• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

3.22 Work at height

  • Ladders have had a quarterly inspection and unsafe ones removed from use

  • Safe access equipment is available

3.26 Pressure systems

  • No leaks evident in steam, caustic lines or hot water hoses

3.25 Portable appliances

  • Extension leads are safe to be used and without damage?

  • Hand power tools are in good condition, with no damage evident to the cord or plug?

3.21 Lifting equipment

  • Visually inspect lifting equipment for signs of damage that could create a risk, refer to the lifting equipment register,

  • Rating of action identified

Action required

  • Risk rate any action identified for priority using the standard 3 x 3 risk assessment score of frequency x severity

  • Rating of action identified

  • Rating of action identified

  • Rating of action identified

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