CDM Audit Report

• Document No.

• Audit Title

• Client / Site

• Works Activity

• Conducted on

  Date

• Prepared by

• Client's Project Manager

• Principal Contractor

• Project Manager of the Principal Contractor

• Site Manager of the Principal Contractor

• Location
  Address

• Executive Summary

• Have previous report actions been closed ?

  Yes

  No

  N/A

• The following items are a snapshot of the physical site conditions found at the time of inspection

Site Set Up

• First aid facilities, first aider, first aid kit

  Yes

  No

  N/A

• Traffic/pedestrian management/segregation

  Yes

  No

  N/A

• Welfare facilities (suitable, sufficient, warm, clean, waste disposal)

  Yes

  No

  N/A

• Adequate supervision/control

  Yes

  No

  N/A

• Cleanliness and housekeeping

  Yes

  No

  N/A

• Considerate Contractors Scheme - registration/visits

  Yes

  No

  N/A

• Worker Engagement Poster/Facilities

  Yes

  No

  N/A

Site Documentation

• Construction Phase Plan in place (copy held on site and reviewed)

  Yes

  No

  N/A

• Pre Construction Information and other drawings and records in place (copy held on site)

  Yes

  No

  N/A

• Risk Assessments/Method Statements in place for current/future works

  Yes

  No

  N/A

• Are all COSHH substances accounted for by assessments and stored correctly?

  Yes

  No

  N/A

• F10/Insurance certificate displayed

  Yes

  No

  N/A

• Health and Safety Law poster and additional posters displayed (Noise/COSHH/First Aiders)

  Yes

  No

  N/A

• Site induction records in place

  Yes

  No

  N/A

• Is portable electrical equipment tested (3 monthly) and stored correctly?

  Yes

  No

  N/A

• Skills cards checked and recorded

  Yes

  No

  N/A

• Site registers/checks completed and recorded (scaffolding, excavations, lifting/work equipment

  Yes

  No

  N/A

• Permits to work in place (hot works etc)

  Yes

  No

  N/A

• Tool box talks

  Yes

  No

  N/A

• Reporting of accidents, incidents and near misses

  Yes

  No

  N/A

• Site Rules

  Yes

  No

  N/A

• Fire and Emergency Procedures

  Yes

  No

  N/A

On Site Activities

• Scaffolding, alloy towers, steps and ladders

  Safe

  At Risk

  N/A

• Access/Egress

  Safe

  At Risk

  N/A

• Lifting Apparatus

  Safe

  At Risk

  N/A

• Plant and Machinery

  Safe

  At Risk

  N/A

• Excavations

  Safe

  At Risk

  N/A

• Demolition

  Safe

  At Risk

  N/A

• COSHH

  Safe

  At Risk

  N/A

• Use of Electricity/Tools and Cables

  Safe

  At Risk

  N/A

• Services (underground/overhead)

  Safe

  At Risk

  N/A

• Fire Precaution/Prevention (hot works, fire points, fire exits)

  Safe

  At Risk

  N/A

• Tools and Equipment

  Safe

  At Risk

  N/A

• Manual Handling

  Safe

  At Risk

  N/A

• Noise/Vibration

  Safe

  At Risk

  N/A

• Roof Works/Heights

  Safe

  At Risk

  N/A

• Site Tidiness

  Safe

  At Risk

  N/A

• PPE being worn?

  Safe

  At Risk

  N/A

• Miscellaneous/Other Site Specific Activities

  Safe

  At Risk

  N/A

Environment

• Site Waste Management Plan

  Yes

  No

  N/A

• Waste Segregation

  Yes

  No

  N/A

• Hazards in the ground - (ground conditions)

  Yes

  No

  N/A

• Hazardous Materials (ACM'S)

  Yes

  No

  N/A

• Foul Drainage - use of mains drainage when available/leaks)

  Yes

  No

  N/A

Site Inspection/Audit Completion

• Previous actions completed

  Yes

  No

  N/A

• I confirm the contents of this report have been explained to me

• Site Manager signature

  Sign

• Principal Designer / CDM Adviser

  Sign