Safetree Field Audit v1
Field Audit Summary
DATE
COMPANY AUDITED
PERSON IN CHARGE
LOCATION
LOWEST GRADE
AUDITORS SUMMARY
TIME
CREW
AUDITOR
Result
HIGHEST GRADE
Agreed Action Plan
Any questions marked “falls short (FS)” must have a corrective action and agreed plan. Certification
status will be marked “Conditional” until the action plan has been completed. Failure to complete the
action plan may result in Certification Status of “Not certified”
QUESTION
CORRECTIVE ACTION
TIMEFRAME
NUMBER
Signed Person in Charge:
Signed Auditor:
Print Name:
Print Name:
Page 1 of 6
Safetree Field Audit v1
PART 1 – Person in Charge at Site
Questions for Person in
Charge
(SOURCE IN BRACKETS)
1.
What are the most critical
health and safety risks for this
job? (SSRS 1.1)
2.
Show me how you make sure
the risk controls for critical
risks are working. (SSRS 1.2)
3.
Show me how a worker could
let you know a critical risk
control wasn't working. What
checks do you or other do to
monitor the critical risk
activities are being safety
managed? (SSRS 2.3)
What health and safety
responsibilities and
accountabilities do you have?
Who on this site has authority
to stop work? (SSRS 3.2)
4.
5.
6.
7.
Observation
(PLEASE DESCRIBE WHAT WAS
OBSERVED, DISCUSSED OR
PRODUCED AS EVIDENCE)
ASSESSMENT
FS
MT
XC
XL
Corrective action?
(FOR ITEMS FALLING SHORT
ONLY)
For a critical risk topic,
demonstrate all workers
performing activity on site
have been assessed
competent. (SSRS 3.3)
What risk identification
method was used when
setting up this sites activities?
(SSRS 7.1)
What risk identification
method did you use to identify
risks associated with
contractors, suppliers and
neighours of this site? (SSRS
7.2)
Page 2 of 6
Safetree Field Audit v1
8.
9.
What risk identification
method would you use if their
was a change to site activities
that meant it was non routine
or an emergency situation?
(SSRS 7.3)
What risk assessment method
was used when setting up this
sites activities? (SSRS 8.1)
10. What risk assessment method
did you use to assess risks
associated with contractors,
suppliers and neighours of this
site? (SSRS 8.2)
11. What other risk controls were
considered when choosing the
risk control for this activity?
(SSRS 9.1)
12. What kind of checks have
been done and what are
available to you to identify
workers that may be impaired
from drugs or alcohol? (FOC
1.5)
13. Show me the safety data
sheets for the substances on
site. (FOC 3.8)
14. Show me the visitor log and
induction materials on site.
(FOC 3.9)
15. Do you have any substances
on site that require an
Approved Handler to be
present. If so, who and where
are they? (FOC 3.11)
Page 3 of 6
Safetree Field Audit v1
16. Show me how a worker
accesses information about
the risks identified on this
site? (FOC 3.19)
17. What evidence have you that
workers are competent for
their tasks (focus on high risk
activities: tree felling; breaking
out; skid site; then driving)?
(FOC 4.3)
18. Show me who the first aiders
are for this site and evidence
of their certification. (FOC 4.5)
19. What emergency equipment
do you have on site? (FOC 7.4)
20. What contractors are on site
and what have you done to
manage their safety
performance? (FOC 9.1)
21. Show me what you've done to
collaborate with other persons
in control of businesses
effecting this site (owners;
occupiers; neighbours; other
contract companies)
Page 4 of 6
Safetree Field Audit v1
PART 2 – Three Workers on Site
Questions for 3 Workers
(SOURCE IN BRACKETS)
1.
2.
3.
4.
5.
6.
7.
Observation
(PLEASE DESCRIBE WHAT WAS
OBSERVED, DISCUSSED OR
PRODUCED AS EVIDENCE)
ASSESSMENT
FS
MT
XC
Corrective action?
(FOR ITEMS FALLING SHORT
ONLY)
XL
Does your company have a
goal it talks about for health
and safety / What does it say
about what it wants to
achieve or avoid? (SSRS 2.1)
Who is your worker
representative and how are
they involved with health and
safety? (SSRS 2.2)
What resources (tools;
training; equipment; staffing
levels) do you need to safely
do this activity; do you have
them? (SSRS 3.1)
Can you give me examples of
times when a manager set
clear expectations about
health and safety, or required
good practice? (SSRS 4.1)
Can you give me examples of
times when a manager has
intervened in an unsafe
behaviour they've been
witness to? (SSRS 4.3)
Can you give me examples of
health and safety
communications you've
received and how useful the
format of them was for you?
(SSRS 5.1)
What experience have you
had of worker representatives
being involved with resolving
health and safety issues? How
effective and timely was the
result? (SSRS 5.3)
Page 5 of 6
Safetree Field Audit v1
8.
9.
Can you give me examples
where there has been a risk of
injury or illness from a job that
has resulted in management
taking action to make it safer?
(SSRS 10.3)
What advice have you been
given about action to take in
event of severe weather?
(FOC 3.15)
10. What advice have you been
given about number of hours
you can work, rest between
shifts, and managing your
fatigue? How is it applied?
(FOC 3.16)
11. What advice have you been
given about protecting
yourself from falling objects?
How is it applied? (FOC 3.17)
12. What advice have you been
given about work around
lifting equipment? How is it
applied? (FOC 3.18)
13. Do you have a documented
employee agreement? (Or if
not known are you part of a
trade union that may have
negotiated a collective
agreement that covers you?)
(ES 1.1)
14. Do you get a reasonable
chance during your shift to
rest, refresh and take care of
personal matters (if not have
they negotiated compensation
in pace of breaks?) (ES 1.2)
Page 6 of 6