Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Project

  • Contractor Company

  • Activity Observed

  • SHEWMS Reference

  • Add location

Telecommunications Safety Essentials

  • 1. Electrical Work

  • 2. Working at Height

  • 3. Driver Alertness

  • 4. Working in the Vicinity of Utility Services<br>

  • 5. Excavation Works

  • 6. Working in the Vicinity of Vehicular Traffic

  • 7. Working in and around Mobile Plant

  • 8. Working in Remote or Isolated Locations

  • 9. Heavy Lifting

  • 10. Exposure to Asbestos

Critical Risk Awareness

  • 1.1 Have all workers on site completed the required online/ project-specific training inductions relating to the Safety Essentials.

  • 1.2 Are workers able to describe what the Safety Essentials are and how they are implemented?

  • 1.3 Are the workers able to describe which critical risks / Safety Essentials are applicable to the current activity?

  • 1.4 Are the workers able to describe the critical risk controls / working above the line principles they are implementing to control the critical risks?

2. SHEWMS

  • 2.1 Is there a relevant SHEWMS in place applicable to the works?

  • 2.2 Does the SHEWMS highlight the critical risks workers are exposed to?

  • 2.3 Does the SHEWMS clearly state the risk controls for those critical risks?

  • 2.4 Are those risk controls aligned with the Safety Essentials requirements?

  • 2.5 If risk controls are not aligned with the Safety Essentials requirements, has an exception been approved and registered?

3. SHEWMS Implementation

  • 3.1 Are the risk controls being implemented as per the SHEWMS and Safety Essentials requirements?

  • 3.2 Are the risk controls cost effective at controlling critical risk?

  • 3.3 Have all workers signed on to the SHEWMS as having read and understood the requirements?

Findings and Actions

  • Finding 1

  • Actions<br>

  • By Who

  • Required Date of Completion

  • Finding 2

  • Actions

  • By Who

  • Required Date of Completion

  • Finding 3

  • Actions

  • By Who

  • Required Date of Completion

  • Finding 4

  • Actions

  • By Who

  • Required Date of Completion

  • Finding 5

  • Actions

  • By Who

  • Required Date of Completion

  • Auditor Signature

  • Select date

  • Auditee 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.