A1 Refrigeration Installation Ltd

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Operatives

• A1 Please list personnel

  Yes

  No

  N/A

• Sub Contract Employees - Refrigeration, Name of Contractor and Approval Number

  Yes

  No

  N/A

• Sub Contract Employees - Mechanical, Name of Contractor and Approval Number

  Yes

  No

  N/A

• Sub Contract Employees - Electrical, Name of Contractor and Approval Number

  Yes

  No

  N/A

• Names of Sub Contractor Employees

  Yes

  No

  N/A

Check List

• Have operatives signed in?

  Yes

  No

  N/A

• Have all operatives received induction?

  Yes

  No

  N/A

• Have all operatives got valid CSCS card?

  Yes

  No

  N/A

• Are risk and method statements available?

  Yes

  No

  N/A

• Have these RAMS been counter signed by operatives? Please take photo of signed RAMS document

  Yes

  No

  N/A

• Add media

  Media

• Do operatives know site safety rules and evacuation procedures? Please ask a sample of staff

  Yes

  No

  N/A

• Tool box talks completed since last report? Please list

  Yes

  No

  N/A

PPE

• Hi Viz Vests worn?

  Yes

  No

  N/A

• Hard hat?

  Yes

  No

  N/A

• Correct gloves?

  Yes

  No

  N/A

• Suitable footwear?

  Yes

  No

  N/A

• Hearing protection available and worn?

  Yes

  No

  N/A

• Eye Protection available?

  Yes

  No

  N/A

• Branded logo on PPE

  Yes

  No

  N/A

• Is PPE in good condition

  Yes

  No

  N/A

• Is PPE being worn correctly?

  Yes

  No

  N/A

Working At Height

• Are measures in place to prevent falls from height?

  Yes

  No

  N/A

• Please record any measures?

  Media

• Scaffold Towers- record of daily inspections? Equipment visually in good condition? Operatives hold relevant training certification?

  Yes

  No

  N/A

• Ladders-Suitable equipment for the task? Visually in good condition? Evidence of inspection? LADDERS ONLY TO BE USED AS A LAST RESORT!

  Yes

  No

  N/A

• MEWPS, record of daily inspection? Used correctly? Operators hold correct certification? Units identified with company logo?

  Yes

  No

  N/A

• Safety Harness- Are these being worn correctly? Evidence of certification? Is the correct harness in operation? Measures in place to rescue operative in case of emergency? Harness in good visual condition?

  Yes

  No

  N/A

Plant

• Have operators got the correct licence, and training certification?

  Yes

  No

  N/A

Working Environment

• Lighting, is there adequate lighting supplied by client for access egress?

  Yes

  No

  N/A

• Task lighting, is there suffice task lighting?

  Yes

  No

  N/A

• Available site power, has there been sufficient power supplied at points close to working area to avoid trialling leads?

  Yes

  No

  N/A

• Noise, is the area being monitored for excessive noise? Is suitable PPE being worn?

  Yes

  No

  N/A

• Dust, air Bourne particles, is the area likely to be heavily contaminated? Are the correct procedures in place? Can the area be avoided when these works are progressing, is PPE available?

  Yes

  No

  N/A

• House keeping, is the site tidy? Are there any potential hazards which require identifying?

  Yes

  No

  N/A

Electrical

• All electrical tools and equipment, is there a current PAT test stamp visible?

  Yes

  No

  N/A

• PAT Test records, are these available?

  Yes

  No

  N/A

• Suitable 110v transformers supplied around site?

  Yes

  No

  N/A

Hot Works

• Is site operating hot works permit?

  Yes

  No

  N/A

• Storage of cylinders, is this adequate? Are all bottles stored upright?

  Yes

  No

  N/A

• Brazing Equipment. Are all gauges, hoses, flashbacks, in good condition? Please visually check equipment.

  Yes

  No

  N/A

• Fire extinguishers and blankets are these available and in date? Are y<br>These beside the equipment being used?

  Yes

  No

  N/A

• Site precautions, is site using a fire plan? Is this being followed? Is the site equipment identified and labelled accordingly?

  Yes

  No

  N/A

Lifting Equipment

• General lifting and moving equipment? Is equipment safe and certified?

  Yes

  No

  N/A

• If lift to take place out of area to the demise has local authority been made aware and planning been granted?

  Yes

  No

  N/A

• Specialist lifting services required? If so are all personnel qualified, such as banks man, operators etc?

  Yes

  No

  N/A

• Crane-age, if cranes are being used are the correct procedures being followed? <br>Method Statements in place?<br>Equipment being utilised certified?<br>Operators certified?<br>Area for lift to take place cordoned off?<br>Other trades and personnel notified of lift?<br>Permits in place?

  Yes

  No

  N/A

• Equipment/ material to be lifted has this been assessed to see if it can be broken down for easier lifting?<br>Is the equipment/material sound and in good condition?<br>Are the manufacturers lifting procedures being followed?

  Yes

  No

  N/A

Permit to Work Systems

• Hot works?

  Yes

  No

  N/A

• Electrical?

  Yes

  No

  N/A

• Confined Spaces?

  Yes

  No

  N/A

• Working at Height?

  Yes

  No

  N/A

• MEWPS?

  Yes

  No

  N/A

• Ladders?

  Yes

  No

  N/A

• Other Permits?

  Yes

  No

  N/A

• Yes

  No

  N/A

COSHH

• Has a COSHH assessment been carried out?

  Yes

  No

  N/A

• Are all COSHH data sheets available and displayed?

  Yes

  No

  N/A

• Are all operatives aware of Substances utilised on site?

  Yes

  No

  N/A

• Storage, all all substances stored in suitable areas with hazard signs visible?

  Yes

  No

  N/A

Storage Housekeeping

• Storage container being utilised?

  Yes

  No

  N/A

• Is storage area/container tidy? Adequate lighting with no obstructions around?

  Yes

  No

  N/A

• Cylinder cage, is this marked? Is it locked? Hazard signs with the respective hazard identified on the cage?

  Yes

  No

  N/A

• Site Housekeeping, is this satisfactory, no trailing leads, trips hazards, excavations, overhead working, all areas tidy?

  Yes

  No

  N/A

• Waste, is there sufficient waste skips provided, are these skips segregated for materials?

  Yes

  No

  N/A

Welfare

• Are site conditions satisfactory, canteen facilities clean and tidy?

  Yes

  No

  N/A

• Toilet and washroom facilities are these all in working order?

  Yes

  No

  N/A

• First aid points, are thee shown and is there a nominated first aided?

  Yes

  No

  N/A

Asbestos

• Asbestos, is there an asbestos register present? Has there been any asbestos identified on site?

  Yes

  No

  N/A

• If there is asbestos have you been made aware of the areas so not to disturb it?

  Yes

  No

  N/A

Reporting

• Are operatives aware the need to report accidents?

  Yes

  No

  N/A

• Accident book, is this displayed for all to see?

  Yes

  No

  N/A

• Near Miss reports, have any been identified? If so is corrective action being taken?

  Yes

  No

  N/A

Remarks and Close out Actions

• Item 1 By whom? When? Item 2 By whom? When? Item 3 By whom? When? Item 4 By whom? When? Item 5 By whom? When?

• Name Signature Date

  Sign

• Copies of Inspection submitted to: Site Manager/Client/Main Contractor/File, (delete as appropriate)