Title Page
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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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Work Crew
- Concreting Crew
- Earthworks
- Electrical Crew
- Fencing Crew
- Loading / Unloading
- Maintenance / Repairs
- Pipe Crew
- Pit Crew
- Retaining Wall Crew
- Other
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Supervisor
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Company Name
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Task Observed
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Housekeeping - Is the work area tidy?
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Segregation of work area - Is there good segregation of plant/people & plant/plant?
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PPE - Are all permits in place? e.g. excavation, maintenance, hot works.
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Lifting Equipment - Is lifting equipment appropriate, tested & tagged?
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Electrical Equipment - Is all electrical equipment tested & tagged.
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Fuels / Chemicals - Are all fuels & chemicals stored appropriately?
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Excavations - Is appropriate benching in place?
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Excavations - Is there adequate access and egress?
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Excavations - Are any unattended excavations correctly barricaded?
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Edge Protection - Are any exposed edges correctly barricaded / flagged off?
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Access / Egress - Is the work area easily accessible and clearly defined?
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Parking - Are parking areas clearly defined, segregated and have appropriate wheel stops in place?
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Signage - Is appropriate signage in place?
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Add media
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Environment - Are environmental controls in place, effective and maintained?
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Additional comments / rectification actions:
