Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Working at height

  • Fall risks of 2m or more (including voids, pits and trenches)

  • Lack of edge protection?

  • Unsafe or incomplete edge protection?

Plant and Equipment

  • Unsafe or damaged plant/equipment? <br>(Including missing or damaged guards)

  • Incorrect plant/equipment for job?<br>(E.g. Grinding discs or cutting)

  • Unsafe or incompatible attachments used within pant/equipment?

  • Unlicensed operators?

  • Lack of safe work instructions?

  • Lack of training in safe operations, clean up and maintenance?

  • Lack of LOTO procedures for cleaning, servicing and maintenance?

  • Lack of inspection regime?

Scaffolds

  • Unlicensed persons erecting scaffold?

  • Unsafe or incomplete protocol for scaffold?

  • Lack of inspection protocol for scaffold?

  • Incompatible scaffold components? Unlabelled or do not meet AS?

  • Safe work load (SWL) exceeded? (Tools, stored materials, number of persons)

Lifting equipment

  • Unsafe or damaged plant?

  • Loads lifted over persons, close proximity to obstacles including. Overhead power lines?

  • Lack of maintenance, testing and inspection?

  • Lack of SWL information displayed?

  • Lack of daily inspection protocol?

  • Unsafe or damaged lifting equipment including ropes, slings, chains hooks?

  • Lifting equipment unlabelled, does not meet AS, no SWL displayed?

  • Unlicensed operators?

  • Lack of LOTO procedures for cleaning servicing and maintenance?

  • SWL of plant or any lifting equipment exceeded?

Harness and equipment

  • Unsafe or damaged harness or equipment?

  • Incompatible hooks/equipment?

  • Unlabelled or does not meet AS?

  • Unsafe or uncertified anchor points?

  • Lack of inspection protocol for equipment?

  • Lack or inadequate formal training for operators?

Ladders

  • Unsafe or damaged ladders?

  • Unsafe positioning of ladders?

  • Last not properly secured?

  • Ladders unsuitable for job? (e.g. Metal ladder used for electrical work)

Hazardous manual tasks

  • Lack of identification hazardous manual tasks?

  • Lack of assessment of hazardous manual tasks?

  • Inadequate risk controls? (Examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  • Lack of training in risk controls and safe lifting/ team lifting techniques?

Hazardous chemical (including fuel and oil)

  • Incompatible chemicals stored near each other?

  • Inadequate spill containment equipment?

  • Safety data sheets accessible on site?

  • Lack of emergency procedures for injury/spills/fire etc?

  • Excessive quantities stored on site or in vehicle?

  • Insufficient ventilation?

  • Insufficient or incorrect PPE?

  • Unsuitable procedures not displayed at site?

Emergency responce

  • Lack of/or no emergency plans for site

  • Emergency procedures not displayed at site?

  • Lack of training and rehearsal of emergency plans?

  • Insufficient access to formally trained first aides for all shifts?

  • Unsuitable or inadequate communication equipment?

Traffic management

  • Lack of, or inadequate traffic management plan in place? (TMP)

  • Lack of training in TMP for all persons on site including visitors?

  • Inadequate controls for TMP? (Physical barriers, bollards, speed limits, flashing lights, spotters etc)

Personal protection equipment

  • Lack of inadequate PPE?

  • Lack of system to issue, monitor and inspect/replace PPE?

  • Lack of training in safe use, clean up and inspection of PPE?

Work environment

  • Lack of/or inadequate amenities?<br>(Toilets wash areas, lunch rooms etc)

  • Insufficient lighting?

  • Inadequate housekeeping?

  • Lack of/or inadequate noise/vibration control?

Environmental hazards

  • Lack of/or inadequate environmental management plan?

  • Lack of/or inadequate dust suppression system?

  • Lack of water re-use systems?

Administrative procedures

  • Lack of/or inadequate site safety plan?

  • Failure to obtain permits?

  • Lack of/or inadequate induction for workers?

  • Lack of/or inadequate supervisory arrangements?

Sign off

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.