WA Contractor Safety Contact v5

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Contractor Safety Contact

• Supervisor

  Select Arthur Wilkinson Antony Morrell Nigel Ayton

  • Arthur Wilkinson
  • Antony Morrell
  • Nigel Ayton

Audit Details

• Date of Audit

  Date

• Contractor

• Job Number

• Builder

Checklist

• Hazard Checklist is on site for audit

  Yes

  No

  N/A

• Hazard Checklist is completed correctly

  Yes

  No

  N/A

• Hazard Checklist is accurate

  Yes

  No

  N/A

Equipment Register

• Equipment Register is on site for audit

  Yes

  No

  N/A

• Equipment Register is completed correctly

  Yes

  No

  N/A

• Equipment tags are current

  Yes

  No

  N/A

Employee Register

• Employee register is on site for audit

  Yes

  No

  N/A

• Employee register is completed correctly

  Yes

  No

  N/A

• Employee register is accurate

  Yes

  No

  N/A

• All white cards as per register are on site

  Yes

  No

  N/A

Audit Results

• Result of audit

  Pass

  Fail

• Audit Comments

• Audit Completed

  Sign