Walk the Talk Audit Form

• Document No.

• Audit Title

Site Information

• Workplace Manager's Name

  Name

• Business Unit / Branch

  Name

• Date of Walk the Talk

  Date
• Location
  Address

Documentation

• Review the HSE Manual in the Branch. Is it up to date?

  Yes

  No

  N/A

• When was the last meeting held where safety was discussed (sight meeting record)

  Date

• Have all employees (new and existing) been inducted in health and safety (check induction checklist and iLearn safety quiz)

  Yes

  No

  N/A

• Date of last fire evacuation drill

  Date

• Have employees seen the latest safety awareness topic (sight completed quiz or displayed topic)

  Yes

  No

  N/A

Training Assessment

• Is training for employees in health and safety up to date in the following areas?

• First Aid

  Yes

  No

  N/A

• Forklift

  Yes

  No

  N/A

• Managers / Co-ordinators

  Yes

  No

  N/A

• Evacuation warden

  Yes

  No

  N/A

Branch review

• Discuss with the workplace, the last incident / accident which has occurred. Review follow up actions if appropriate

• Review the Branch Hazard Register. When was the last hazard entered onto the Register

  Date

• Identify the hazard that was last added to the Branch Hazard Register

• Have all contractors engaged by the workplace received induction including delivery contractors? (See list of inducted contractors and discuss safety performance)

  Yes

  No

  N/A

• Are appropriate or safety knives being used? For Blackwoods Protector locations, check hose cutting / storage equipment.

  Yes

  No

  N/A

• Review housekeeping in the workplace (check floors, desks, bins etc)

• Review with workplace employees the conditions of goods stored in the shop. For the store or warehouse, the condition of the racking. View pallets, goods wrapped / strapped.

Forklifts and Machinery

• Number of forklifts in the workplace

• Date of last branch check (weekly)

  Date

• Date of last service check (6 monthly, WOF date)

  Date

• If a site has a Safety cage, is it available and serviced?

  Yes

  No

  N/A

Traffic Management

• Is the traffic management plan displayed?

  Yes

  No

  N/A

• At workplaces with forklifts, where is the safe zone for delivery drivers? (where applicable, otherwise general signage, pedestrian flow, etc.)

Company Vehicles

• Are there company vehicles on site?

• If yes, how many?

• Are they clean and tidy?

  Yes

  No

  N/A

• Do they have a first aid kit? Check for expired contents

  Yes

  No

  N/A

• Do they have a fully serviced fire extinguisher?

  Yes

  No

  N/A

• Do they have a car phone kit or integrated phone kit?

  Yes

  No

  N/A

Summary

• General comments

• Is the workplace fully compliant?.

  Yes

  No

  N/A

• If 'no', how many items to follow up?

• Agreed date of completion

  Date

• Name of person completing the Walk the Talk

• Signature

  Sign