Title Page

  • Acitivity Name

  • Conducted on

  • Prepared by

  • Location
  • Customer

  • Operative Names

QEHS Audit Report

  • Are all operatives aware of the Customer Life saving rules?

  • Have all operatives received the Customer project induction?

  • Are Task specific RAMS, Required permits (digging/hot works?) & Point Of Work Risk Assessment available on site/completed?

  • Can the operative(s) demonstrate understanding of the above documents?

  • Is correct PPE for task being worn (hard hat, Hi-vis, safety footwear, gloves) and in good condition, clean, in date?

  • Is RPE/Dust mask (FPP3) being worn, in good condition, and has operative been face fit tested, and is currently clean shaven?

  • Is additional PPE requirements as detailed in RAMS being worn/used - e.g. correct standard Hi-Vis for Road type, harness etc.?

  • Are residents aware of work being undertaken, have they been informed - drop cards, local notices?

  • Have all the persons on site been trained (all certs/cards in date) and are they competent to carry out the work activity - Supervisor, Operative, plant operator, First A ider,Traffic Management, relevant network accreditations, minimum of one NRWSA qualified?

  • Is work area segregated and secured with adequate barriers to prevent access by others - signed, fully guarded and clipped?

Work At Height Safety Arrangements

  • Are there any Working @ Height activities being undertaken on site?

  • Has the W@H activity been detailed in task specific RAMS/SSoW?

  • Has equipment (ladders, steps, harnesses, MEWP etc) been subject to recorded visual inspection, 6 monthly thorough examination inspection (3 month for harnesses)?

  • Are operatives trained and competent to use W@H equipment?

  • Are operatives undertaking work with MEWP able to demonstrate how to lower machine in the event of an emergency?

  • If vehicles are required to be accessed to retrieve equipment, materials etc., is there suitable guarding to prevent fall from height?

  • Safe Access/Egress of excavation/chamber?

  • Do crew have correct equipment for lifting of chamber lids - roll bar, lifting keys etc?

  • Is the equipment - lifting key, roll bar etc., in good condition?

  • Are any lifting activities being undertaken?

  • Are lifting activities detailed in task specific RAMS, Lifting plan?

  • Is LOLER equipment (Slings / Chains / Straps, Harness etc) ID number visible?

  • Are operatives undertaking lifting activity/operation trained and competent?

  • Is GDU held, working, in good condition and within calibration, and can operative demonstrate competent to use?

  • Job pack/work instructions containing all relevant information (Permit conditions, equipment & material required, Emergency arrangements?) available on site?

  • Are operatives aware of escalation process for reporting of incidents, near misses, utility strikes?

  • Supervision: Is lead Op/Sub- con supervisor on site?

  • Comments Any by Auditor

Environmental Safety Management

  • Are there sufficient arrangements for waste management at site?

  • All fiber waste, optical (glass) ends shards safely contained in correct sharps container

  • Are left over material at site is properly disposed off? (Empty boxes, metal scraps, plastic)

  • Is plant, vehicle or equipment is shut down when not in use? (To cut down CO2 emissions)

Vehicle safety Management

  • Is site vehicle equipped with complete and valid first aid box?

  • Does vehicle have correct fire extinguisher (ABC) with accurate pressure?

  • Are Vehicle tires in good condition? (Any wear and tear/ damage to tire)

  • Does vehicle have working beacons and approriate chevron markings?

  • Are all lights and wipers working?

  • Any damage to vehicle/abnormal sound/smell or leakage?

Closing Comments

  • Team Lead Name

  • Observation/closing remarks:

  • Auditor signature

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