Title Page
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Acitivity Name
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Conducted on
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Prepared by
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Location
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Customer
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Operative Names
QEHS Audit Report
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Are all operatives aware of the Customer Life saving rules?
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Have all operatives received the Customer project induction?
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Are Task specific RAMS, Required permits (digging/hot works?) & Point Of Work Risk Assessment available on site/completed?
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Can the operative(s) demonstrate understanding of the above documents?
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Is correct PPE for task being worn (hard hat, Hi-vis, safety footwear, gloves) and in good condition, clean, in date?
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Is RPE/Dust mask (FPP3) being worn, in good condition, and has operative been face fit tested, and is currently clean shaven?
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Is additional PPE requirements as detailed in RAMS being worn/used - e.g. correct standard Hi-Vis for Road type, harness etc.?
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Are residents aware of work being undertaken, have they been informed - drop cards, local notices?
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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?
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Is work area segregated and secured with adequate barriers to prevent access by others - signed, fully guarded and clipped?
Work At Height Safety Arrangements
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Are there any Working @ Height activities being undertaken on site?
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Has the W@H activity been detailed in task specific RAMS/SSoW?
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Has equipment (ladders, steps, harnesses, MEWP etc) been subject to recorded visual inspection, 6 monthly thorough examination inspection (3 month for harnesses)?
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Are operatives trained and competent to use W@H equipment?
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Are operatives undertaking work with MEWP able to demonstrate how to lower machine in the event of an emergency?
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If vehicles are required to be accessed to retrieve equipment, materials etc., is there suitable guarding to prevent fall from height?
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Safe Access/Egress of excavation/chamber?
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Do crew have correct equipment for lifting of chamber lids - roll bar, lifting keys etc?
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Is the equipment - lifting key, roll bar etc., in good condition?
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Are any lifting activities being undertaken?
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Are lifting activities detailed in task specific RAMS, Lifting plan?
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Is LOLER equipment (Slings / Chains / Straps, Harness etc) ID number visible?
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Are operatives undertaking lifting activity/operation trained and competent?
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Is GDU held, working, in good condition and within calibration, and can operative demonstrate competent to use?
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Job pack/work instructions containing all relevant information (Permit conditions, equipment & material required, Emergency arrangements?) available on site?
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Are operatives aware of escalation process for reporting of incidents, near misses, utility strikes?
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Supervision: Is lead Op/Sub- con supervisor on site?
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Comments Any by Auditor
Environmental Safety Management
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Are there sufficient arrangements for waste management at site?
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All fiber waste, optical (glass) ends shards safely contained in correct sharps container
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Are left over material at site is properly disposed off? (Empty boxes, metal scraps, plastic)
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Is plant, vehicle or equipment is shut down when not in use? (To cut down CO2 emissions)
Vehicle safety Management
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Is site vehicle equipped with complete and valid first aid box?
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Does vehicle have correct fire extinguisher (ABC) with accurate pressure?
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Are Vehicle tires in good condition? (Any wear and tear/ damage to tire)
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Does vehicle have working beacons and approriate chevron markings?
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Are all lights and wipers working?
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Any damage to vehicle/abnormal sound/smell or leakage?
Closing Comments
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Team Lead Name
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Observation/closing remarks:
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Auditor signature