Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Assessors Signatures

  • Job number

  • Name of contractor/installer

  • Enter Address

Property information/Background

  • Property type

  • Residential

  • Construction type

  • Year built

  • Height/s of property

  • General comments .........

  • Each Elevation measurements

  • Photo Front

  • Photo Right Handside

  • Photo Left Handside

  • Photo Rear

  • Photo Additional extensions

  • Photos of variations

  • Drawings of variations

Property specifics

  • Cavity width

  • Cavity & Wall tie condition?

  • Heating type

  • Ventilation requirements

  • Chimney/flue on External wall?

  • Roof type/condition

  • Window type

  • Structural condition e.g. Cracks,recessed mortar lines, etc

  • Ring beam/cavity trays present

  • Fin-lock guttering present

  • Damp or condensation visible

  • General comments .........

  • Photos of variations

  • Drawings of variations

12m+ Height assessment

  • Height of property

  • Exposure levels (is the property protected by other buildings?)

  • Does the property require any remediation works to allow install?

Site specifics risk assessment

Vehicle access

  • Are there any site rules relating to vehicle access/movement

  • Are there any site rules relating to vehicle access/movement

  • Are all vehicles likely to pass over of hard standing e.g. Tarmac, concrete

  • What are the parking restrictions on the access road/s into the site

  • On site is there adequate access to park vehicle without blocking any of the following:<br>1. Private drive way/garages <br>2. Emergency exit routes to & from the site <br>3. Public right of ways (pathway)?

  • If parking on site is an issue how far away would the nearest/safest place be from the work location?

  • Add drawing

  • Add media

  • General comments .........

  • From the above findings score vehicle access on a scale of 1-10

Height Requirements

  • Can all work be completed from a standard 3 ladder?

  • What areas of the building cannot be completed by means of 3 stage ladders?

  • What type of surface is directly surrounding the building?<br>1. Grass<br>2. Concrete path/Tarmac <br>3. Gravel <br>4. Decking

  • Are there any lower roofs that would require employees to go on to complete the works, Thermascope required?

  • Photo of access issues where Thermascope is required.

  • What type of roofs are there?<br><br>How high are the roofs that employees would need to work off?

  • Is the general ladder access/maneuverability around the building acceptable?

  • Is powered/scaffolding access equipment required? If "Yes" what type? Scissor lifts, articulated booms, mast climbing work platforms? (take in to account surface type) Specify where? Photos <br>

  • Add media

  • Add drawing

  • General comments .........

  • From the above findings score height requirements on a scale of 1-10

Working environment

  • Are there any obstacles/ access issues e.g. Trees, large shrubs, garden sheds,conservatories, power cables, gas/electric sub stations etc close enough to the property to prevent crews from completing tasks?

  • Can vehicle be left un attended?

  • How secure is the site?

  • Power supply required

  • Is there a fresh water supply at the building to assist in cleaning down?

  • Is Harris fencing required?

  • Add media

  • Add drawing

  • General comments .........

  • From the above findings score environment on a scale of 1-10

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.