Section 1.0 Paperwork

  • Are all drivers licences, trade qualification / tickets, and Inductions current and carried by the crew members?

  • Tap to enter information
  • Please enter action

  • 1.2 Are Take 5 Pads available on site and are they being used?

  • Tap to enter information
  • Please enter action

  • 1.3 Are all vehicles and equipment being used on roads registered?

  • Tap to enter information
  • Please enter action

  • 1.4 Is the Job Control Form on site, does it contain the correct information, ie. clear instructions, time limits or restrictions, purchase order number?

  • Tap to enter information
  • Please enter action

  • 1.5 Have the vehicle / Equipment log books been completed correctly with any faults recorded and notified?

  • Tap to enter information
  • Please enter action

  • 1.6 Has the JSA / SWMS been completed correctly and identified all hazards and lists appropriate controls, and all crew members onsite have signed the documents?

  • Tap to enter information
  • Please enter action

Section 2.0: Vehicles / Equipment / Resources

  • 2.1 Are all vehicles / equipment in a servicable damage free condition?

  • Tap to enter information
  • Please enter action based

  • 2.2 Are all guards/ safety equipment in place and operating correctly?

  • Tap to enter information
  • Please enter action

  • 2.3 Are ladders being used on the task and are they servicable, being used correctly and restrained properly?

  • Tap to enter information
  • Please enter action

  • 2.4 Are all electrical equipment and tools being used correctly tagged and within calibration dates?

  • Tap to enter information
  • Please enter action

  • 2.5 Is all load restraint / lifting gear in good condition, tagged correctly and within calibration / check dates?

  • Tap to enter information
  • Please enter action

  • 2.6 Is any vehicle or equipment being used overloaded or being used outside manufacturers guidelines?

  • Tap to enter information
  • Please enter action

  • 2.7 Are all flamible goods and chemicals stored appropriately, are all containers correctly labeled?

  • Tap to enter information
  • Please enter action

  • 2.8 Have any vehicles or equipment been left running unnecessarily?

  • Tap to enter information
  • Please enter action

  • 2.9 Has any water use been minimised?

  • Tap to enter information
  • Please enter action

  • 2.10 Have all consumables been used appropriately, ie. not wasted or over used?

  • Tap to enter information
  • Please enter action

  • 2.11 Has any water run off been controlled, ie. silt traps in place?

  • Tap to enter information
  • Please enter action

  • 2.12 Are there spill / clean up kits available, and are they correctly stocked?

  • Tap to enter information
  • Please enter action

Section 3.0: Waste Removal

  • 3.1 Has all rubbish been bagged and disposed of properly?

  • Tap to enter information
  • Please enter action

  • 3.2 Has all Prescribed / Hazardous waste been removed as per MSDS requirements?

  • Tap to enter information
  • Please enter action

Section 4.0: Site Defined/ Controlled

  • 4.1 Has the site been defined by barriers/cones etc.?

  • Tap to enter information
  • Please enter action

  • 4.2 Has Pedestrian Safety/Access been considered, and are the appropriate controls in place?

  • Tap to enter information
  • Please enter action

  • 4.3 Has Traffic Management been appropriately assessed and controlled?

  • Tap to enter information
  • Please enter action

Section 5.0: PPE and Uniform

  • 5.1 Are the correct uniforms being worn by all crew members ie. high vis vests, long long shirt and trousersetc.?

  • Tap to enter information
  • Please enter action

  • 5.2 Is all of the correct PPE being worn for the task being arried out, ie. gloves, safety glasses, respiratory masks etc. and is it being worn correctly and the correct size?

  • Tap to enter information
  • Please enter action

  • 5.3 Is all PPE in good condition, ie. still providing the designed protection not worn out?

  • Tap to enter information
  • Please enter action

  • 5.4 Are safety harnesses being used for the task, and is it tagged and still in a servicable condition and within calibration dates?

  • Tap to enter information
  • Please enter action

  • 5.5 Does the task involve CSE, if so are all harnesses, ropes rescue equipment servicable, tagged and within calibration dates?

  • Tap to enter information
  • Please enter action

Section 6.0: OHS considerations

  • 6.1 Is there a firs aid kit available?

  • Tap to enter information
  • Please enter action

  • 6.2 Is the first aid kit appropriately stocked, and all products within service/disposal dates?

  • Tap to enter information
  • Please enter action

  • 6.3 Is there a fire extinguisher available on site?

  • Tap to enter information
  • Please enter action

  • 6.4 Is the fire extinguisher the correct type to use for the potential fire hazards, is it in good conditio and within the service dates?

  • Tap to enter information
  • Please enter action

  • 6.5 Are correct Manual Handling Techniques being used for all manual handling during the task?

  • Tap to enter information
  • Please enter action

  • 6.6 Where necessary is Team Lifting being used, ie. awkward lifts or for weights over 20kg.?

  • Tap to enter information
  • Please enter action

  • 6.7 Does the task involve "Working at Heights"? If so then are the appropriate controls in place, is all access controlled? Note, do not just consider platforms, ladders, working on a roof, consider excavations and equipment being worked on or used for the task.

  • Tap to enter information
  • Please enter action

  • 6.8 If ladders are used are they servicable, been placed and used correctly, and secured to prevent movement?

  • Tap to enter information
  • Please enter action

  • 6.9 Has emergency response been considered for unexpected situations and events, ie. nearest safe exit or route to use, emergency contacts, nearest medical facility?

  • Tap to enter information
  • Please enter action

  • 6.10 Are proper hygiene practices being followed?

  • Tap to enter information
  • Please enter action

Section 7.0: Customer/Management Considerations

  • 7.1 Has the customer been made aware of the task being carried out, ie. notified on site, expected duration of the works, any restrictions to be placed due to the task?

  • Tap to enter information
  • Please enter action

  • 7.2 Have any disruptions to customers or the public been minimised?

  • Tap to enter information
  • Please enter action

  • 7.3 Is the personal appearance of the crew, vehicles and equpment appropriate and within guidelines?

  • Tap to enter information
  • Please enter action

  • 7.4 Is the crew conduct on site appropriate, ie. no loud music, smoking, bad language etc.?

  • Tap to enter information
  • Please enter action

Section 8.0: Task Specific Considerations

  • 8.1 Crew understands all requirements and processes to ensure that all targets are achieved or exceeded?

  • Tap to enter information
  • Please enter action

  • 8.2 The task is being managed in a proper and efficient sequence?

  • Tap to enter information
  • Please enter action

  • 8.3 The crew has the correct skills, attitude and work practices to complete the task?

  • Tap to enter information
  • Please enter action

Section 9.0 Opportunities for Improvement

  • Are there any Opportunities for Improvement identified in the audit?

  • Tap to enter information
  • Enter the details of the identified opportunities.

Section 10:Signatures and sign off.

  • Signature of Auditor/Supervisor/Manager

  • Signature of Additional Auditor / Supervisor / Manager

  • Signature of Crew Member 1

  • Signature of Crew Member 2

  • Signature of Crew Member 3

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.