CRJ SAFETY SOLUTIONS

Document Number: Revision Number:

INTERNAL AUDIT

Paarl BIBC: Shop 5 Cape Station Adderley St Cape Town City Centre 8001

Audit Date:

COMPILED BY: CHEMANDRE VAN SCHALKWYK

CRJ Resource & Solutions (Pty) Ltd

Contact Person: Email: Contact Details: Facebook Page: Website:

HEALTH AND SAFETY PROGRESS REPORT

GENERAL INFORMATION

Location of Inspection: Inspection Date: CEO 16.1: Contact Details: Email: Ass. CEO 16.2: Contact Details: Email: Manager: Contact Details: Maintenance Manager: Contact Details: CHS Officer: Contact Details: No. of Male Employees: No. of Female Employees:

INCIDENTS / ACCIDENTS

Type of Incident / Accident	Total	Month	Description / Comment
Non-Conformances:
Near Miss:
Property Damage:
Environmental:
First Aid:
Medical Treatment:
Lost Time:
Other:
Total Incidents/Accidents

CATEGORISATION OF FINDINGS (CoF)

C: Compliant (All requirements were met. Acceptable health and safety performance).
PC: Partially compliant (Compliance with certain requirements were met while others were not. Deviation to be addressed promptly).
NC: Non-Compliant (Failed to comply with the set requirements. Deviation to be addressed urgently).
P: Prohibition (Reckless / irresponsible compliance failure which exposes the work environment to life-threatening situations or excessive risk. Work to be stopped and deviation to be addressed).
N: Notes (Notes comments complaints reminders etc. which are not necessarily deviations at the time of engagement).

SITE INSPECTION

FINDINGS AND RECOMMENDATIONS / SOLUTIONS:

CoF	PHOTO AND / OR FINDING	RECOMMENDATION / SOLUTION
C	Good to note Right of Admission sign has been displayed.

Correspondence / Request for Information

CoF	PHOTO AND / OR FINDING	RECOMMENDATION / SOLUTION
N	Food Handlers Medicals	All kitchen staff need to pass a food handlers medical. Recurring finding

CONDUCTED BY

Name: Surname: Signature: Date:

ACKNOWLEDGED BY

Name: Surname: Signature: Date: Name: Surname: Signature: Date:

Contact Information

CRJ Resource & Solutions (Pty) Ltd

Contact Person: Email: Contact Details: Facebook Page: Website: