AMBP 120

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• If a condition or practice is found to be unacceptable then classify according to the following:
  
  1. Immediate Attention - immediate action required
  2. Significant - action required within two weeks
  3. Minor - action required before next inspection
  
  Irrespective of condition a photograph is required for all Notices and ACD.

NOTICES

• Property plate in good order

  Yes

  No

  N/A

• Number plate correct and in good condition

  Yes

  No

  N/A

• 'Danger of Death' plates fitted and in good condition

  Yes

  No

  N/A

SAFETY EQUIPMENT AND PROCEDURES

• Colour plates correct and in good condition<br> <br> <br> <br>

  Yes

  No

  N/A

• Flag brackets fitted and correct number<br> <br> <br> <br>

  Yes

  No

  N/A

• Drain earths fitted correctly as per NSI 4 attachment<br> <br> <br> <br>

  Yes

  No

  N/A

• Flag and red pennants fitted correctly<br> <br> <br> <br><br> <br> <br>

  Yes

  No

  N/A

• Safety documentation on site and correct<br> <br> <br> <br>

  Yes

  No

  N/A

• Wristlets issued to all personnel and worn correctly<br> <br> <br> <br>

  Yes

  No

  N/A

• Correct equipment and work methods being used<br> <br> <br> <br>

  Yes

  No

  N/A

• Special measures in use as required. (Warning notices, look out man etc)<br> <br> <br> <br>

  Yes

  No

  N/A

• Fire extinguishers positioned correctly and inspection label signed<br> <br> <br> <br>

  Yes

  No

  N/A

• Emergency equipment available and in good order e.g. First aid kit(s), rescue ladders, tower rescue kits<br> <br> <br> <br>

  Yes

  No

  N/A

HAZARDS

• Environmental hazards<br> <br> <br> <br>

  Yes

  No

  N/A

• Chemical hazards (Crop sprays etc)<br> <br> <br> <br>

  Yes

  No

  N/A

• Danger Zone, appropriate demarcation, safe access and egress<br> <br> <br> <br>

  Yes

  No

  N/A

EQUIPMENT

• Ladders in good condition, inspected and in date<br> <br> <br> <br>

  Yes

  No

  N/A

• Portable electric tools and equipment inspected and in date<br> <br> <br> <br>

  Yes

  No

  N/A

• Tower rescue equipment inspection in date.<br> <br> <br> <br>

  Yes

  No

  N/A

• Appropriate Location of safety equipment for the work task<br> <br> <br> <br>

  Yes

  No

  N/A

• The staff carrying out site work understands the roles of SAP, Team Leader, Supervisor and Document Holder.<br> <br> <br> <br>

  Yes

  No

  N/A

• Working party register completed correctly and up-to-date<br> <br> <br> <br>

  Yes

  No

  N/A

SITE STEWARDSHIP/GOOD HOUSEKEEPING

• Site in good order, free of refuse and unnecessary materials<br> <br> <br> <br>

  Yes

  No

  N/A

• Anti-climbing guards in good condition and adequate for the location<br> <br> <br> <br>

  Yes

  No

  N/A

• Staff aware of emergency incident procedures<br> <br> <br> <br>

  Yes

  No

  N/A

• Vehicle log books completed correctly<br> <br> <br> <br>

  Yes

  No

  N/A

• Vehicle parking and van sharing<br> <br> <br> <br>

  Yes

  No

  N/A

WORKING PRACTICES

• Staff authorised to operate cranes, hoists etc<br> <br> <br> <br>

  Yes

  No

  N/A

• Defective equipment in use<br> <br> <br> <br>

  Yes

  No

  N/A

• Equipment being used incorrectly<br> <br> <br> <br>

  Yes

  No

  N/A

• Correct lifting and handling techniques<br> <br> <br> <br>

  Yes

  No

  N/A

• Horseplay/Inattention to task<br> <br> <br> <br>

  Yes

  No

  N/A

• Influence of alcohol and drugs<br> <br> <br> <br>

  Yes

  No

  N/A

• Protective equipment in use<br> <br> <br> <br>

  Yes

  No

  N/A

COMMENTS

• Areas of good practice or non compliance should entered below: