

  • Is it fit for purpose

  • Is cleaning/replacement a problem?

  • Do they have all the PPE they need?

  • Enter any photos

Local health and safety arrangements

Local health and safety arrangements.

  • Is there an awareness of local site rules?

  • Is there an awareness of safety requirements(e.g. Golden rules, instruction and guidance documents?

  • Are safety incidents and near misses reported? When was the last one reported?

  • Has the employees received safety training?

  • Any information?

  • Add media

Safe sytems of work

Safe systems of work

  • Are safety briefing held (toolbox talks)

  • Are the necessary procedures(permits for work, safe systems) in place?

  • Is the supervision/hosting appropriate for the area being visited?

  • Are the people involved safety and technically competent?

  • Add information

  • Add media

Tools and equipment

Tools and equipment

  • Have people on site got the right equipment?

  • Do they appear to know how to use it?

  • Is it in good condition?

  • Add information

  • Add media?

Other

Other

  • Is house keeping in good order with clear walkways and clean areas?

  • Does the client/third party show an interest in their personal safety?

  • Add information

  • Add media?

Comments

Unsafe acts observes

  • Enter any unsafe acts observed

Safe acts observed

  • Enter any safe acts observed

  • Add media?

Actions

  • Add any actions below

  • Enter when action are to be completed by

  • Enter signature

  • Select date

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.