Amey HEX - 5% PPM & CM checks

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Details

• Select date

  Date

• Location

• Job Number

Checklist

• If work is in progress, is relevant specification/manuals with the operative? E.g maximo task

  Satisfactory

  Non Satisfactory

  N/A

• Comments

• Has operative been inducted into site & specification/manuals/tasks etc?

  Satisfactory

  Non Satisfactory

  N/A

• Comments

• If readings or results are required to be measured, are they being recorded?

  Satisfactory

  Non Satisfactory

  N/A

• Comments

• Is the operative competent, working safely and of the correct discipline/ trade for the work being carried out (including work equipment)

  Satisfactory

  Non Satisfactory

  N/A

• Comments

• Quality of workmanship to a satisfactory standard

  Satisfactory

  Non Satisfactory

  N/A

• Comments

• Is the work area clean and tidy, is there adequate fencing, fencing, barrier & signage to stop unauthorised access?

  Satisfactory

  Non Satisfactory

  N/A

• Comments

• Are the relevant RAMS, COSHH Data in place and to hand?

  Satisfactory

  Non Satisfactory

  N/A

• Comments

• Is there adequate PPE available and being used?

  Satisfactory

  Non Satisfactory

  N/A

• Comments

• Photos

  Media

• Signature

  Sign