Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

All Sites ( Life Saving Safety Rules )

  • Safe Approach Distances

  • Working at Heights

  • JRA / JSA

  • P.P.E

  • Traffic Control

  • Position of Vehicle

  • Slips/Trips and Falls Hazards

  • Manual Handling

  • Licence Authorisation

Driving Activities

  • Safe Following Distances

  • Intersections

  • Indicating

  • Speed

  • Backing up

EWP Activities

  • EWP setup

  • Observer in place

  • Communication

  • Drop Zone

  • Move, Don't Reach

Linesman Activities

  • Conductor Inspection

  • Working off Ladders

  • Live Line HV

  • Live Line LV

  • Working Under EAP

  • Working Outside Angle

  • Crane Borer

  • Hydraulic Pole Jack

Comments

Non-Conformances / Improvements

  • Responsible Person

  • Responsible Person

  • Responsible Person

  • Responsible Person

  • Responsible Person

  • Responsible Person

Sign off

  • Auditor Signature

  • Crew leader / Supervisor 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.