Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • What Type of Audit

  • Company Name

  • Principle Name

  • Rego

  • Audit ref Number

Job Site

  • General site housekeeping.

  • Aerial Risk Assessment (form) completed?

PPE

  • Dust Mask (must be P1 or P2 type mask)

  • Eye Protection - Clear and Dark.

  • Fall arrest/Restraint System. Serviceable date.

  • Tested Date

  • Full body safety body harness. Serviceable date

  • Tested Date

  • Hearing Protection

  • Ladder head rope.

  • Retro Reflective vest. Clean with reflective tape in good condition.

  • Riggers Gloves.

  • Safety Belt / Harness ( All locking clips checked). Check for fraying

  • Tested Date

  • Safety Footware. No steel caps exposed.

  • Safety Rope. 20 meters of rope

  • Sharps Container & Tongs

  • Uniform appropriate & in good condition. Check for wear holes.

Electrical Equipment ( Testing and Tagging)

  • ELCBR (RCD)

  • Tested Date

  • GPO Tester

  • Tested Date

  • Watmaster Pencil Tester

  • Tested Date

Documentation

  • Project Safety Management Plan

  • Project Safety Work Instructions

  • CFWG

  • MSDS - Silastic's Adhesive

  • MSDS - Silicon Grease

  • MSDS - Gel Filled Cable

  • MSDS - ( Dangerous/Hazardous substances)

  • Optus ID Badge

  • Exp Date

  • Stream Policies ( SHE. QUALITY, CONSULTATION, ect)

Vehicle

  • Vehicle Body in good condition

  • Vehicle lights working

  • Vehicle Clean

  • Tyres in good condition'

  • Shelving sufficient / appropiate

  • Pipe storage and Conduit Carrier ladder rack secure.

  • Vehicle Doors operational

  • Cargo area (secure load)

  • Vehicle Registration Current

  • Exp Date

  • Vehicle Serviced

  • Due Date

Vehicle Content

  • Fiberglass extension ladders (check ladder for cracks and damage)

  • Fiberglass step ladder ( check ladder for cracks and damage)

  • First Aid Kit ( check contents for currency)

  • Signal Meter ( including Calabrationdate) (Power on)

  • Calibration Date

License Checks

  • Construction Induction Card ( White)

  • Exp Date

  • Drivers License Valid

  • Drivers License Exp Date

  • Working at Heights

  • Working at Heights Exp Date

  • Action Item 1

  • Person to Action 1

  • Close out 1

  • Close out Date 1

  • Action Item 2

  • Person to Action 2

  • Close out 2

  • Close out Date 2

  • Action Item 3

  • Person to Action 3

  • Close out 3

  • Close out Date 3

  • Action Item 4

  • Person to Action 4

  • Close out 4

  • Close out Date 4

  • Action Item5

  • Person to Action 5

  • Close out 5

  • Close out Date 5

  • FST Signature

  • Date Completed

  • FS Signature

  • Date Completed

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.