Title Page
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Document No.
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Audit Title
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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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Personnel
1. General Management Arrangements
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1.1 F10 displayed?
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F10 Example
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F10 Image
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1.2 Insurance displayed?
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Make sure the insurance is displayed in the window
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1.3 H&S Law Poster displayed?
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1.4 CPP on site?
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1.5 Asbestos Management Arrangements in place?
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1.6 Operatives/Visitors Signing In/Out?
- Not completed
- Partially completed or resolved on site
- Up to date
- N/A
- Not Viewed
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1.7 Inductions undertaken and logged?
- Not completed
- Partially completed or completed on site
- Up to date
- N/A
- Not Viewed
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1.8 RA in site?
- Not available
- Generic
- Site specific/Personnal assessment
- N/A
- Not Viewed
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1.9 SSoW on site and followed?
- Not available
- Generic
- Site specific/Personnal assessment
- N/A
- Not Viewed
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1.10 Emergency Procedures/Fire Plan in place?
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1.11 Inspections being undertaken?
- Statutory inspections not being undertaken
- Undertaken
- N/A
- Not Viewed
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1.12 Site Cleanliness/Pest Control adequate?
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1.13 Adequate Welfare Facilities/Arrangements?
- Inadequate
- Major issues
- Minor issues
- Adequate
- N/A
- Not Viewed
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1.14 Residents/Public segregated from Works?
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1.15 Accident Book on site?
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1.16 Accidents investigated?
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Total number of accidents to date:
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Number of RIDDOR accidents:
2. Citizen Specific Requirements
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2.1 Toolbox talk undertaken in the last month?
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2.2 Generator fumes away from dwellings
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2.3 Waste removed from site/secure skip
- Unsecured skip/Closer than 6 meters to the building
- Compliant
- N/A
- Not Viewed
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2.4 Competence Checks (e.g. CSCS)
- Not completed
- No evidence on site
- Made available by the office
- Available
- N/A
- Not Viewed
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2.5 Are site hoardings in place and in good order?
- Not completed
- Partially completed or resolved on site
- Up to date
- N/A
- Not Viewed
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2.6 Office facilities adequate
3. Working at Height
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3.1 Suitable access equipment being used?
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3.2 Adequate Edge Protection?
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3.3 Are excavations protected on site?
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3.4 Adequate arrangements to secure scaffold?
4. Designated Storage Areas
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4.1 COSHH assessments in place?
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4.2 Gas cylinders stored correctly?
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4.3 Flammables stored correctly?
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4.4 COSHH substances stored correctly?
5 . Site Activities
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5.1 Site secure?
- Not secure
- Minor items
- Addressed at site
- Secure
- N/A
- Not Viewed
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5.2 Good housekeeping?
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5.3 extension leads managed?
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5.4 Safety signage in place?
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5.5 Safe access/egress to site?
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5.6 Adequate lighting in place?
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5.7 Means of escape kept clear?
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5.8 Suitable fire fighting equipment in place?
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5.9 Suitable PPE in use?
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5.10 Work equipment tested (P.A.T.)?
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5.11 Manual handling?
6. Environmental Management
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6.1 Acceptable noise levels?
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6.2 Acceptable dust levels?
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6.3 Vibration levels?
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Print Name:
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Signature: