Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Environment

  • Have erosion, sediment controls and stock pile been removed from site

  • Have Fuels/Oils/Chemicals been removed from site?

  • Is a monitoring/inspection program in place for active/secured sites? Is there a review in place to be carried out at least every 3 days?

  • Site access and security arrangements including fencing/hoarding in place for Christmas period, if required?

  • Contact person(s) agreed and communicated to relevant stakeholders (eg: Regulator/Client)

  • Has site equipment and machinery been removed from site watercourses and drainage lines?

Safety

  • All bins and skips on site removed

  • Are All work areas are clear from debris and equipment removed off site? eg: fencing, barriers.

  • Are safety barriers secure (tied/fixed in place)

  • Where practicable, have all excavation been back filled? If not why, and explain how they have protected them. E.g. Plate, safety fences

  • Where excavation are unable to be filled. Are the excavation sites secure? (Barricades have been put in place). Is all temporary reinstatements compliant? E.g. Cold mix

  • Have all trip hazards been eliminated?

  • Are all signs removed from site? (Except sites with open/secured excavations).

Completed audit

  • Other Comments

  • Signature of Site Manager Representative

  • Date

  • Completed checklists should be emailed to SEQ mailbox (vplseqnz@visionstream.co.nz) for entry into Cintellate.

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.