Title Page
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JOB No.
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DESCRIPTION OF WORK CARRIED OUT.
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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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KEY STAFF
Audit
1. SITE ESTABLISHMENT
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1.1 EMERGENCY TELEPHONE NUMBERS AVAILABLE.
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1.2 SIGNED INTO REGISTER
2.0 SITE SAFETY MANAGEMENT SYSTEM
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Add media
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2.1 POLICY DOCUMENT AVAILABLE OR VAN FILE
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2.2 HEALTH AND SAFETY TRAINING
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2.3 INSURANCE IN DATE
3.0 FIRE SAFETY
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3.1 FLAMMABLES /EXPLOSIVES PRESENT.
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3.2 FIRE FIGHTING EQUIPMENT AVAILABLE
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3.3 HAS IT BEEN MAINTAINED, IS IT IN DATE?
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3.4 STAFF TRAINED IN USE?
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3.5 BRACKET WITH STRAP IN VAN?
4.0 FIRST AID
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4.1 FIRST AID KIT STOCKED?
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4.2 AWARE OF LOCATION?
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4.3 APP PERSON/TRAINED
5.0 ACCIDENT PROCEDURES
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5.1 ACCIDENT BOOK/REPORT FORM?
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5.2 HSE/EHO NOTIFICATION?
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5.3 REPORTING PROCEDURE AVAILABLE?
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5.4 STAFF AWARE?
6.0 RISK ASSESSMENT /SSOW/METHOD STATEMENTS
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6.1 PREPARED
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6.2 ADEQUATE?
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6.3 COMMUNICATED TO OTHER OPERATIVES?
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6.4 COMPLIED WITH?
7.0 COSHH ASSESSMENT
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7.1 SUBSTANCE ID PRIOR TO USE?
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7.2 ASSESSMENTS PREPARED
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7.3 COMMUNICATED VIA SSOW
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7.4 COMPLIED WITH?
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7.5 STORAGE IDENTIFIED BUND OR COSHH CABINET?
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7.6 SPILL KIT AVAILABLE?
8.0 MANUAL HANDLING
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8.1 ASSESSMENTS PREPARED?
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8.2 MECHANICAL OR AUTOMATED MEANS USED WERE POSSIBLE?
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8.3 STAFF TRAINED
9.0 HOT WORKS
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9.1 PERMIT TO WORK SYSTEM
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9.2 COMPETENT PERSONS
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9.3 EMERGENCY PROCEDURES IN PLACE BASED ON PERMIT?
10.0 NOISE
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10.1 ASSESSMENT PREPARED?
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10.2 RESULTS COMMUNICATED?
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10.3 PPE IDENTIFIED AND WORN
11.0 PPE
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11.1 IDENTIFIED FROM RISK ASSESSMENTS/SSOW
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11.2 TRAINED IN USE?
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11.3 CONFORMING ?
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11.4 PPE BOX AVAILABLE AND FULLY STOCKED?
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11.5 CORRECT STORAGE?
12.0 WORKPLACE
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12.1 ACCESS /EGRESS/SEGREGATION AS NECESSARY?
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12.2 EMERGENCY ACCESS MAINTAINED?
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12.3 PREVENTION OF OBSTRUCTIONS?
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12.4 HEATING
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12.5 SUFFICIENT LIGHTING?
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12.6 VENTILATION?
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12.7 BUILDING CONDITION?
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12.8 HOUSEKEEPING?
13.0 WELFARE
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13.1 TOILET /WASH FACILITIES INCLUDING HOT WATER?
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13.2 EATING AREA
14.0 WORK AT HEIGHT
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14.1 FALL PROTECTION
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14.2 ACCESS/EGRESS
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14.3 EDGE PROTECTION?
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14.4 LEADING EDGES?
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14.5 TRAINING?
15.0 LADDERS,STEPLADDERS, PODIUMS,TOWER SCAFFOLDS
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15.1 ID'S OF EQUIPMENT CHECKED ON SITE
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15.2 LADDER CHECK COMPLETED?
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15.3 SECURITY OF LADDER ?
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15.4 POSITION (BASE TO HEIGHT RATIO CHECKED)
16.0 WORK EQUIPMENT
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16.1 APPROPRIATE FOR USE
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16.2 CONDITION CHECKED?
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16.3 MAINTENANCE CERTS( PAT, CERTIFICATE OF CONFORMITY ETC.)
17.0 CONFINED SPACES
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17.1 COMPETENT PERSONS
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17.2 EMERGENCY PROCEDURES
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17.3 PERMIT TO WORK RAISED BY COMPETENT PERSON?
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17.4 GAS DETECTION MONITORING INCLUDING RECORDED TEST RESULTS?
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17.5 SAFETY RESCUE EQUIPMENT
18.0 INSPECTIONS.
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18.1 BOILERS/PRESSURE
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18.2 LIFTING EQUIPMENT - LOLER MANDATORY INSPECTIONS
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18.3 STATUTORY SCAFFOLD INSPECTIONS?
19.0 ENVIRONMENT
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19.1 WASTE MINIMISATION
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19.2 WASTE STORAGE DISPOSAL
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19.3 POLLUTION CONTROL
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19.4 DISCHARGES
TRANSPORT AND STORAGE
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20.1 MATERIALS
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20.2 CORRECTLY STORED
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20.3 CORRECTLY TRANSPORTED
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20.4 VEHICLE MOVEMENT?
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20.5 VEHICLE TIDY INSIDE AND OUT
21.0 SUPPLY CHAIN(ENTER NAMES IN MEDIA SECTION)
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21.1 QUALITY CHECKS COMPLETED MATERIALS.
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21.2 SUB - CONTRACTORS IDENTIFIED ON SITE?
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21.3 COMPETENCY CHECKS COMPLETED/ CSR/INSURANCES?
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22.0 HAZARD IDENTIFICATION AND INFO (RAMS)
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21.4 INDUCTION CARRIED OUT.
22 OTHER INSPECTIONS
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22.1 NI10 FORM DISPLAYED
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22.2 SITE WASTE MANAGEMENT PLAN AVAILABLE
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22.3 ASBESTOS REGISTER CHECKED
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22.4 CONSTRUCTION PHASE PLAN AVAILABLE FOR SMALL CONTRACTED WORKS.
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ASSESSMENT SITE OPERATIONS
- GOOD
- FAIR
- POOR
- UNSATISFACTORY
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ASSESSMENT MANAGEMENT SYSTEMS
- GOOD
- FAIR
- POOR
- UNSATISFACTORY
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CONFIRMATION FROM AUDITEE THAT HAVE RECEIVED THE INFORMATION & RECOMMENDATIONS IN THE REPORT.
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CONFIRMATION THAT THE AUDITOR HAS DISCUSSED ALL MATTERS ARISING WITH THE AUDITEE
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DISTRIBUTION: PROJECT MANAGER/TEAM H & S/IMS ADVISORS- A.SMALLWOODS ,S.NICHOLSON H & S DIRECTOR- BRENDA REGAN
