Audit review sheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Working at Heights Score

• Safety netting in place

  Yes

  No

  N/A

• Double Handrail in place (950mm - 1200mm in height from floor level)

  Yes

  No

  N/A

• Rescue procedure in place?

  Yes

  No

  N/A

• Is the area below the works cordoned off?

  Yes

  No

  N/A

Plant and Equipment Score

• Plant equipment free from damage, defects?

  Yes

  No

  N/A

• All attachments safe & compatible with plant/equipment?

  Yes

  No

  N/A

• Have plant operators received the relevant training?

  Yes

  No

  N/A

• Correct plant & equipment for job? (eg grinding discs for cutting)

  Yes

  No

  N/A

• All auxilary devices in place on Teleporter?(Mirrors, flashing beacons, reversing beacon, camera etc)

  Yes

  No

  N/A

• Spotter in use with MEWP

  Yes

  No

  N/A

• MEWP Emergency lowering valves fully operational?

  Yes

  No

  N/A

• Plant/Equipment inspected regularly?

  Yes

  No

  N/A

Scaffolds

• Fully trained persons erecting scaffold above 4m?

  Yes

  No

  N/A

• Scaffolding tagged or signed as safe to use?

  Yes

  No

  N/A

• Scaffold inspected a minimum of every 7 days?

  Yes

  No

  N/A

• Scaffold components(Boards, fittings, jacks, etc) in good order?

  Yes

  No

  N/A

• Safe Work Load (SWL) exceeded?

  Yes

  No

  N/A

• System scaffold erected as per manufacture instructions?

  Yes

  No

  N/A

• Scaffold tied supported to structure?

  Yes

  No

  N/A

Lifting Equipment/Crane

• Unsafe or damaged lifting equipment/ destroyed or removed from site?

  Yes

  No

  N/A

• Loads lifted over persons, close proximity to obstacles including over head lines?

  Safe

  At Risk

  N/A

• Lifting equipment inspected regularly?

  Yes

  No

  N/A

• SWL information clearly displayed?

  Yes

  No

  N/A

• Certificate available for all slings, chain blocks, lifting eyes etc?

  Yes

  No

  N/A

• Crane operated by a fully trained CSCS card holder?

  Yes

  No

  N/A

• All relevant certification available for crane including weekly plant inspection?

  Yes

  No

  N/A

• All loads rigged by fully trained Slinger/Signaler?

  Yes

  No

  N/A

• Crane/lifting equipment maintenance carried out by qualified technican?

  Yes

  No

  N/A

• SWL of plant or any lifting equipment adhered to?

  Yes

  No

  N/A

• Crane swing area/Lifting zone fully barriered off?

  Yes

  No

  N/A

• Lifting operation cancelled during windy weather?

  Yes

  No

  N/A

• Crane lifting plan in place?

  Yes

  No

  N/A

• Crane set up as per requirements of Lifting plan?

  Yes

  No

  N/A

Safety Harness and fall arrest Equipment Score

• Safety harness certified by a competent person within last 6 months?

  Yes

  No

  N/A

• Safety harness inspected weekly and report of inspection on record?

  Yes

  No

  N/A

• Scaffold hook & carbiner in good order and free from defects?

  Yes

  No

  N/A

• Serial number legible & date of manufacture fully legible?

  Yes

  No

  N/A

• Safe /certified anchor points in use?

  Yes

  No

  N/A

• All operatives fully trained in safe use of harness?

  Yes

  No

  N/A

• Lanyard, inertia reel in good order?

  Yes

  No

  N/A

Ladders Score

• Unsafe or damaged ladder- Safe or at risk?

  Safe

  At Risk

  N/A

• Unsafe positioning of ladderr- Safe or at risk?

  Safe

  At Risk

  N/A

• Ladder suitable for the task? (I.e. fibreglass used for live electrical installations)

  Yes

  No

  N/A

• Ladder inspected regularly

  Yes

  No

  N/A

• Ladder secured properly?

  Yes

  No

  N/A

• Ladder free from paint and defects?

  Yes

  No

  N/A

Hazardous Manual Tasks

• All operatives manual handling trained?

  Yes

  No

  N/A

• Has Manual handling activity been risk assessed?

  Yes

  No

  N/A

• Mechanical aids being used to reduce the manual handling risk? (Trolleys, teleporter, chain blocks, crane, bottle jack, lever)

  Yes

  No

  N/A

• Risks controls implemented where mechanical aids can't be used? (examples: job rotation, lighter loads, group lift)

  Yes

  No

  N/A

• PPE applicable for the task ( gloves, safety boots)?

  Yes

  No

  N/A

Hazardous Chemical(including paint, fuel and oil)

• Suitable storage location? (eg flammables away from ignition sources, spills could enter stormwater drains etc)

  Yes

  No

  N/A

• Incompatible chemicals stored near each other? Safe or at risk?

  Safe

  At Risk

  N/A

• Adequate spill containment equipment in place? ( bunded storage)

  Yes

  No

  N/A

• Safety Data Sheets accessible on site?

  Yes

  No

  N/A

• Emergency procedures for injury/spills/fire etc?

  Yes

  No

  N/A

• Excessive quantities stored on site or in vehicles? Safe or at risk?

  Safe

  At Risk

  N/A

• Sufficient ventilation?

  Yes

  No

  N/A

• Suitable PPE being used? .(correct gloves, respiratory mask etc)

  Yes

  No

  N/A

• Suitable storage containers, correct labelling ? (unlabelled or stored in food containers)

  Yes

  No

  N/A

Emergency Response

• Emergency plan in place for site?

  Yes

  No

  N/A

• Full trained first aider on site?

  Yes

  No

  N/A

• Fire drill carried out within the last 6 months

  Yes

  No

  N/A

• Adequate first aid kits aid equipment for site?

  Yes

  No

  N/A

• Adequate fire fighting equipment in place? (Fire extinguisher, fire blanket)

  Yes

  No

  N/A

• Life ring, life jacket, rescue boat in place on work over/ near water?

  Yes

  No

  N/A

Traffic Management

• Traffic Management Plan(TMP) in place?

  Yes

  No

  N/A

• Spotter used to aid reversing trucks?

  Yes

  No

  N/A

• All reversing alarms, lights, working with trucks and site vehicles?

  Yes

  No

  N/A

• Adequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters etc)

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Adequate PPE in place for the task being carried out?

  Yes

  No

  N/A

• Hearing protection in place in noisy areas?

  Yes

  No

  N/A

• Full face shield used with angle grinder?

  Yes

  No

  N/A

• High visibility clothing clean?

  Yes

  No

  N/A

• PPE stored in a suitable area? (I.e. Safety harness storage)

  Yes

  No

  N/A

• Suitable safety boots in use & free from defects? (exposed toe cap, damaged sole)

  Yes

  No

  N/A

Work Environment

• Access routes free from trip hazards?

  Yes

  No

  N/A

• Task lighting sufficient ?

  Yes

  No

  N/A

• Adequate Housekeeping ?

  Yes

  No

  N/A

• Adequate noise/vibration control?

  Yes

  No

  N/A

• Adequate dust control/suppression?

  Yes

  No

  N/A

• Adequate amenities? (Toilets, wash areas, canteen, drying rooms etc)

  Yes

  No

  N/A

• Adequate air quality? ( free from fumes, paint odour etc)

  Yes

  No

  N/A

Electrical Hazards

• electrical leads in good order/inspected within the last month?

  Yes

  No

  N/A

• RCD protection?

  Yes

  No

  N/A

• Electrical equipment located away from chemicals that could cause damage? (I.e. water, corrosive substances on leads etc)

  Yes

  No

  N/A

• Risk of contact with overhead electrical lines?

  Yes

  No

  N/A

• Risk of Electrical leads that may be damaged from contact with moving machinery parts?

  Yes

  No

  N/A

• Leads placed on ground or on metal structures? Safe or at risk?

  Safe

  At Risk

  N/A

• Electrical equipment located away from water?

  Yes

  No

  N/A

• Electrical equipment located away from flammable material ?

  Yes

  No

  N/A

Environmental Hazards

• Adequate Environmental Management Plan in place <br>(EMP)?

  Yes

  No

  N/A

• Adequate, dust suppression system in place?

  Yes

  No

  N/A

• Aadequate systems to prevent contaminants entering stormwater drains?

  Yes

  No

  N/A

• Chemicals and fuels stored properly and bunded?

  Yes

  No

  N/A

• Environmental monitoring required? (Noise, dust, air monitoring, asbestos, etc)

  Yes

  No

  N/A

• Asbestos removal required?

  Yes

  No

  N/A

• Waste segregation in place? ( metal, wood, general waste)

  Yes

  No

  N/A

• Spill kit in place?

  Yes

  No

  N/A

• Drip trays in use?

  Yes

  No

  N/A

Administrative Procedures

• HSA Notification of construction in place?

  Yes

  No

  N/A

• Construction stage safety Plan in place?

  Yes

  No

  N/A

• Company safety statement in place?

  Yes

  No

  N/A

• Adequate supervisory arrangements in place? (competent supervisors etc)

  Yes

  No

  N/A

• Adequate training in place?- Safe pass, CSCS, abrasive wheels, MEWP, safety harness training, skills experience?

  Yes

  No

  N/A

• Safe Work Method Statements for all high risk work?

  Yes

  No

  N/A

• Work place SPA in place?

  Yes

  No

  N/A

• All required permits in place? (Hot work, ope permit, access permit etc)

  Yes

  No

  N/A

• All workers, visitors inducted?

  Yes

  No

  N/A

• incident notification procedures in place?

  Yes

  No

  N/A

• Adequate routine inspections, monitoring, audits being carried out?

  Yes

  No

  N/A

• Record of statutory inspection up to date and in place? ( i.e. AF forms, GA forms)

  Yes

  No

  N/A

Summary of findings.

Audit close out:

• Photos of closed out items:

  Media

• Items to close out:

Item no:

• Audit items fully actioned?

  yes

  No....awaiting for documentation

  No...awaiting for others to action

  No...awaiting training course

• Audit actioned by: (signature)

  Sign