Information
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Document No.
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Audit Title
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Add media
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Client / Site
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Conducted on
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Prepared by
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Location
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Peril
- Fire
- Water
- Flood
- Other
- Buildings
- Contents
- Decontamination
- Drying
Site Personnel
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Name
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Grade
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Employment
Others On-Site
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Name
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Reason at Site
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CDM
CDM Project
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Do proposed works fall under CDM definitions of "Construction Work"
Principal Designer
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Are BELFOR the Principal Designer
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Is the Pre-Construction Information (PCI) collated
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Has the PCI Been Issued to Principal Contractor
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Has the Health & Safety File Been Produced
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Is the project reportable to the HSE and if so has this been completed and the F10 displayed
Principal Contractor
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Are BELFOR the Principal Contractor
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Has the PCI Been Received
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Has the Construction Phase Plan been produced for all elements of work
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Has the CPP been issued to all contractors and have they have they signed their agreement to it
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Have Other Contractors Been Vetted and Approved
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Have other Contractors RA/MS been approved
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Have other Contractors been inducted
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Has the H&S file been populated with all suitable documentation
General Safety Elements
Staff Induction
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BKH F138 Combined Site Induction & PPE Register
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CSCS Cards
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Competence Cards
Risk Assessment
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Completed by:
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BKH F053 Task Specific Risk Assessment Register
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Completed Fully
Method Statement
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Completed by:
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Covers All Works
PPE
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Uniform
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Safety Boots / Wellingtons
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Suitable Gloves
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Suitable Protective Clothing
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Hard Hat
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Hi-Vis Vest / Coat
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Safety Glasses / Goggles
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Suitable RPE
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Suitable Hearing Protection
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Safety Harness & Restraint Harness
Fire (Mandatory if PC)
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Fire Extinguishers Suitable, Sufficient and Certificated
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Fire Marshals Trained and Suitably Available
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Escape Routes Identified, Signage in Place and Assembly Point(s) Identified
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Fire Alarm System Suitable, Sufficient and Tested
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Emergency Lighting in Place and Tested (If Necessary)
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Suitable Storage For Flammable Chemicals / Gasses
First Aid (Mandatory if PC)
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First Aider Present (Supervisor Must Have FAW)
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Suitable, Sufficient and Stocked First Aid Kit
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Suitable, Sufficient and Stocked Eye Wash
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First aid provisions signed and First Aider list displayed
Welfare & Housekeeping
Welfare (Mandatory to provide if PC)
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Wash Basins
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Toilets
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Rest / Eating Area
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Cleanliness
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Drinking Water
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Cold Running Water
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Hot Water or Ability to Provide
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Heating
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Lighting
House Keeping
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Clear Access & Egress
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Waste Materials Disposed
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Site Safety Signage
General Hazards
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Head Hazards
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Condition Of Flooring
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Slip/Trip/Fall
Manual Handling
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Personnel Trained
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Mechanical Aids Available / Being Used
Asbestos
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ACM Survey Completed
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Asbestos Register Present / Interpreted
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ACM Risk
Chemicals
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Chemical Folder Available
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Correct PPE Worn
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Chemicals Being Stored Correctly
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Chemicals Being Disposed Correctly
Isolation
Electrical Isolation
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Completed by:
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Supervisors LO/TO system in place
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Competent person proved dead
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BKH F003 Permit To Work - Powered Plant in use
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BKH F003 Permit To Work - Powered Plant completed correctly
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Technician LO/TO system in place
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BKH F003 Permit To Work - Powered Plant within agreed time periods
Tooling
Hand Tools
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Visual Inspection Carried Out
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Being Used Correctly
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Suitable For The Task
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Being Used By Trained Operatives
Electric Tools
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Visual Inspection Carried Out
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PAT Valid
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Supporting Documentation Received / Operators Manual
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Being Used Correctly
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Suitable For The Task
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Are risk assessments being complied with, especially vibration, noise and dust
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Being Used By Trained Operatives
Other Tools
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Visual Inspection Carried Out
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Supporting Documentation Received / Operators Manual
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Being Used Correctly
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Suitable For The Task
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Being Used By Trained Operatives
Access Equipment
Ladders
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BKH F049 Ladder Check
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Being Used Correctly
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Suitable For The Task
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Being Used By Trained Operatives
Mobile Aluminium Towers
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PASMA Qualified
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Erected Correctly
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BKH F023 Mobile Aluminium Tower Inspection
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Being Used Correctly
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Suitable For The Task
MEWP
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Supporting Documentation Received / Operators Manual
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Within 6 Month Maintenance Schedule
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BKH F050 MEWP Daily Check Report
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IPAF Qualified
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Being Used Correctly
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Suitable For The Task
Rope Access
- Site Personel
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Name
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Grade
Staff Induction
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Site Induction
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First Aider Present (Supervisor Must Have FAW)
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Competence Cards
Risk Assessment
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Completed by:
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Covers All Works
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Communicated at Induction
Method Statement
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Completed by:
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Covers All Works
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Communicated at Induction
PPE & Equipment
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BKH F035 On-Site PPE Issue Register
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Uniform
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Safety Boots
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Suitable Gloves
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Suitable Protective Clothing
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Suitable Helmet
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Hi-Vis Vest / Coat
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Safety Glasses / Goggles
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Suitable RPE
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Suitable Hearing Protection
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Harness, Rope Ascenders/Clamps/Descenders & Lanyards
Tooling
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Equipment Inventory Provided
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Certificate of Conformity Available
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6 Month Thorough Inspection Available
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Personal Access Kit Audit Available (Harness, Chest Harness, Descender, Back-Up Device)
Scaffolding
- Site Personel - BELFOR arranged only
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Name
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Grade
Risk Assessment - BELFOR arranged only
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Completed by:
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Covers All Works
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Communicated at Induction
Method Statement - BELFOR arranged only
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Covers All Works
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Communicated at Induction
PPE & Equipment
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Equipment Log of All PPE Bought To Site - BELFOR arranged only
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Uniform
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Hard Hat
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Safety Glasses /Goggles
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Suitable Gloves
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Hi-Vis Vest/Coat
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Safety Boots
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Harness with Duel Lanyard
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Certificate of Conformity for All Scaffolders Harnesses & Lanyards - BELFOR arranged only
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6 Monthly Inspection Records for All Scaffolders Harnesses & Lanyards - BELFOR arranged only
Construction Documentation
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TG20:13 Compliance Sheet / Design & Calculations
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Class 2 / 1.5kN/m2
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Within 7 Day Inspection
Scaffold Inspector
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Name
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Grade
PPE Inspector - BELFOR arranged only
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Name
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PPE Inspectors Certificate
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Handover Certificate Recieved
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Competent BELFOR Scaffold Inspector Authorised Access
