AE CONTRACTOR SHEQ AUDIT

• Contractor Name

• Conducted on

  Date

• Inspection by

• Location
  Address

Insurance Detail

• Employers Liability (minimum £10m)

  Yes

  No

  N/A

• Public Liability (minimum £5m)

  Yes

  No

  N/A

• Product Liability (minimum £5m)

  Yes

  No

  N/A

• Professional Liability

  Yes

  No

  N/A

FCA Full Permission

• Does your company have FCA full permission?

  Yes

  No

  N/A

• Does your company have FCA Limited permission?

  Yes

  No

  N/A

Project Name (Please select the projects you are accepted for at Agility Eco

• Energy Company Obligation (ECO)

  Yes

  No

  N/A

• Local Authority Delivery (LAD) Green Home Grant (GHG)

  Yes

  No

  N/A

• Home Upgrade Grants (HUG)

  Yes

  No

  N/A

• Warm Homes Fund (WHF)

  Yes

  No

  N/A

• Local Energy Assistance Programme (LEAP)

  Yes

  No

  N/A

• Emergency Central Heating Offer (ECHO)

  Yes

  No

  N/A

• Warmer Homes Local Grant (WHLG)

  Yes

  No

  N/A

LIST OF SUBCONTRACTORS USED FOR YOUR WORKS (INCLUDING SCAFFOLDING, COMMISSIONING AND ALL INSTALLATION MEASURES), including subcontractor agreements

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• undefined

• undefined

• undefined

• undefined

• undefined

• undefined

ACCREDITATIONS & CERTIFICATIONS

• PAS2030:2019 Certification, Reference and Expiry

• MCS Certification, Reference and Expiry

• Trustmark Certificate, with licence number

• Information Commission Office (ICO) Certificate

• Method Statements for all measures you intend to submit through Agility Eco - This will be the PAS method statements as per your QMS

• Boiler/heating systems : Gas Safe or equivalent

• PAS QMS Type (Required and Optional)

• Details of warranty / guarantee schemes you use, CIGA, SWEGA, IAA etc.

• All Insulation measures: BBA/KIWA product certificates

• Other EWI Guarantee Membership

• Product Guarantee Certificates

• Other

PROPOSED MEASURES / EXISTING MEASURE INSTALLATION

• Boiler Replacement

  Yes

  No

  N/A

• New central heating system (FTCH)

  Yes

  No

  N/A

• Heating & hot water controls (HCs) including compensation

  Yes

  No

  N/A

• Replacement of electric storage heaters

  Yes

  No

  N/A

• Floor insulation (solid or suspended)

  Yes

  No

  N/A

• Park Home Insulation

  Yes

  No

  N/A

• Internal Solid Wall Insulation (IWI)

  Yes

  No

  N/A

• External Solid Wall Insulation (EWI)

  Yes

  No

  N/A

• Cavity Wall Insulation (CWI)

  Yes

  No

  N/A

• Party Cavity Wall Insulation

  Yes

  No

  N/A

• Room in Roof Insulation (all elements)

  Yes

  No

  N/A

• Loft Insulation (between and over joists)

  Yes

  No

  N/A

• Loft insulation between/under/over rafters

  Yes

  No

  N/A

• Flat roof insulation

  Yes

  No

  N/A

• Air source heat pump

  Yes

  No

  N/A

• Ground source heat pump

  Yes

  No

  N/A

• Biomass boiler

  Yes

  No

  N/A

• Micro combined heat and power

  Yes

  No

  N/A

• Solar water heating (solar thermal)

  Yes

  No

  N/A

• Micro wind-power

  Yes

  No

  N/A

• Draught-proofing / air tightness measures

  Yes

  No

  N/A

• Other EEMs including innovations (please state)

POLICIES & PROCEDURES

• Health & Safety Policy (signed and dated less than 1 year old) including arrangements

  Compliant

  Non-Compliant

  N/A

• Quality Policy Statement

  Compliant

  Non-Compliant

  N/A

• Safeguarding Policy Statement

  Compliant

  Non-Compliant

  N/A

• Modern Day Slavery & Human Trafficking Policy Statement

  Compliant

  Non-Compliant

  N/A

• Data Protection & IT Security Policy

  Compliant

  Non-Compliant

  N/A

• Anti-Bribery Policy

  Compliant

  Non-Compliant

  N/A

• Corporate Sustainability Policy

  Compliant

  Non-Compliant

  N/A

• Environmental Policy Statement & Arrangements

  Compliant

  Non-Compliant

  N/A

• Equal Opportunities Policy Statement

  Compliant

  Non-Compliant

  N/A

• Drugs & Alcohol Policy

  Compliant

  Non-Compliant

  N/A

• Management of Manual Handling Procedure

  Compliant

  Non-Compliant

  N/A

• Management of COSHH Procedure (including dust management)

  Compliant

  Non-Compliant

  N/A

• Management of Asbestos Procedure

  Compliant

  Non-Compliant

  N/A

• Management of Accidents & Incidents Procedure

  Compliant

  Non-Compliant

  N/A

• Management of Personal Protective Equipment Procedure

  Compliant

  Non-Compliant

  N/A

• Management of Respiratory Protective Equipment Procedure

  Compliant

  Non-Compliant

  N/A

• Management of Working at Height Procedure

  Compliant

  Non-Compliant

  N/A

• *Management for Lone Working Procedure

  Compliant

  Non-Compliant

  N/A

• Management of Work Equipment / Vehicles maintenance and service schedules of inspection Procedure

  Compliant

  Non-Compliant

  N/A

• Management of waste in the workplace procedure (including evidence of waste transfer licence and transfer notes)

  Compliant

  Non-Compliant

  N/A

• Management of Induction, Training & Competence (within the company and contractors)

  Compliant

  Non-Compliant

  N/A

• Management of Health & Wellbeing of Employees (evidence medical questionnaires)

  Compliant

  Non-Compliant

  N/A

COMPETENCE

• Competent H&S Advice (Company name, H&S qualification, letter of appointment

  Yes

  No

  N/A

• Management competence e.g. IOSH for Executives, Site Managers Safety Scheme (SMSTS), IOSH for Managers

  Yes

  No

  N/A

• Supervisor competence e.g. Site Supervisor Safety Scheme (SSSTS)

  Yes

  No

  N/A

• Operative general competence (Site Safety Plus)

  Yes

  No

  N/A

• Electrical Qualification e.g. 18th Edition with Part P, JIB Card

  Yes

  No

  N/A

• Gas Safe Card

  Yes

  No

  N/A

• Manual Handling Training

  Yes

  No

  N/A

• COSHH Training

  Yes

  No

  N/A

• First Aid Training

  Yes

  No

  N/A

• Fire Marshal Training

  Yes

  No

  N/A

• Working at Height Training

  Yes

  No

  N/A

• Ladder Safety Training

  Yes

  No

  N/A

• RPE - Face fit testing for face mask

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Yes

  No

  N/A

COMPETENCE CONTINUED (NVQS INSULATION & BUILDING TREATMENTS LEVEL 2 & 3 SECTION H MEASURE SPECIFIC

• PATHWAY 1 - EXTERNAL WALL INSULATION MEASRE B4 - EWI - REQUIRE LEVEL 2 NVQ IN EXTERNAL WALL INSULATION PATHWAY

  Yes

  No

  N/A

• PATHWAY 2 - CAVITY WALL INSULATION MEASURE B1 - CWI - A LEVEL 2 NVQ IN CAVITY WALL INSULATION

  Yes

  No

  N/A

• PATHWAY 3 - LOFT INSULATION MEASURE B9 - LI - REQUIRE LEVEL 2 NVQ IN LOFT INSULATION

  Yes

  No

  N/A

• PATHWAY 4 - DRAUGHT PROOFING TO OPENINGS

  Yes

  No

  N/A

• PATHWAY 5 - INTERNAL INSULATIONS TO WALLS, FLOORS OR CEILINGS - MEASURE B6 - FI - LEVEL 2 NVQ IN INSULATION AND BUILDING TREATMENTS WITH INTERNAL INSULATION PATHWAY OR DRYLINIG/PLASTERING NVQ

  Yes

  No

  N/A

• PATHWAY 6 - INSULATION TO FRAMED SECTIONS OF BUILDINGS - MEASURE B5 - FLAT ROOF ISULATION - LEVEL 2 NVQ IN INSULATION AND BUILDING TREATMENTS WITH COLD ROOF / WARM ROOF PATHWAY. MEASURE B10 PITCHED ROOF INSULATION - LEVEL 2 NVQ IN INSULATION AND BUILDING TREATMENTS WITH COLD ROOF / WARM ROOF PATHWAY

  Yes

  No

  N/A

• PATHWAY 7 - SURFACE FINISHINGS TO EXTERNAL WALL INSULATION

  Yes

  No

  N/A

• Other

COMPETENCE (CONTINUED) - RETROFIT COORDINATOR COMPANY / INDIVIDUAL NAMES

• COMPANY NAME / INDIVIDUAL NAME & COMPETENCY CARD/CERT

• COMPANY NAME / INDIVIDUAL NAME & COMPETENCY CARD/CERT

• COMPANY NAME / INDIVIDUAL NAME & COMPETENCY CARD/CERT

• Other

COMPETENCE (CONTINUED) - RETROFIT DESIGNER COMPANY / INDIVIDUAL NAMES

• COMPANY NAME / INDIVIDUAL NAME & COMPETENCY CARD/CERT

• COMPANY NAME / INDIVIDUAL NAME & COMPETENCY CARD/CERT

RISK ASSESSMENT & METHOD STATEMENTS FOR EACH MEASURE (signed and dated)

• SOLAR PV INSTALLATION (including flat roof installation)

  Yes

  No

  N/A

• AIR or GROUND SOURCE HEAT PUMPS

  Yes

  No

  N/A

• INSULATION - INCLUDING TYPE

  Yes

  No

  N/A

• INSULATION - INCLUDING TYPE

  Yes

  No

  N/A

• INSULATION - INCLUDING TYPE

  Yes

  No

  N/A

• POINT OF WORK RISK ASSESSMENT EXAMPLE

  Yes

  No

  N/A

• Other

MONITORING & COMPLIANCE IN THE WORKPLACE

• Office Fire Risk Assessment & Evacuation Procedure

  Yes

  No

  N/A

• Site Inspections

  Pass

  Fail

  N/A

• Tool Box Talks

  Yes

  No

  N/A

• Communication & Consultation with the Workforce (e.g. evidence minutes, signed briefings)

  Yes

  No

  N/A

• Other

• undefined

Waste & Environmental Impact

• Company Waste Management Plan/Procedure (including types of waste being disposed)

  Compliant

  Non-Compliant

  N/A

• Segregated / unmixed waste

  Compliant

  Non-Compliant

  N/A

• Containers labelled and closed

  Compliant

  Non-Compliant

  N/A

• Recycling

  Compliant

  Non-Compliant

  N/A

• Waste Carrier Licence

  Compliant

  Non-Compliant

  N/A

• Waste Tip Licence

  Compliant

  Non-Compliant

  N/A

• Waste Transfer Notes

  Compliant

  Non-Compliant

  N/A

• Other

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