• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Daily Site Inspection

  • Inspection carried out at the following time

  • Add the Supervisor in charge of the area

  • Name
  • Name

  • Number

Safety System

  • Add the The name(s) of employees at the mucking wedge.

  • Name
  • Name

  • Number

  • Are all employees aware of the company's 5 point safety system?

  • Did the employees attend the morning crew line up meeting?<br>

  • Did the employee fill out the daily safety topic on his 5 point safety card?

  • Does the employee have the proper PPE for the job at hand?

  • Are all any permits required?


  • Is hard hat in good condition?

  • Are boots in good condition?

  • Is the employee wearing proper reflective material? (Must have reflective material on arms, legs and front and back of upper body?

  • Is belt in good order and within 5 years of expioary?


  • Are there any hazards in the travel way?

  • Is the travel way in good condition?

Site Specific Hazards - Slips/Trips/Falls

  • Are there updated prints in the work heading?

  • Is ground conditions in good order?

  • Is there a scaling bar at the work heading?

  • Are barricades in place?

  • Does the work area have everything in place with good housekeeping?

  • Is the work area free of tripping hazards?

  • Is ground support up to standard and print followed?

  • Are employees working under supported ground?


  • Is the crew aware of the ventilation requirements for the heading

  • Is ventilation 50 feet from the working face?

  • Is the vent tubing in good order?

  • Is there sufficient ventilation in the work heading for the equipment being used?

Fall arrest

  • Is fall arrest required for the job site?

  • Are there proper anchor points?

  • Has the fall arrest been inspected?

  • Is fall arrest in good order?


  • Assessment carried out by

  • Name

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. You should independently determine whether the template is suitable for your circumstances.