Information
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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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Personnel
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Project:
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Area/Address:
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Conducted By:
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Date:
Access/Egress
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Access paths clear and safe condition.
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Action:
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Action Priority
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Access paths defined (signage tape, other).
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Action:
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Action Priority:
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Prohibited areas display warning signs and are barricaded.
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Action:
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Action Priority:
Dust/Air Quality
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Dust suppressed/watered down.
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Action Priority:
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Action:
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Plant & equipment maintained to minimise emissions.
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Action Priority:
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Action:
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Adequate air flow / quality in tunnel.
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Action Priority:
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Action:
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Electrical
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Electrical equipment tested & tagged.
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Action Priority:
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Action:
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Register of tagging current.
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Action Priority:
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Action:
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Portable generator fitted with RCD.
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Action Priority:
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Action:
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Portable Residual Current Device (RCD) tested/ tagged.
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Action Priority:
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Action:
First Aid/Emergency/Injury
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First aid kit available.
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Action Priority:
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Action:
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Kit stocks adequate & in date
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Action Priority:
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Action:
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First Aid attendant available.
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Action Priority:
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Action:
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Evacuation procedures in place and understood.
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Action Priority:
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Action:
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Emergency contacts displayed.
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Action Priority:
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Action:
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Fire extinguisher/equipment available & fit for use.
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Action Priority:
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Action:
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Manual Handling
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Trolleys/barrows/aids in use.
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Action Priority:
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Action:
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SWMS sections followed.
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Action Priority:
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Action:
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Training/job rotation undertaken
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Action Priority:
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Action:
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Hazardous Chemicals/Dangerous goods
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Register current.
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Action:
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Action Priority:
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SDS readily available
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Action Priority:
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SWMS lists precautions for use.
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Action Priority:
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Action:
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Storage area bunded
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Action Priority:
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Action:
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Refuelling SWMS followed.
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Action Priority:
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Action:
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PPE adequate for handling & use.
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Action Priority:
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Action:
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Work at Height
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Perimeter protection.
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Action:
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Action Priority:
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Guard rails in place
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Penetrations covered.
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Action:
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Action Priority:
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Fall restraint/arrest system in use.
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Action Priority:
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Action:
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SWMS followed.
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Action Priority:
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Action:
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Ladders used for access only.
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Action Priority:
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Action:
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Work platforms suitable for use.
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Action Priority:
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Action:
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Housekeeping
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Materials organised safely.
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Action:
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Action Priority:
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Work area lit sufficiently.
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Action Priority:
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Action:
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Bins available & in use.
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Action Priority:
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Action:
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Clean up carried out progressively.
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Action Priority:
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Action:
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Applicable signage in place.
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Action Priority:
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Action:
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Leads suspended / protected.
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Action Priority:
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Action:
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Walkway/stairs/work area clear.
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Action Priority:
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Action:
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Niose
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Plant & equipment maintained.
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Action Priority:
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Action:
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Site hours observed.
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Action Priority:
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Action:
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Noisy works identified
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Action Priority:
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Action:
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Adequate hearing protection used.
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Action Priority:
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Action:
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SWMS procedures followed.
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Action Priority:
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Action:
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Plant & Equipment
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Plant registers current.
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Action Priority:
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Action:
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Select date
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Maintenance records available.
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Action Priority:
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Action:
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Daily Pre-start log book completed.
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Action Priority:
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Action:
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Operator ticketed/competency verified.
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Action Priority:
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Action:
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SWMS procedures followed.
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Action Priority:
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Action:
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Operators observed carrying out tasks safely & competently.
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Action Priority:
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Action:
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Public Protection
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Work area secure from public.
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Action Priority:
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Action:
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Our works do not place public at risk.
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Action Priority:
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Action:
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Stormwater/run off
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Silt control fences in place.
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Action Priority:
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Action:
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Stormwater inlets protected.
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Action Priority:
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Action:
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Discharges contained, e.g. pump out, slurry/other.
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Action Priority:
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Action:
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Training
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All employees have:
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Work activity (SWMS) training.
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Action:
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Task / Project specific training.
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Action:
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General industry Induction.
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Action:
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Site / Area specific induction training.
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Action:
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Vegetation
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Project environmental requirements followed.
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Action Priority:
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Action:
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Select date
Waste Management
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Project environmental requirements followed.
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Action Priority:
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Action:
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Select date
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Bins for litter/cigarette butts/other provided.
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Action Priority:
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Action:
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Hazardous wastes captured & correct disposal, e.g. paint sludge/ contaminated soil/other.
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Action Priority:
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Action:
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Project waste requirements followed.
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Action Priority:
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Action:
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Consultation & Communication
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Pre-Start meetings held & attended.
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Action:
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Action Priority:
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Toolbox meetings held & attended.
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Action Priority:
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Action:
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Reporting procedures are followed.
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Action Priority:
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Action:
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Inspections & Audits
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Weekly Inspections carried out & recorded.
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Action Priority:
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Action:
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Workplace Audits carried out & recorded.
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Action Priority:
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Action:
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Project Specific Requirements
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Tag In / Tag Out Procedures followed.
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Action:
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Action Priority:
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Permit to work Procedures followed.
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Action Priority:
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Action:
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Clear Safety Glasses worn.
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Action Priority:
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Action:
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Safety Gumboots/Waterproof footwear worn.
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Action Priority:
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Action:
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Hard hat lamps worn & in working order.
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Action Priority:
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Action:
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Other
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Action Priority:
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Action:
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PPE
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Hi Vis Protective Clothing is worn (Long Sleeve/Long Pants).
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Action Priority:
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Action:
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Select date
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Safety Glasses specific to environment worn.
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Action:
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Select date
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Action Priority:
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Face Shields worn when using grinder<br>Hearing Protection available & worn (specific to noise levels).<br>
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Action Priority:
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Action:
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Hard Hat worn.
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Action:
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Action Priority:
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Task specific gloves available & worn.
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Action Priority:
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Action:
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Sun Protection available & worn.
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Action Priority:
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Action:
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Risk Management
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Risk Assessments (JHA, JSA etc.) completed.
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Action Priority:
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Action:
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Select date
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Applicable SWMS current and acknowledged by workers.
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Action Priority:
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Action:
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Select date
Further Comment
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Comments
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Signature
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Add drawing
