CBES Health and Safety Audit Template 2017

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Health and Safety Audit

1. Scaffolds, Access Towers

• 1. Scaffold ,Access Towers

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

2. Means of access

• 2. Means of access

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

3. Lifting appliances/machines/gear

• 3. Lifting appliances/machines/gear

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

4. Demolition

• 4. Demolition

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

5. Equipment and machinery

• 5. Equipment and machinery

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

6. MEWPs, plant etc.

• 6. MEWPs, plant etc.

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

7. Cartridge tools

• 7. Cartridge tools

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

8. Electrics/portable tools

• 8. Electrics/portable tools

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

9. Underground and overhead services

• 9. Underground and overhead services

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

10. Fire precautions

• 10. Fire precautions

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

11. Flammable liquids and LP gas

• 11. Flammable liquids and LP gas

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

12. First aid, health and welfare

• 12. First aid, health and welfare

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

13. PPE/RPE

• 13. PPE/RPE

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

14. Registers and other documents

• 14. Registers and other documents

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

15. Site tidyness

• 15. Site tidiness

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

16. Promulgation of notices

• 16. Promulgation of notices

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

17. Roofs-fragile/protected

• 17. Roofs-fragile/protected

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

18. Staircases

• 18. Staircases

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

19. Lightning

• 19. Lightning

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

20. Floor edge protection

• 20. Floor edge protection

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

21. Asbestos material

• 21. Asbestos material

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

22. COSHH

• 22. COSHH

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

23. Environmental and waste management

• 23. Environmental and waste management

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

24. Miscellaneous

• 24. Miscellaneous

  N/A

  Pass

  Category 2

  Category 1

• Comments

• Add media

  Media

25. Audit Score (Percentage)

• Final score (0-100%)

• Rating: 1- immediate action required 2- Action to be taken as soon as is reasonably practicable
  
  Note: For every non-conformance (category 1) 4 points are deducted from the starting score of 100%, for every non-conformance (category 2) 2 points are deducted from the starting score of 100%.

26. Audit close out actions

• Category 2 non-conformance(s) requiring actions

Category 2- item number

• Non conformance item

• Category 1 non-conformance(s) requiring actions

Category 1- item number

Approval/Acceptance

• Project Manager

  Sign

• Site Manager

  Sign