Active Connect LTD - Site Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Documentation - site administration

• Method Statement signed and available?

  Yes

  No

  N/A

• Near misses, incidents and accidents have been correctly reported

  Yes

  No

  N/A

• Clearance certificate/s completed and closed out?

  Yes

  No

  N/A

• Accident book has been completed

  Yes

  No

  N/A

• Evidence of signing in and out of site daily?

  Yes

  No

  N/A

Work area and Workmanship

• Is installation work of a good standard?

  Yes

  No

  N/A

• Is the work area tidy and organised?

  Yes

  No

  N/A

• Is a suitable work area segregation system in use (barriers etc)?

  Yes

  No

  N/A

• Are all operatives wearing the correct PPE for the sites requirements?

  Yes

  No

  N/A

Isolation and statutory signage

• Are all relevant signs posted and situated appropriately where required?

  Yes

  No

  N/A

• Is the isolation sheet present and visible?

  Yes

  No

  N/A

• Is the 'Lock off, Tag out procedure being implemented?

  Yes

  No

  N/A

Working at Height and confined space

• MEWPs, Moblie Towers and Podiums - correctly assembled with guard rails, is Scaff Tag fitted and completed?

  Yes

  No

  N/A

• Use of ladders restricted? Are safer systems In use where applicable?

  Yes

  No

  N/A

• Confined Space - is there a safety harness? Is there a rescue plan? Do the operatives have a calibrated gas monitor?

  Yes

  No

  N/A

Tool Box Talk

• Tool box Talk

  Yes

  No

  N/A

• Signature of Engineer

  Sign

• Signature

  Sign

• Signature of engineer

  Sign