Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Work Order Number
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Contractor
TRAFFIC MANAGEMENT
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TMP On Site
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Clearly Designated Go/No Go Areas
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Pedestrian Areas Well Defined & Safe
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STMS Available
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Comments
TAILGATE & HAZARD ID
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Well Defined Work Location & Work Description
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Hazards Identified, E.I.M. Appropriate Control Measures Identified & In Place
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Site Supervisor Identified & Site Induction Completed
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Emergency Procedures & Methods Of Stopping Work Discussed
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Emergency Contact Numbers Identified
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All Personnel Signed On
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Comments
PERSONAL & SITE SAFETY
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Permission Granted From Owner To Enter Dwelling & Property
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Correct PPE Used As Required For The Work Being Undertaken And In Good Condition
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Hard Hats AS/NZ Compliant
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Hearing Protection Used When Required
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Safety Glasses
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Company Full Body Overalls
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Low Voltage Gloves On
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Work Gloves On
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Safety Footwear
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Comments
COMPETENCY
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Wel Induction & Competency Book Completed / Signed And Onsite
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Appropriate Licence & Registration For The Work Undertaken Onsite
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SMEI Part 1 / 2 & LV Working Onsite Onsite
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Comments
WORK METHOD STATEMENTS / PROCEDURES
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Safe Operating Procedures Understood & Undertaken
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Workgroup Guided By Work Plan
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Work Procedures Adhered To
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Written Procedure Used
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Field Action Report Booklet Onsite
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Comments
PORTABLE EQUIPMENT & TOOLS
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Correct Tool For The Task Undertaken
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In Safe Working Order
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Calibration And In Current Test Date
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Comments
RESCUE KIT
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In Test
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Contents Complete And In Good Order
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Available Onsite
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Correct Kit For Task Undertaken
VEHICLE ROAD USE
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Current Registration
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Current WOF
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Current Road User Mileage
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Comments
PROJECT MANAGER ACTIONS / FOLLOW UPS
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Comments
GENERAL
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Actions Taken To Acknowledge/Reinforce Safe Behaviours/Conditions
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Actions Taken To Confront/Correct Unsafe Behaviours/Conditions
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General Comments
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Recommendations
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Audit Results & Recommendations Discussed With Site Supervisor
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Site Supervisor
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Audit Completed By