Information
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Job No:
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Site:
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Electrical Site Supervisor:
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Conducted on
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Location
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Auditor:
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Personnel
House Keeping
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All personnel are inducted onto the site?
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All personnel not inducted are to leave site immediately until rectified.
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Risk Assessment Completed
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All work is to cease immediately until a risk assessment is complete.
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All staff have the correct PPE required for the task?
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Personnel without correct PPE to cease work immediately until rectified.
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High Risk Activities have a high risk permit completed and signed?
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Activity is to cease immediately until rectified. Internal investigation to be done with outcome.
B. Tools and Equipment
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Tools and Equipment in good condition
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Tools or Equipment to be placed out of service. Tagged Out.
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All equipment properly guarded
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Tools or Equipment to be placed out of service. Tagged Out.
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Ladders in good condition and inspected
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Ladder to be placed out of service. Tagged Out.
D. Work site
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First Aid available
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Work is to cease immediately until rectified.
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Exclusion Zones Installed where necessary?
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Work is to cease immediately until rectified.
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Work Site is clean and free from hazards?
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Work is to cease immediately until rectified.
Audit Conclusion
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Overall result of Safety Audit
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Disciplinary Action to be undertaken
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Re-training to be undertaken in all failed areas.
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Auditor:
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Employee:
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Result:
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Description of Safety Breach:
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Disciplinary action to be enacted.
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Employee Signature:
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Description of Safety Breach:
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Re-training to be enacted.
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Employee Signature:
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Employee:
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Result:
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Description of Safety Breach:
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Disciplinary action to be enacted.
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Employee Signature:
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Description of Safety Breach:
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Re-training to be enacted.
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Employee Signature:
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Employee:
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Result:
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Description of Safety Breach:
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Disciplinary action to be enacted.
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Employee Signature:
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Description of Safety Breach:
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Re-training to be enacted.
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Employee Signature:
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Employee:
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Result:
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Description of Safety Breach:
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Disciplinary action to be enacted.
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Employee Signature:
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Description of Safety Breach:
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Re-training to be enacted.
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Employee Signature:
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Employee:
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Result:
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Description of Safety Breach:
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Disciplinary action to be enacted.
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Employee Signature:
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Description of Safety Breach:
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Re-training to be enacted.
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Employee Signature:
