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
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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3.5 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?
5.0 ACCIDENT PROCEDURES
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5.1 ACCIDENT PROCEDURES
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5.3 REPORTING PROCEDURE AVAILABLE?
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5.4 STAFF AWARE?
6.0 POWRA-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 ASSESSMENTS PREPARED
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7.2 COMPLIED WITH?
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7.3 SPILL KIT AVAILABLE?
8.0 MANUAL HANDLING
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8.1 MECHANICAL OR AUTOMATED MEANS USED WERE POSSIBLE?
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8.2 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?
11.0 PPE
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11.1 IDENTIFIED FROM RISK ASSESSMENTS/POWRA
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11.2 TRAINED IN USE?
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11.3 CONFORMING ?
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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12.8 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 USE OF PLATFORMS
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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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15.2 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.)
18.0 INSPECTIONS.
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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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19.4 DISCHARGES
20.TRANSPORT
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20.1 VEHICLE MOVEMENT?
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20.2 VEHICLE TIDY INSIDE AND OUT
21.ANY OTHER OBSERVATIONS
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21.1SAFETY ISSUES
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21.2 ENVIRONMENTAL ISSUES
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21.3 QUALITY ISSUES -INFORMATION UPLOADS CHECKED ON CONNECT
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21.4CONSTRUCTION PHASE PLAN AVAILABLE FOR SMALL CONTRACTED WORKS.
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21.5ASBESTOS REGISTER CHECKED
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ASSESSMENT SITE OPERATIONS
- Good
- Fair
- Poor
- N/A
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ASSESSMENT MANAGEMENT SYSTEMS
- Good
- Fair
- Poor
- N/A
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CONFIRMATION FROM THE ENGINEER THAT THEY HAVE RECEIVED THE INFORMATION & RECOMMENDATIONS IN THE REPORT.
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CONFIRMATION THAT THE HSQE MANAGER HAS DISCUSSED ALL MATTERS ARISING WITH THE ENGINEER
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DISTRIBUTION: PROJECT MANAGER/SUPERVISOR
