ALS Tier Two Health Check

• Conducted on

  Date

• Prepared by

Site Details

• Client:

• Store name:

• Description of works:

Competency

• Has the operative/s got a valid CSCS card?

  Yes

  No

  N/A

• Has the operative/s got a valid IPAF card?

  Yes

  No

  N/A

• Are the ALS operative/s wearing ALS ID badges?

  Yes

  No

  N/A

Dressed For Service?

• Are the ALS operative/s wearing ALS uniform?

  Yes

  No

  N/A

• Are the ALS operative/s wearing Client Branded PPE?

  Yes

  No

  N/A

• Are the correct 4/5 points of PPE being worn at all times?

  Yes

  No

  N/A

Paperwork

• Has the operative/s signed in to the store and/or main contractor’s signing in book?

  Yes

  No

  N/A

• Are all RAMS complete, onsite and signed by operative/s?

  Yes

  No

  N/A

• Have all work permits been obtained by operative/s?

  Yes

  No

  N/A

• Is there a scope of works/programme of works available onsite?

  Yes

  No

  N/A

• Has the ALS operative/s checked and understood the asbestos survey?

  Yes

  No

  N/A

• Are ALS sign off sheets available to operative/s?

  Yes

  No

  N/A

Work Area

• Have the work areas been cordoned off from store staff and/or the public?

  Yes

  No

  N/A

• Are all tools and equipment stored securely and safely from store staff and/or the public?

  Yes

  No

  N/A

Communication

• Has the operative received sufficient communication from ALS to complete all works?

  Yes

  No

  N/A

Issues

• Does the operative/s have any issues with the project delivery?

• Does the operative/s have any ideas for improving project delivery?

• Auditors comments............

• Add media

  Media

Sign Off

• Operatives signature

  Sign

• Auditors signature

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