WorkSafe ACT - Fireworks Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fireworks Display Inspection

• Date and Time of display

  Date

• Company Name

• Responsible Person for Display

• Display Operators Licence No. DOL

• Fireworks Display Permit No. FDP

• Import Explosives Licence No. IEL

• Location of Display

• Is there an overnight Setup Area?

  Yes

  No

  N/A

• Where is the Location of Set up Area

• Will there be overnight Security on Site?

  Yes

  No

  N/A

• Name of Security Company monitoring overnight Set up Area

• Are all the Fireworks for this Display Authorised in the ACT?

  Yes

  No

• Have there been any changes to the List of Fireworks since documents submitted?

  Yes

  No

• What changes

• Has an Onsite Risk Assessment been Completed?

  Yes

  No

• If a Risk has been identified, has it been Rectified?

  Yes

  No

• Has the Appropriate PPE been provided to staff to assist with their Activity?

  Yes

  No

• Is there appropriate Fire Fighting Equipment in place at the Set up area?

  Yes

  No

• Is there appropriate Fire Fighting Equipment in place at Fireworks Display area?

  Yes

  No

• Have there been any changes made to the setup site since documents last submitted?

  Yes

  No

• What changes

• Have there been any changes made to the Fireworks Display site since documents last submitted?

  Yes

  No

• What changes

• Are all the fireworks placed in the assigned area/s as per the document submitted to WorkSafe ACT?

  Yes

  No

• Have there been any changes/modifications made to the documentation since the documents were last submitted to WorkSafe ACT?

  Yes

  No

• What changes