Workplace audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Information

• Contractor being audited -

• Work Location -

• Work Activity -

Audit

• Uses manual handling techniques when lifting, reaching or pushing, keeps eyes on work, keeps clear of sharp edges and hot surfaces

  Select Conforming N/A Insufficient Finding Opertunity for Improvment Minor Non Conformance Major Non Conformance

  • Conforming
  • N/A
  • Insufficient Finding
  • Opertunity for Improvment
  • Minor Non Conformance
  • Major Non Conformance

• Comment

• Has the work permit been obtained for that specific job, and was the job discussed during handover of the permit.

  Select Conforming N/A Insufficient Finding Opertunity for Improvment Minor Non Conformance Major Non Conformance

  • Conforming
  • N/A
  • Insufficient Finding
  • Opertunity for Improvment
  • Minor Non Conformance
  • Major Non Conformance

• Comment

• Area is clean and ventilated; free of trip hazards; materials stored appropriately; exclusion zone used? Chemicals labelled properly? slippery surfaces? obstructed walkways?

  Select Conforming N/A Insufficient Finding Opertunity for Improvment Minor Non Conformance Major Non Conformance

  • Conforming
  • N/A
  • Insufficient Finding
  • Opertunity for Improvment
  • Minor Non Conformance
  • Major Non Conformance

• Comment

• Wears PPE appropriate to the job?

  Select Conforming N/A Insufficient Finding Opertunity for Improvment Minor Non Conformance Major Non Conformance

  • Conforming
  • N/A
  • Insufficient Finding
  • Opertunity for Improvment
  • Minor Non Conformance
  • Major Non Conformance

• Comment

• Uses Specific tools and equipment, tools are located where specified and maintained in good working order. Are the tools outlined in the MS in use? substitute tools? tools positioned not to create a hazard? audits and inspection of tools up to date?

  Select Conforming N/A Insufficient Finding Opertunity for Improvment Minor Non Conformance Major Non Conformance

  • Conforming
  • N/A
  • Insufficient Finding
  • Opertunity for Improvment
  • Minor Non Conformance
  • Major Non Conformance

• Comment

• Controls in place for fire risk; fire fighting equipment in place? Is there a fire risk? Have they checked for fire fighting equipment? have the been trained in same?

  Select Conforming N/A Insufficient Finding Opertunity for Improvment Minor Non Conformance Major Non Conformance

  • Conforming
  • N/A
  • Insufficient Finding
  • Opertunity for Improvment
  • Minor Non Conformance
  • Major Non Conformance

• Comment

• Dynamically risk assesses, reports good catches/near misses: Should anything be added to the risk assessment? Can the person discuss aspects of the job/environment that need to be taken into account? Has the person reported a good catch/near miss in the last month?

  Select Conforming N/A Insufficient Finding Opertunity for Improvment Minor Non Conformance Major Non Conformance

  • Conforming
  • N/A
  • Insufficient Finding
  • Opertunity for Improvment
  • Minor Non Conformance
  • Major Non Conformance

• Comment

• Has considered environmental aspects of the job? Are oils bunded? is an oil spill kit ready?

  Select Conforming N/A Insufficient Finding Opertunity for Improvment Minor Non Conformance Major Non Conformance

  • Conforming
  • N/A
  • Insufficient Finding
  • Opertunity for Improvment
  • Minor Non Conformance
  • Major Non Conformance

• Comment

Completion

• Photo

  Media

• Comments -

• Audit complete