Commercial Vehicle Health & Safety Compliance System Based Audit

• Site

• Site Manager

• Auditor

• Audit Date

  Date

• H&S Audit Round:

• Audit Criteria: 1. ISO 45001:2018 Standard System Based Audit.

• Introduction: This was a planned audit to verify the effectiveness of the H&S management system to comply with the H&S policy, ISO 45001: 2018 standard, company risk assessments and safety procedures.

• Opening Meeting With

• Audit Summary

• Closing Meeting With

  Sign

Reference Documents:

• H&S Policy H&S Law Poster Employer's Liability Insurance H&S Notice Board

1. H&S Policy

• The current H&S Policy was on display and dated?

  Select The H&S Policy was on display and in date The observation is that the H&S Policy was on display but out of date The nonconformity is that the H&S Policy was not on display Observation. See notes... Nonconformity. See notes... Not checked during audit

  • The H&S Policy was on display and in date
  • The observation is that the H&S Policy was on display but out of date
  • The nonconformity is that the H&S Policy was not on display
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit

• Start date of policy displayed?

  Date

2. H&S Law Poster

• Is the H&S Law Poster on display and displaying correct details?

  Select The Health and Safety Law Poster was on display and the details were correct The observation is that the Health and Safety Law Poster was on display but the details were incorrect The nonconformity is that the Health and Safety Law Poster was not on display Observation. See notes... Nonconformity. See notes....

  • The Health and Safety Law Poster was on display and the details were correct
  • The observation is that the Health and Safety Law Poster was on display but the details were incorrect
  • The nonconformity is that the Health and Safety Law Poster was not on display
  • Observation. See notes...
  • Nonconformity. See notes....

3. Employers Liability Insurance

• Employer's liability insurance was on display and dated

  Select Compliant. The Employer's Liability Insurance was on display and in date. The Observation is that the Employer's Liability Insurance was on display but was out of date. The Nonconformity is that the Employer's Liability Insurance was not on display. Observation. See notes... Nonconformity. See notes...

  • Compliant. The Employer's Liability Insurance was on display and in date.
  • The Observation is that the Employer's Liability Insurance was on display but was out of date.
  • The Nonconformity is that the Employer's Liability Insurance was not on display.
  • Observation. See notes...
  • Nonconformity. See notes...

• Start Date of Employer's Liability Insurance.

  Date

4. H&S Notice Board

• Is the health and safety notice board completed to company standards?

  Select The Health and Safety notice board is up to date and contains all required items. The Observation is that some of the Health and Safety notice board information is out of date. The Nonconformity is that there is no Health and Safety notice board on site. Observation. See notes... Nonconformity. See notes... Not applicable. Not checked during audit.

  • The Health and Safety notice board is up to date and contains all required items.
  • The Observation is that some of the Health and Safety notice board information is out of date.
  • The Nonconformity is that there is no Health and Safety notice board on site.
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not applicable.
  • Not checked during audit.

Organisation, Roles, Responsibilities - Leadership and Commitment

• Reference Documents. H&S Organisation Chart-Group H&S Organisation Chart-Site H&S Manual Section-Roles, Responsibilities and Authorities Appointed person and/or company - Worksafe Consultancy Services Ltd

Depot Organisation Structure.

• Site organisation structure is established and an and an organisation chart is defined

  Select Site organisation structure is established, and an organisation chart is defined and on display. The Observation is that the site organisation structure is established but was not on display. The Observation is that site organisation structure is yet to be established. The Observation is that although a site organisational structure is available, it requires updating due to employee changes. Observation. See notes... Nonconformity. See notes... Not Applicable Not checked during audit

  • Site organisation structure is established, and an organisation chart is defined and on display.
  • The Observation is that the site organisation structure is established but was not on display.
  • The Observation is that site organisation structure is yet to be established.
  • The Observation is that although a site organisational structure is available, it requires updating due to employee changes.
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not Applicable
  • Not checked during audit

Consultation and participation of workers ISO 45001: 2018 requirement 5.4

• 1. H&S Manual
  2. Safety Procedures
  3. Risk Assessment Procedures 4. Legal and other requirements register

• 1. H&S documentation is developed, documented and issued by Worksafe Consultancy

• 2. Worksafe Consultancy writes the necessary H&S documents which are then reviewed and commented on by senior management. The necessary changes are made to the H&S document which is then approved and issued to all managers.

• 3. The site manager is responsible for implementing the H&S document at his/her site.

Consultation and participation of workers ISO 45001: 2018 requirements 5.4

• Reference Documents. 1. H&S Site Managers Monthly Inspection 2. H&S Site Managers Monthly Report and findings for ratification

• 1. The Site Managers Monthly Inspection Compliance Report

  Select Compliant, site manager has completed monthly inspection checklist. Observation, monthly checklist has been completed but no corrective action has been raised for completion. Observation, the monthly checklist is being completed but has missed the last few months and requires re instating. The monthly inspection checklist has not been completed. Not applicable. Site do not undertake these. Not checked during audit.

  • Compliant, site manager has completed monthly inspection checklist.
  • Observation, monthly checklist has been completed but no corrective action has been raised for completion.
  • Observation, the monthly checklist is being completed but has missed the last few months and requires re instating.
  • The monthly inspection checklist has not been completed.
  • Not applicable. Site do not undertake these.
  • Not checked during audit.

• Date of last Monthly Report?

  Date

• Reference Documents.
  1. Training Records

1. IOSH Managing/Working Safely

• Have any members of staff received the IOSH Managing Safely Course?

  Select Yes - Site Manager or other senior responsible person. Yes - Supervisor and/or other Team Members. The observation is that the Site Manager has had IOSH Managing Safety training however, refresher training may be due. Worksafe Action required. See notes.... The non-conformity is that Managers/Supervisors have not received and formal Health and Safety training. The non-conformity is that site manager has not received any IOSH Managing Safely Training. Nonconformity. See notes... Observation. See notes... Not checked during audit. Not seen during audit.

  • Yes - Site Manager or other senior responsible person.
  • Yes - Supervisor and/or other Team Members.
  • The observation is that the Site Manager has had IOSH Managing Safety training however, refresher training may be due.
  • Worksafe Action required. See notes....
  • The non-conformity is that Managers/Supervisors have not received and formal Health and Safety training.
  • The non-conformity is that site manager has not received any IOSH Managing Safely Training.
  • Nonconformity. See notes...
  • Observation. See notes...
  • Not checked during audit.
  • Not seen during audit.

• Date of training?

  Date

• Have any members of staff received formal Health and safety training?

  Select Yes - Site Manager or other senior responsible person. Yes - Supervisor and/or other Team Members. The observation is that the Site Manager has had IOSH Managing Safety training however, refresher training may be due. Worksafe Action required. See notes.... The non-conformity is that Managers/Supervisors have not received and formal Health and Safety training. The non-conformity is that site manager has not received any IOSH Managing Safely Training. Nonconformity. See notes... Observation. See notes... Not checked during audit. Not seen during audit.

  • Yes - Site Manager or other senior responsible person.
  • Yes - Supervisor and/or other Team Members.
  • The observation is that the Site Manager has had IOSH Managing Safety training however, refresher training may be due.
  • Worksafe Action required. See notes....
  • The non-conformity is that Managers/Supervisors have not received and formal Health and Safety training.
  • The non-conformity is that site manager has not received any IOSH Managing Safely Training.
  • Nonconformity. See notes...
  • Observation. See notes...
  • Not checked during audit.
  • Not seen during audit.

• Date of course(s) ?

  Date

2. First Aiders

• First aid cover compliance?

  Select First aid cover is sufficient to cover all shifts and all certificates are dated within the last 3 years The observation is that first aid certificates are dated within the last 3 years but there is insufficient cover for all shifts The nonconformity is that the first aid certificates are out of date and there is insufficient cover for all shifts The nonconformity is that the site does not have any trained first aid cover The worksafe observation is that the site has requested training dates and is awaiting confirmation Observation. See notes... Nonconformity. See notes... Not checked during audit. Not seen during audit.

  • First aid cover is sufficient to cover all shifts and all certificates are dated within the last 3 years
  • The observation is that first aid certificates are dated within the last 3 years but there is insufficient cover for all shifts
  • The nonconformity is that the first aid certificates are out of date and there is insufficient cover for all shifts
  • The nonconformity is that the site does not have any trained first aid cover
  • The worksafe observation is that the site has requested training dates and is awaiting confirmation
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit.
  • Not seen during audit.

• Number of first aiders?

• Certificate expiry date(s)?

3. Fire Wardens

• Fire Wardens?

  Select Fire Warden certificates are up to date and there is sufficient cover for all shifts The observation is that Fire Warden certificates are up to date but there is insufficient cover for all shifts The nonconformity is that Fire Warden certificates are out of date and there is insufficient cover for all shifts The nonconformity is that there are no trained Fire Wardens on site The worksafe observation is that Fire Warden training dates have been requested and the site are awaiting confirmation Observation. See notes... Nonconformity. See notes... Not checked during audit. Not seen during audit.

  • Fire Warden certificates are up to date and there is sufficient cover for all shifts
  • The observation is that Fire Warden certificates are up to date but there is insufficient cover for all shifts
  • The nonconformity is that Fire Warden certificates are out of date and there is insufficient cover for all shifts
  • The nonconformity is that there are no trained Fire Wardens on site
  • The worksafe observation is that Fire Warden training dates have been requested and the site are awaiting confirmation
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit.
  • Not seen during audit.

• Number of Fire Wardens?

• Certificate expiry dates?

4. Trained FLT Operators

• FLT Operators Certified within the last 3 years?

  Select There are sufficient FLT operators on site and the certificates are dated within the last 3 years The observation is that some, or all, of the sites FLT operators require refresher training on the operation of the lift truck The nonconformity is that there are no certified FLT operators on site Observation. See notes... Nonconformity. see notes... Not applicable. There is no FLT on site. Not checked during audit. Not seen during audit.

  • There are sufficient FLT operators on site and the certificates are dated within the last 3 years
  • The observation is that some, or all, of the sites FLT operators require refresher training on the operation of the lift truck
  • The nonconformity is that there are no certified FLT operators on site
  • Observation. See notes...
  • Nonconformity. see notes...
  • Not applicable. There is no FLT on site.
  • Not checked during audit.
  • Not seen during audit.

• Number of FLT operators?

• Certificate expiry dates?

5. Contractor Control Training

• Contractor control training compliance?

  Select All relevant staff have received Contractor Control training The observation is that staff require Contractor Control training Observation. See notes... Nonconformity. See notes... Not checked during audit Not seen during audit

  • All relevant staff have received Contractor Control training
  • The observation is that staff require Contractor Control training
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit
  • Not seen during audit

• Number of employees trained in contractor control?

• Course Date(s) ?

6. Banksman Training

• Banksman training compliance?

  Select All relevant staff have undertaken Banksman Training The observation is that staff require Banksman Training Observation. See notes... Nonconformity. See notes... Not checked during audit Not seen during audit

  • All relevant staff have undertaken Banksman Training
  • The observation is that staff require Banksman Training
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit
  • Not seen during audit

• Date(s) of training?

7. Emergency Preparedness and Response Training/Spill Training

• Emergency Preparedness and Response Training?

  Select All staff have completed Emergency Preparedness & Response training The observation is that staff require Emergency Preparedness and Response training Observation. see notes... Nonconformity. See notes... Not checked during audit Not seen during audit

  • All staff have completed Emergency Preparedness & Response training
  • The observation is that staff require Emergency Preparedness and Response training
  • Observation. see notes...
  • Nonconformity. See notes...
  • Not checked during audit
  • Not seen during audit

• Training Date(s) ?

8. Manual Handling Training

• Manual handling training compliance?

  Select All staff have completed Manual Handling training Some staff have completed Manual Handling training with some still required The observation is that a number of staff require Manual Handling training Observation. See notes... Nonconformity. See notes... Not checked during audit Not seen during audit

  • All staff have completed Manual Handling training
  • Some staff have completed Manual Handling training with some still required
  • The observation is that a number of staff require Manual Handling training
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit
  • Not seen during audit

• Number of staff trained?

• Training date(s)?

9. Abrasive Wheel Training

• Abrasive wheel training compliance?

  Select Employees have had abrasive wheel training The observation is that abrasive wheel training refresher training is due The nonconformity is that there are no employees trained in the use of abrasive wheel The nonconformity is that abrasive wheel training has expired Observation. See notes... Nonconformity. see notes... Not checked during audit Not seen during audit

  • Employees have had abrasive wheel training
  • The observation is that abrasive wheel training refresher training is due
  • The nonconformity is that there are no employees trained in the use of abrasive wheel
  • The nonconformity is that abrasive wheel training has expired
  • Observation. See notes...
  • Nonconformity. see notes...
  • Not checked during audit
  • Not seen during audit

• Are all training certificates dated within 3 years?

  Yes

  No

• How many staff have abrasive wheel training?

• Training date(s)?

10. Oxy-acetylene Training

• Oxy-acetylene training compliance?

  Select Compliant. Staff have been trainined on the use of Oxy-Acetylene within the last 3 years The observation is that refresher training for staff using oxy-Acetylene equipment is due The nonconformity is that there are no staff trained in the use of Oxy-Acetylene within the last 3 years Observation. See notes... Nonconformity. See notes... Not applicable. There is no Oxy-Acetylene used on site Not checked during audit Not seen during audit

  • Compliant. Staff have been trainined on the use of Oxy-Acetylene within the last 3 years
  • The observation is that refresher training for staff using oxy-Acetylene equipment is due
  • The nonconformity is that there are no staff trained in the use of Oxy-Acetylene within the last 3 years
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not applicable. There is no Oxy-Acetylene used on site
  • Not checked during audit
  • Not seen during audit

• Number of staff trained in the use of oxy-Acetylene?

• Course Date(s)?

11. Accident Investigation Training

• Accident Investigation Compliance?

  Select Staff have undertaken Accident Investigation training The observation is that staff require Accident Investigation training Observation. See notes... Nonconformity. See notes Not checked during audit Not seen during audit

  • Staff have undertaken Accident Investigation training
  • The observation is that staff require Accident Investigation training
  • Observation. See notes...
  • Nonconformity. See notes
  • Not checked during audit
  • Not seen during audit

• Number of staff trained?

• Training date(s)?

12. Working at Height

• Working at Height training compliance?

  Select Staff have undertaken Working at Height training The observation is that staff require Working at Height training Observation. See notes... Nonconformity. see notes... Not checked during audit Not seen during audit

  • Staff have undertaken Working at Height training
  • The observation is that staff require Working at Height training
  • Observation. See notes...
  • Nonconformity. see notes...
  • Not checked during audit
  • Not seen during audit

• Number of staff trained?

• Training date(s)?

13. Driver Competency Checks

• Driver competency checks completed?

  Select Staff have undertaken driver competency checks The Observation is that some staff have undertaken driver competency training and there are a number still to be done The Nonconformity is that no staff have undertaken driver competency training Observation. See notes... Nonconformity. See notes... Not checked during audit Not seen during audit

  • Staff have undertaken driver competency checks
  • The Observation is that some staff have undertaken driver competency training and there are a number still to be done
  • The Nonconformity is that no staff have undertaken driver competency training
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit
  • Not seen during audit

• Do driver competencies cover all vehicles that could be driven on the site?

  Select Competent. Driver competencies cover all vehicles that could be driven on site by some or all staff The Observation is that although driver competencies cover vehicles driven on site, not all site vehicles are covered by this training

  • Competent. Driver competencies cover all vehicles that could be driven on site by some or all staff
  • The Observation is that although driver competencies cover vehicles driven on site, not all site vehicles are covered by this training

• Date(s) of training?

14. Hand, Arm Vibration Syndrome (HAVS)

• Have staff received any HAV training?

  Select Yes The Observation is that staff have received training however, this training is now more than 12 months ago The Nonconformity is staff have not received any information/training related to hand arm vibration Not applicable Not checked during audit

  • Yes
  • The Observation is that staff have received training however, this training is now more than 12 months ago
  • The Nonconformity is staff have not received any information/training related to hand arm vibration
  • Not applicable
  • Not checked during audit

• How many staff have had HAVS training

• Date(s) of training?

• Reference Documents. 1. Risk assessment procedure 2. Risk assessments 3. Safety procedures 4. Contractors-Permit to Work 5. Legal register 6. Fire risk assessment updated annually

HAVS

• Hand, Arm, Vibration Syndrome (HAVS) risk assessment undertaken?

  Select Compliant. A HAVS Risk Assessment has been completed in the last 12 months. The observation is that a HAVS Risk Assessment has been done but needs reviewing as its over 12 months old. The Workplace observation is that dates have been requested by site for a HAVS RA to be done and site is awaiting confirmation of dates. The non-conformity is that a HAVS Risk Assessment has never been done and is required. Observation. See notes... Non-conformity. See notes...... Not applicable. Not seen during audit Not checked during audit.

  • Compliant. A HAVS Risk Assessment has been completed in the last 12 months.
  • The observation is that a HAVS Risk Assessment has been done but needs reviewing as its over 12 months old.
  • The Workplace observation is that dates have been requested by site for a HAVS RA to be done and site is awaiting confirmation of dates.
  • The non-conformity is that a HAVS Risk Assessment has never been done and is required.
  • Observation. See notes...
  • Non-conformity. See notes......
  • Not applicable.
  • Not seen during audit
  • Not checked during audit.

• Have Observational studies been completed?

  Select Yes. Observational studies have been completed. The Non-conformity is that observational studies have not been completed. Not applicable. There have been no HAVs assessment completed yet. Not checked during audit. Not seen during audit.

  • Yes. Observational studies have been completed.
  • The Non-conformity is that observational studies have not been completed.
  • Not applicable. There have been no HAVs assessment completed yet.
  • Not checked during audit.
  • Not seen during audit.

• Date of last Observational study?

  Date

• Name of company undertaking the observational study?

Noise

• The Control of Noise at Work Regulations 2005 place a duty on employers within Great Britain to reduce the risk to their employees' health by controlling the noise they are exposed to whilst at work.

• Has a noise assessment been completed?

  Select Yes. A noise assessment has been completed The Observation is that there has been a noise assessment undertaken however, this is due for review The Nonconformity is that there has not been a noise assessment undertaken Not applicable. This site does not require a noise assessment Not checked during audit

  • Yes. A noise assessment has been completed
  • The Observation is that there has been a noise assessment undertaken however, this is due for review
  • The Nonconformity is that there has not been a noise assessment undertaken
  • Not applicable. This site does not require a noise assessment
  • Not checked during audit

• Date of assessment?

  Date

• Were employees undertaking noisy tasks wearing ear protection?

  Select Yes. Employees undertaking noisy tasks were observed wearing the correct hearing protection The Observation is that employees observed undertaking noisy tasks were not wearing hearing protection provided Not applicable. There were no noisy tasks being undertaken at the time of the audit Not checked during the audit

  • Yes. Employees undertaking noisy tasks were observed wearing the correct hearing protection
  • The Observation is that employees observed undertaking noisy tasks were not wearing hearing protection provided
  • Not applicable. There were no noisy tasks being undertaken at the time of the audit
  • Not checked during the audit

• Does the site consider a "Low Noise" option when purchasing new equipment?

  Yes

  No

  Not checked during audit

• Are employees provided with information on the dangers of high noise levels?

  Select Yes The Observation is that employees do not have information on the dangers of high noise levels Not applicable. The employees do not require information on high noise levels Not checked during audit

  • Yes
  • The Observation is that employees do not have information on the dangers of high noise levels
  • Not applicable. The employees do not require information on high noise levels
  • Not checked during audit

• Are employees given training on the correct procedure for the wearing of hearing protection?

  Select Yes. Employees are given training on the wearing of hearing protection The Observation is that employees require training on the wearing of hearing protection Not applicable. The employees do not undertake tasks that require hearing protection Not checked during audit

  • Yes. Employees are given training on the wearing of hearing protection
  • The Observation is that employees require training on the wearing of hearing protection
  • Not applicable. The employees do not undertake tasks that require hearing protection
  • Not checked during audit

• Are hearing protection-warning signs fitted and visible?

  Select Yes. Hearing protection warning signs were visible and unobstructed The Observation is that hearing protection signs were present but some, or all, were obstructed from view Not applicable, The site does not require hearing protection signs as hearing protection is not required on the site Not checked during audit

  • Yes. Hearing protection warning signs were visible and unobstructed
  • The Observation is that hearing protection signs were present but some, or all, were obstructed from view
  • Not applicable, The site does not require hearing protection signs as hearing protection is not required on the site
  • Not checked during audit

• Does the employer provide hearing tests / health surveillance for all employees at risk?

  Select Yes. All employees at risk are provided with hearing tests and/or health surveillance The Observation is that employees undertaking noisy tasks are not subject to any hearing tests and/or health surveillance Not checked during audit

  • Yes. All employees at risk are provided with hearing tests and/or health surveillance
  • The Observation is that employees undertaking noisy tasks are not subject to any hearing tests and/or health surveillance
  • Not checked during audit

• Is hearing protection issued to all employees and a record of issue kept?

  Select Yes. Hearing protection is issued and records of the issues are kept The Observation is that hearing protection is issued to staff however, no record of the issue is made or records were not presented The Nonconformity is that employees were conducting noisy tasks but no hearing protection was issued Not checked during audit

  • Yes. Hearing protection is issued and records of the issues are kept
  • The Observation is that hearing protection is issued to staff however, no record of the issue is made or records were not presented
  • The Nonconformity is that employees were conducting noisy tasks but no hearing protection was issued
  • Not checked during audit

Safe System of Work (SSOW)

• Safe System of Work checked?

  Select The latest SSOW has been confirmed and signed off by the site manager The Observation is that although some SSOWs have been signed off by the site manager, some still require signing off Observation. See notes... Nonconformity. See notes... Not checked during audit

  • The latest SSOW has been confirmed and signed off by the site manager
  • The Observation is that although some SSOWs have been signed off by the site manager, some still require signing off
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit

• Date last SSOW issued?

  Date

• Operational planning and control - ISO 45001 2018 requirement 8.1
  Reference Documents 1. Safety procedures 2. Evaluation of legal compliance audit

Asbestos

• Asbestos report completed?

  Select The building has had an asbestos survey completed. No asbestos was found. The building has had an asbestos survey completed. Asbestos was found and there is a process of control and signage is present. The non-conformity is that the building was built before 1999 and an asbestos survey has not been conducted. The non-conformity is that an asbestos survey has been completed. Asbestos is present but there is no process of control or indicative signage present. It was reported that an asbestos report has been completed by the landlord/site owner, evidence of this was not available at time of the audit. Observation. See notes... Non-conformity. See notes.... Not applicable. The building was built after 2000 and an asbestos survey i snot required. Not checked during audit.

  • The building has had an asbestos survey completed. No asbestos was found.
  • The building has had an asbestos survey completed. Asbestos was found and there is a process of control and signage is present.
  • The non-conformity is that the building was built before 1999 and an asbestos survey has not been conducted.
  • The non-conformity is that an asbestos survey has been completed. Asbestos is present but there is no process of control or indicative signage present.
  • It was reported that an asbestos report has been completed by the landlord/site owner, evidence of this was not available at time of the audit.
  • Observation. See notes...
  • Non-conformity. See notes....
  • Not applicable. The building was built after 2000 and an asbestos survey i snot required.
  • Not checked during audit.

• Asbestos inspection company name?

• Date of asbestos survey?

  Date

Contractor Control and Permits to Work

• Contractor control and PTW compliance?

  Select Permits to Work were completed and on the correct template for the work undertaken The observation is that Permits to Work were not fully completed or closed off. The observation is that Permits to Work were completed on the wrong templates. The non-conformity is that there is no Permits to Work process in place. The non-conformity is that a contractor was observed on site and had not completed a Permit to Work. Observation. See notes... Non-conformity. See notes... Not checked during audit.

  • Permits to Work were completed and on the correct template for the work undertaken
  • The observation is that Permits to Work were not fully completed or closed off.
  • The observation is that Permits to Work were completed on the wrong templates.
  • The non-conformity is that there is no Permits to Work process in place.
  • The non-conformity is that a contractor was observed on site and had not completed a Permit to Work.
  • Observation. See notes...
  • Non-conformity. See notes...
  • Not checked during audit.

• Give examples of Permits checked.

• PTW checked are accompanied by the RAMS / Insurance for those contractors.

  Yes. Compliant.

  No. Non-conformity.

  Not checked during audit.

• Does the site have a contractor Bay?

  Select Yes. The site does have a contractor safe working area. The non-conformity is that the site requires a contractor safe working area and does not have one. The observation is that the contractor safe working areas was obstructed. The observation is that the housekeeping in the contractor safe working area was not acceptable. The observation is that the contractor safe working area is not suitable for use. See comments. Observation. See notes.... Non-conformity. See notes... Not applicable. Site does not require a contractor bay. Not checked during audit. Not seen during audit.

  • Yes. The site does have a contractor safe working area.
  • The non-conformity is that the site requires a contractor safe working area and does not have one.
  • The observation is that the contractor safe working areas was obstructed.
  • The observation is that the housekeeping in the contractor safe working area was not acceptable.
  • The observation is that the contractor safe working area is not suitable for use. See comments.
  • Observation. See notes....
  • Non-conformity. See notes...
  • Not applicable. Site does not require a contractor bay.
  • Not checked during audit.
  • Not seen during audit.

Control of Substances Hazardous to Health (COSHH)

• COSHH compliance?

  Select MSDS were available in line with COSHH requirements. The observation is that MSDS/COSHH assessments are not available. Observation. See notes... Non-conformity. See notes.... Not checked during audit.

  • MSDS were available in line with COSHH requirements.
  • The observation is that MSDS/COSHH assessments are not available.
  • Observation. See notes...
  • Non-conformity. See notes....
  • Not checked during audit.

Electrical Safety

Portable Appliance Testing (PAT)

• PAT Compliance?

  Select All items inspected during the audit had PAT labels All items inspected during the audit had PAT labels. PAT is undertaken by an external contractor hired by the Landlord/Site owner and not by the site itself The Observation is that SOME items inspected had no evidence of PAT or the PAT was out of date The Observation is that the PAT was out of date on all items inspected Observation. See notes... Nonconformity. See notes... Not checked during audit

  • All items inspected during the audit had PAT labels
  • All items inspected during the audit had PAT labels. PAT is undertaken by an external contractor hired by the Landlord/Site owner and not by the site itself
  • The Observation is that SOME items inspected had no evidence of PAT or the PAT was out of date
  • The Observation is that the PAT was out of date on all items inspected
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit

• PAT Completed by?

• PAT Date(s)?

Electrical Hardwiring (Electrical installation condition report)

• Electrical hard wiring compliance?

  Select The building has had an electrical installation conditioning report and the site is awaiting repairs as suggested in the report The building has had an electrical installation conditioning report and any repairs, if required, have been completed The Observation is that there is no evidence of works outlined in the fixed electrical conditioning report being completed The Nonconformity is that C1 defects were identified and have not been isolated or repaired Not yet required as the building is less than 5 years old The Nonconformity is that the Electrical Installation Condition report is out of date It was reported that an electrical hard wiring installation condition report has been completed by the landlord however, the report was not available at the time of the audit Observation. See notes... Nonconformity. See notes... Not checked during audit

  • The building has had an electrical installation conditioning report and the site is awaiting repairs as suggested in the report
  • The building has had an electrical installation conditioning report and any repairs, if required, have been completed
  • The Observation is that there is no evidence of works outlined in the fixed electrical conditioning report being completed
  • The Nonconformity is that C1 defects were identified and have not been isolated or repaired
  • Not yet required as the building is less than 5 years old
  • The Nonconformity is that the Electrical Installation Condition report is out of date
  • It was reported that an electrical hard wiring installation condition report has been completed by the landlord however, the report was not available at the time of the audit
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit

• Inspecting company name? (Or state - Not Known)

• Date of Inspection?

  Date

External Areas

• Traffic Management?

  Select Single gate entry access/egress One access gate and one exit gate The observation is that there is no speed limit signage to manage traffic The observation is that there is no site specific workplace transport risk assessment available The nonconformity is that there is no evidence of traffic management on site Entry and exit to the site is controlled by the site owner and is not part of the sites responsibility Observation. See notes... Nonconformity. See notes... Not checked during audit.

  • Single gate entry access/egress
  • One access gate and one exit gate
  • The observation is that there is no speed limit signage to manage traffic
  • The observation is that there is no site specific workplace transport risk assessment available
  • The nonconformity is that there is no evidence of traffic management on site
  • Entry and exit to the site is controlled by the site owner and is not part of the sites responsibility
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit.

• Are electronic barriers subject to regular service?

  Select Yes, Electronic barriers/gates are on site and are subject to regular service/inspection by a competent person The observation is that the site does have electronic barriers/gates but they are not subject to regular service or inspection by a competent person Not applicable. There are no electronic barriers/gates on site or are controlled, or responsibility of, the site owner. Observation. See notes... Nonconformity. See notes... Not checked during audit.

  • Yes, Electronic barriers/gates are on site and are subject to regular service/inspection by a competent person
  • The observation is that the site does have electronic barriers/gates but they are not subject to regular service or inspection by a competent person
  • Not applicable. There are no electronic barriers/gates on site or are controlled, or responsibility of, the site owner.
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit.

• Service/Inspecting company?

• Date of inspection?

  Date

• Site Signage?

  Select Site signage was clearly displayed The observation is that some of site signage was obscured The observation is that some of site signage was damaged/faded The observation is that some of site signage was missing Observation. See notes... Nonconformity. See notes... Not checked during audit.

  • Site signage was clearly displayed
  • The observation is that some of site signage was obscured
  • The observation is that some of site signage was damaged/faded
  • The observation is that some of site signage was missing
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit.

• Site Safe?

  Select Site was safe The observation is that there were many potholes on site The observation is that walkways are faded or are required The observation is that walkways were blocked or obscured The nonconformity is that staff or contractor(s) were observed carrying out an unsafe act. See notes... Observation. See notes... Nonconformity. See notes... Not checked during audit.

  • Site was safe
  • The observation is that there were many potholes on site
  • The observation is that walkways are faded or are required
  • The observation is that walkways were blocked or obscured
  • The nonconformity is that staff or contractor(s) were observed carrying out an unsafe act. See notes...
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit.

Fire Safety

• Is the site's Fire Folder available?

  Select The Fire Folder was available The observation is that the Fire Folder was not available during the audit The Fire Folder is held by the landlord who undertakes the fire related servicing. The report was not available at the time of the audit. Observation. see notes... Nonconformity. see notes...

  • The Fire Folder was available
  • The observation is that the Fire Folder was not available during the audit
  • The Fire Folder is held by the landlord who undertakes the fire related servicing. The report was not available at the time of the audit.
  • Observation. see notes...
  • Nonconformity. see notes...

• Have the fire extinguishers been serviced in the last 12 months?

  Select Compliant. All fire extinguishers seen have been serviced in the last 12 months The observation is that most fire extinguishers have been serviced but some were missed during the service The nonconformity is that the fire extinguishers have not been serviced in the last 12 months

  • Compliant. All fire extinguishers seen have been serviced in the last 12 months
  • The observation is that most fire extinguishers have been serviced but some were missed during the service
  • The nonconformity is that the fire extinguishers have not been serviced in the last 12 months

• Fire extinguisher servicing company?

• Date of fire extinguisher service?

• Fire doors, walkways and extinguishers unobstructed?

  Select All fire doors, extinguishers and walkways were free from obstruction The observation is that fire doors were not free from obstruction or were difficult to open The observation is that extinguishers were not free from obstruction The observation is that walkways were not free from obstruction The nonconformity is that fire door(s) were locked or inoperable Observation. see notes... Nonconformity. see notes... Not checked during audit

  • All fire doors, extinguishers and walkways were free from obstruction
  • The observation is that fire doors were not free from obstruction or were difficult to open
  • The observation is that extinguishers were not free from obstruction
  • The observation is that walkways were not free from obstruction
  • The nonconformity is that fire door(s) were locked or inoperable
  • Observation. see notes...
  • Nonconformity. see notes...
  • Not checked during audit

• Fire related signage checked and satisfactory?

  Select All fire related signage was checked and found to be satisfactory The observation is that some fire related signage was not completed fully The observation is that some fire related signage is required The observation is that some fire related signage was obstructed The observation is that some fire related signage is required and/or was obstructed Observation. See notes... Nonconformity. see notes... Not checked during audit

  • All fire related signage was checked and found to be satisfactory
  • The observation is that some fire related signage was not completed fully
  • The observation is that some fire related signage is required
  • The observation is that some fire related signage was obstructed
  • The observation is that some fire related signage is required and/or was obstructed
  • Observation. See notes...
  • Nonconformity. see notes...
  • Not checked during audit

• Fire assembly point location?

  Select The Fire Assembly point and its signage was unobstructed and free from hazards The observation is that the fire assembly point was not sign posted or the signs faded The observation is that the fire assembly point had hazards such as trip/slip hazards The observation is that the fire assembly point is located in a hazardous area Observation. See notes... Nonconformity. see notes...

  • The Fire Assembly point and its signage was unobstructed and free from hazards
  • The observation is that the fire assembly point was not sign posted or the signs faded
  • The observation is that the fire assembly point had hazards such as trip/slip hazards
  • The observation is that the fire assembly point is located in a hazardous area
  • Observation. See notes...
  • Nonconformity. see notes...

• Is the fire drill up to date?

  Select Yes. The site conducts its own fire drills or they are conducted by the owners of the site The observation is that a fire drill has been conducted but another fire drill is required to keep the fire frill up to date The observation is that fire drills have been completed however, these drills may not have covered all shifts The nonconformity is that a fire drill has not been conducted within the last year

  • Yes. The site conducts its own fire drills or they are conducted by the owners of the site
  • The observation is that a fire drill has been conducted but another fire drill is required to keep the fire frill up to date
  • The observation is that fire drills have been completed however, these drills may not have covered all shifts
  • The nonconformity is that a fire drill has not been conducted within the last year

• Date and time of last fire drill?

  Date

• Details of last fire drill i.e. time taken to evacuate, number of staff/visitors/contractors involved?

• Any fire drill issues reported?

• Fire Risk Assessment

  Select Compliant. A risk assessment has been completed in the last 12 months. There were no significant findings during the assessment Compliant. A risk assessment has been completed in the last 12 months. Significant findings were listed in action points. The observation is that the fire risk assessment is due to be reviewed The nonconformity is that there has been no fire risk assessment undertaken Not checked during audit

  • Compliant. A risk assessment has been completed in the last 12 months. There were no significant findings during the assessment
  • Compliant. A risk assessment has been completed in the last 12 months. Significant findings were listed in action points.
  • The observation is that the fire risk assessment is due to be reviewed
  • The nonconformity is that there has been no fire risk assessment undertaken
  • Not checked during audit

• Last fire risk assessment conducted by?

• Date of last fire risk assessment?

  Date

• Fire risk assessment action plan completed?

  Select All Action Points from the Fire Risk Assessment action plan have been completed Most or some Action Points from the Fire Risk Assessment action plan have been completed The fire risk assessment has recently been completed and the site is awaiting the results of the report and details of any action plans The observation is that none or most of the action points from the Fire Risk Assessment Action Plan have not been actioned Not checked during audit

  • All Action Points from the Fire Risk Assessment action plan have been completed
  • Most or some Action Points from the Fire Risk Assessment action plan have been completed
  • The fire risk assessment has recently been completed and the site is awaiting the results of the report and details of any action plans
  • The observation is that none or most of the action points from the Fire Risk Assessment Action Plan have not been actioned
  • Not checked during audit

• Weekly fire alarm checks completed and recorded?

  Select The weekly fire alarm checks have been completed and are up to date The observation is that the weekly fire alarm checks are not up to date The observation is that the fire folder was not available during the audit The nonconformity is that the weekly fire alarm checks have not been completed Not checked during audit Not seen during audit

  • The weekly fire alarm checks have been completed and are up to date
  • The observation is that the weekly fire alarm checks are not up to date
  • The observation is that the fire folder was not available during the audit
  • The nonconformity is that the weekly fire alarm checks have not been completed
  • Not checked during audit
  • Not seen during audit

• Date of last weekly check?

  Date

• Six Monthly fire alarm service?

  Select The six-monthly fire alarm service has been completed The observation is that the six-month alarm service is due The observation is that the fire service report was not available during the audit The nonconformity is that the fire alarm six-month service has not been completed Not checked during audit

  • The six-monthly fire alarm service has been completed
  • The observation is that the six-month alarm service is due
  • The observation is that the fire service report was not available during the audit
  • The nonconformity is that the fire alarm six-month service has not been completed
  • Not checked during audit

• Name of servicing company?

• Date of last six-monthly alarm service?

  Date

• Monthly emergency lighting check?

  Select The monthly emergency lighting check is complete and up to date The observation is that the monthly emergency lighting checks are overdue. It is noted that the checks have been completed monthly prior to this The nonconformity is that although the monthly emergency lighting check service has been recently completed, it is noted that the checks are sporadic and not carried out on a regular monthly basis The nonconformity is that the monthly emergency lighting check service has not been completed Not checked during audit

  • The monthly emergency lighting check is complete and up to date
  • The observation is that the monthly emergency lighting checks are overdue. It is noted that the checks have been completed monthly prior to this
  • The nonconformity is that although the monthly emergency lighting check service has been recently completed, it is noted that the checks are sporadic and not carried out on a regular monthly basis
  • The nonconformity is that the monthly emergency lighting check service has not been completed
  • Not checked during audit

• Date of last monthly emergency lighting check, if applicable?

  Date

• Emergency lighting annual service completed?

  Select The emergency lighting annual check has been completed The observation is that the emergency lighting annual check is due The observation is that there is no emergency lighting on site The nonconformity is that the annual emergency lighting service has not been completed Not checked during audit

  • The emergency lighting annual check has been completed
  • The observation is that the emergency lighting annual check is due
  • The observation is that there is no emergency lighting on site
  • The nonconformity is that the annual emergency lighting service has not been completed
  • Not checked during audit

• Emergency lighting annual service completed by?

• Date of last emergency lighting service?

  Date

First Aid Kits & Defibrillator

• First aid compliance?

  Select The first aid kits checked were all in date and complete The observation is that there were insufficient first aid kits around the site The observation is that some of the first aid kits had out of date contents The observation is that there were insufficient first aid kits on site and some had out of date contents in them Not checked during audit

  • The first aid kits checked were all in date and complete
  • The observation is that there were insufficient first aid kits around the site
  • The observation is that some of the first aid kits had out of date contents
  • The observation is that there were insufficient first aid kits on site and some had out of date contents in them
  • Not checked during audit

• Eye wash stations?

  Select All eye wash stations checked had sufficient signage and contents were all in date The observation is that some eye wash stations contained out of date contents The observation is that there were insufficient eye wash stations on site The observation is that there were insufficient eye wash stations on site and some had out of date contents in them Not checked during audit

  • All eye wash stations checked had sufficient signage and contents were all in date
  • The observation is that some eye wash stations contained out of date contents
  • The observation is that there were insufficient eye wash stations on site
  • The observation is that there were insufficient eye wash stations on site and some had out of date contents in them
  • Not checked during audit

• Defibrillator on site?

  Select A defibrillator was on site and was subject to regular checks The observation is that the defibrillator is not subject to documented regular checks Not applicable. The site does not have a defibrillator Not checked during audit

  • A defibrillator was on site and was subject to regular checks
  • The observation is that the defibrillator is not subject to documented regular checks
  • Not applicable. The site does not have a defibrillator
  • Not checked during audit

• Last check date?

  Date

Gas Appliances i.e. Workshop and Office Heating/Air Conditioning

• Gas and Heating/air conditioning appliances checked?

  Select All gas and heating appliances, such as Workshop heaters and office heating, have been inspected and maintained by a competent person The observation is that the gas and heating appliance servicing is overdue The nonconformity is that the gas and heating appliances have not been inspected or serviced Not checked during audit

  • All gas and heating appliances, such as Workshop heaters and office heating, have been inspected and maintained by a competent person
  • The observation is that the gas and heating appliance servicing is overdue
  • The nonconformity is that the gas and heating appliances have not been inspected or serviced
  • Not checked during audit

• Gas and heating appliance/air conditioning servicing/inspection company?

• Date of gas and heating appliance inspection?

  Date

• Does the inspecting/servicing company have an 'F-Gas' certificate

  Select Yes The observation is that the company used to inspect/service the gas appliance do not have an 'F-Gas' certificate Not applicable. F-Gas certificate is not required

  • Yes
  • The observation is that the company used to inspect/service the gas appliance do not have an 'F-Gas' certificate
  • Not applicable. F-Gas certificate is not required

• F-Gas certificate number and expiry date?

Gas Bottle Storage

• Gas bottle storage compliance?

  Select Gas bottles were stored correctly, secured by chains to prevent falling, and signage was suitable and sufficient The nonconformity is that the gas bottles were not secured by a chain to prevent them falling over The nonconformity is that the signage for the bottles was insufficient The nonconformity is that the gas bottles were not secured and signage was inadequate Not applicable as gas bottles are not stored on site Not checked during audit

  • Gas bottles were stored correctly, secured by chains to prevent falling, and signage was suitable and sufficient
  • The nonconformity is that the gas bottles were not secured by a chain to prevent them falling over
  • The nonconformity is that the signage for the bottles was insufficient
  • The nonconformity is that the gas bottles were not secured and signage was inadequate
  • Not applicable as gas bottles are not stored on site
  • Not checked during audit

Housekeeping

• Housekeeping compliance?

  Select The housekeeping was satisfactory The housekeeping was excellent The observation is that housekeeping was unsatisfactory Not checked during audit

  • The housekeeping was satisfactory
  • The housekeeping was excellent
  • The observation is that housekeeping was unsatisfactory
  • Not checked during audit

Lighting

• Lighting compliance?

  Select The lighting was satisfactory The observation is that the lighting was checked and some lights were not working or more lighting is required The nonconformity is that the lighting was not sufficient for the work being undertaken Not checked during audit

  • The lighting was satisfactory
  • The observation is that the lighting was checked and some lights were not working or more lighting is required
  • The nonconformity is that the lighting was not sufficient for the work being undertaken
  • Not checked during audit

PPE & RPE

• PPE & RPE Compliance?

  Select All staff, visitors and contractors were wearing the appropriate PPE/RPE The nonconformity is that not all staff, visitors and contractors were wearing the appropriate PPE/RPE Not checked during audit

  • All staff, visitors and contractors were wearing the appropriate PPE/RPE
  • The nonconformity is that not all staff, visitors and contractors were wearing the appropriate PPE/RPE
  • Not checked during audit

• Are regular monthly checks being undertaken on RPE equipment?

  Select Compliant, RPE is subject to regular monthly checks The observation is that the regular monthly checks are not consistent or are out of date The nonconformity is that monthly checks are not undertaken on RPE equipment Not applicable. Site does not use RPE Not checked during audit

  • Compliant, RPE is subject to regular monthly checks
  • The observation is that the regular monthly checks are not consistent or are out of date
  • The nonconformity is that monthly checks are not undertaken on RPE equipment
  • Not applicable. Site does not use RPE
  • Not checked during audit

• Date of last monthly inspection?

  Date

• Is RPE subject to regular maintenance by a competent person?

  Select Compliant. RPE is subject to regular service by a competent person The nonconformity is that RPE equipment has not been serviced by a competent person Not applicable. RPE equipment is less that 12 months old

  • Compliant. RPE is subject to regular service by a competent person
  • The nonconformity is that RPE equipment has not been serviced by a competent person
  • Not applicable. RPE equipment is less that 12 months old

• Date of last service?

  Date

Shower Checks

• Shower check compliance?

  Select The shower checks were completed and up to date The observation is that the shower checks were completed but the right template was not being used The nonconformity is that the shower checks were not completed Not checked during audit

  • The shower checks were completed and up to date
  • The observation is that the shower checks were completed but the right template was not being used
  • The nonconformity is that the shower checks were not completed
  • Not checked during audit

• Date of last shower run check?

  Date

• Date of last shower head cleaning?

  Date

Storage and Racking

• Does the site have pallet racking?

  Select The site has both shelving and pallet racking on site There is no pallet racking on site. Shelving only There is no shelving on site. Pallet racking only Not checked during audit Not seen during audit

  • The site has both shelving and pallet racking on site
  • There is no pallet racking on site. Shelving only
  • There is no shelving on site. Pallet racking only
  • Not checked during audit
  • Not seen during audit

• Does the storage and racking have the Safe Working Load indicated?

  Select The storage and racking was in good order with SWL present The non-conformance is that the storage racking did not have a Safe Working Load indicated Not checked during audit Not seen during audit

  • The storage and racking was in good order with SWL present
  • The non-conformance is that the storage racking did not have a Safe Working Load indicated
  • Not checked during audit
  • Not seen during audit

• Was stock stored on the storage and racking safely i.e. no stock was over-hanging?

  Select Stock was stored safely on the racking with no over-hanging stock observed The observation is that items stored on the racking was overhanging The observation is that pallet/s had fallen in the racking Not checked during audit

  • Stock was stored safely on the racking with no over-hanging stock observed
  • The observation is that items stored on the racking was overhanging
  • The observation is that pallet/s had fallen in the racking
  • Not checked during audit

• Did the racking have all securing pins fitted on cross-beams and uprights?

  Select The racking had securing pins fitted throughout The observation is that racking did not have securing pins fitted throughout The non-conformance is that the racking had no securing pins fitted

  • The racking had securing pins fitted throughout
  • The observation is that racking did not have securing pins fitted throughout
  • The non-conformance is that the racking had no securing pins fitted

• Was the storage and racking secured appropriately to the floor?

  Select The racking was secured appropriately to the floor The non-conformity is that the storage racking was not secured to the floor Not checked during audit

  • The racking was secured appropriately to the floor
  • The non-conformity is that the storage racking was not secured to the floor
  • Not checked during audit

• Was stock stored on the storage safely i.e no stock was over-hanging?

  Select Stock was stored safely on the shelving with no over-hanging stock observed The observation is that items stored on the shelving was overhanging Not checked during audit Not applicable

  • Stock was stored safely on the shelving with no over-hanging stock observed
  • The observation is that items stored on the shelving was overhanging
  • Not checked during audit
  • Not applicable

• Have racking inspections been completed?

  Select The storage and racking has been regularly inspected The non-conformance is that there was no evidence of the racking being inspected Not checked during audit

  • The storage and racking has been regularly inspected
  • The non-conformance is that there was no evidence of the racking being inspected
  • Not checked during audit

• Date of last inspection

  Date

• Vehicle battery storage?

  Select All battery storage, internally and externally, were stored correctly and at least one of the terminals had a protective cover on them The observation is that batteries stored internally and/or externally were not stored in the correct areas or containers The observation is that batteries stored internally and/or externally did not have protective covers on their terminals The nonconformity is that batteries stored internally and/or externally were not stored in the correct areas or containers and did not have protective covers on their terminals Not checked during audit

  • All battery storage, internally and externally, were stored correctly and at least one of the terminals had a protective cover on them
  • The observation is that batteries stored internally and/or externally were not stored in the correct areas or containers
  • The observation is that batteries stored internally and/or externally did not have protective covers on their terminals
  • The nonconformity is that batteries stored internally and/or externally were not stored in the correct areas or containers and did not have protective covers on their terminals
  • Not checked during audit

Welfare - Toilets and Canteen

• Toilets and Canteen compliance?

  Select The toilets and canteen were checked and were satisfactory The observation is that the toilets and canteen were checked and were unsatisfactory The observation is that some soap dispensers were empty The observation is that there is a risk of cross contamination between cleaning materials being taken from an open tub Observation. See notes... Nonconformity. See notes... Not checked during audit

  • The toilets and canteen were checked and were satisfactory
  • The observation is that the toilets and canteen were checked and were unsatisfactory
  • The observation is that some soap dispensers were empty
  • The observation is that there is a risk of cross contamination between cleaning materials being taken from an open tub
  • Observation. See notes...
  • Nonconformity. See notes...
  • Not checked during audit

Workstation and Display Screen Equipment (DSE) Assessment

• Workstation and DSE Compliant?

  Select All staff had undertaken DSE Assessments and any requirements have been completed All staff had undertaken DSE Assessments and some, or all, requirements are yet to be completed The observation is that DSE Assessments are required for some or all staff using DSE The nonconformity is that no DSE Risk Assessments have been undertaken Not checked during audit

  • All staff had undertaken DSE Assessments and any requirements have been completed
  • All staff had undertaken DSE Assessments and some, or all, requirements are yet to be completed
  • The observation is that DSE Assessments are required for some or all staff using DSE
  • The nonconformity is that no DSE Risk Assessments have been undertaken
  • Not checked during audit

Equipment Inspections

• Equipment inspections?

  Select Equipment inspections has up to date insurance and maintenance inspections and any defects have been rectified. The observation is that equipment inspected has up to date insurance and maintenance inspections but some defects are yet to be rectified. The nonconformity is that the equipment inspected does not have up to date insurance and maintenance inspections.

  • Equipment inspections has up to date insurance and maintenance inspections and any defects have been rectified.
  • The observation is that equipment inspected has up to date insurance and maintenance inspections but some defects are yet to be rectified.
  • The nonconformity is that the equipment inspected does not have up to date insurance and maintenance inspections.

• Equipment inspection undertaken by and date(s)?

• Is the defective equipment procedure effective?

  Select A defective equipment procedure is in place and is effective. The non-conformity is that there is no defective procedure in place. The non-conformity is the defective equipment procedure has not been followed.

  • A defective equipment procedure is in place and is effective.
  • The non-conformity is that there is no defective procedure in place.
  • The non-conformity is the defective equipment procedure has not been followed.

A Frame

• A Frame

  Select The equipment was visually checked and was satisfactory. The observation is equipment inspection label was damaged. The observation is equipment inspection label was missing. The non-conformity is the statutory inspection/test of the equipment has expired and the equipment was still in use. The non-conformity is the statutory/test of the equipment was not carried out and the equipment was in use. The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor. The non-conformity is there is no formal maintenance of the equipment to comply with LOLER/PUWER. The non-conformity is there is no formal inspection of the equipment to comply with LOLER/PUWER The non-conformity is dangerous parts of the equipment/machinery are exposed. The non-conformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing. Not applicable. Site does not have this piece of equipment. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The observation is equipment inspection label was damaged.
  • The observation is equipment inspection label was missing.
  • The non-conformity is the statutory inspection/test of the equipment has expired and the equipment was still in use.
  • The non-conformity is the statutory/test of the equipment was not carried out and the equipment was in use.
  • The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor.
  • The non-conformity is there is no formal maintenance of the equipment to comply with LOLER/PUWER.
  • The non-conformity is there is no formal inspection of the equipment to comply with LOLER/PUWER
  • The non-conformity is dangerous parts of the equipment/machinery are exposed.
  • The non-conformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing.
  • Not applicable. Site does not have this piece of equipment.
  • Not checked during audit.

• Equipment inspected by, and any report references, if applicable?

• Date of inspection?

  Date

• Block and Tackle?

  Select The block and tackle is electrically operated and has a dead mans switch fitted. The block and tackle is manually operated. The observation is that block and tackle is electrically operated and does not have a dead mans switch. Not applicable. No A Frame on site. Non-conformity. See notes... Observation. See notes....

  • The block and tackle is electrically operated and has a dead mans switch fitted.
  • The block and tackle is manually operated.
  • The observation is that block and tackle is electrically operated and does not have a dead mans switch.
  • Not applicable. No A Frame on site.
  • Non-conformity. See notes...
  • Observation. See notes....

• Chains?

  Select The safety latch on the chain hook was in place The observation is that the safety latch on the chain was damaged. The non-conformity is that the safety latch on the chain hook was missing. Not applicable. A Frame not on site.

  • The safety latch on the chain hook was in place
  • The observation is that the safety latch on the chain was damaged.
  • The non-conformity is that the safety latch on the chain hook was missing.
  • Not applicable. A Frame not on site.

Air Conditioning Unit

• Air Conditioning Unit

  Select The equipment was visually checked and was satisfactory. The observation is that the air conditioning unit requires servicing. Not applicable. No air conditioning unit is on site. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The observation is that the air conditioning unit requires servicing.
  • Not applicable. No air conditioning unit is on site.
  • Not checked during audit.

• Unit service date?

  Date

• Air conditioning servicing company?

Air Lines for inflating equipment

• Does the site have tyre inflation equipment?

  Select Yes Not applicable. Site does not have this equipment.

  • Yes
  • Not applicable. Site does not have this equipment.

• Is there a cage or other means of securing tyre inflation?

  Select Yes Not applicable. Site does not have this equipment. Observation is that the means of securing tyre inflation is damaged. The non-conformity is that the means of securing tyre inflation is not secured. The non-conformity is that the site does not have a means of securing tyre inflation. Not checked during audit.

  • Yes
  • Not applicable. Site does not have this equipment.
  • Observation is that the means of securing tyre inflation is damaged.
  • The non-conformity is that the means of securing tyre inflation is not secured.
  • The non-conformity is that the site does not have a means of securing tyre inflation.
  • Not checked during audit.

• Is the air hose, and its associated components, clean and free from damage?

  Select Yes The observation is that the air hose is damaged or showing signs of degradation.

  • Yes
  • The observation is that the air hose is damaged or showing signs of degradation.

• Are the airlines long enough to allow the operator to stay outside the likely explosion trajectory during inflation?

  Select Yes. The airline hose length allows for the operator to stand outside the likely explosion trajectory. The observation is that the air hose does not give enough length to allow the operator to stand outside of the explosion trajectory. Not checked during audit.

  • Yes. The airline hose length allows for the operator to stand outside the likely explosion trajectory.
  • The observation is that the air hose does not give enough length to allow the operator to stand outside of the explosion trajectory.
  • Not checked during audit.

• Does the hose line have a clip-on chuck to connect the airline with a quick-release coupling at the operator end?

  Select Yes. The nonconformity is that the air hose does not have a quick release coupling.

  • Yes.
  • The nonconformity is that the air hose does not have a quick release coupling.

• Does the air hose have a gauge or other pressure control device?

  Select Yes. The nonconformity is that the air hose does not have a gauge and/or pressure control device.

  • Yes.
  • The nonconformity is that the air hose does not have a gauge and/or pressure control device.

• Is there evidence of the control valve being held open by a cable tie or similar restraint with the potential for the inflating tyre to be left unattended?

  Select Compliant. There is no evidence observed of the control valve being held open by a cable tie or similar restraint. The nonconformity is that there was evidence of the control valve being held open by cable tie or similar restraint with the potential for the inflating tyre to be left unattended.

  • Compliant. There is no evidence observed of the control valve being held open by a cable tie or similar restraint.
  • The nonconformity is that there was evidence of the control valve being held open by cable tie or similar restraint with the potential for the inflating tyre to be left unattended.

Axle Stands

• Axle Stands

  Select The equipment was visually checked and was satisfactory. The observation is equipment inspection label was damaged. The observation is equipment inspection label was missing. The non-conformity is the statutory inspection/test of the equipment has expired and the equipment was still in use. The non-conformity is the statutory/test of the equipment was not carried out and the equipment was still in use. The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor. The non-conformity is there is no formal maintenance of the equipment to comply with LOLER/PUWER. The non-conformity is there is no formal inspection of the equipment to comply with LOLER/PUWER. The nonconformity is dangerous parts of the equipment/machinery are exposed. The non-conformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing. Not applicable. Site does not have this piece of equipment. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The observation is equipment inspection label was damaged.
  • The observation is equipment inspection label was missing.
  • The non-conformity is the statutory inspection/test of the equipment has expired and the equipment was still in use.
  • The non-conformity is the statutory/test of the equipment was not carried out and the equipment was still in use.
  • The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor.
  • The non-conformity is there is no formal maintenance of the equipment to comply with LOLER/PUWER.
  • The non-conformity is there is no formal inspection of the equipment to comply with LOLER/PUWER.
  • The nonconformity is dangerous parts of the equipment/machinery are exposed.
  • The non-conformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing.
  • Not applicable. Site does not have this piece of equipment.
  • Not checked during audit.

• Equipment reference number(s)?

• Did all axle stands inspected, that require load pins, have appropriate load pins?

  Select Compliant. Yes. The non-conformity is that axle stand(s) did not have appropriate load pin.

  • Compliant. Yes.
  • The non-conformity is that axle stand(s) did not have appropriate load pin.

• Axle stand reference number(s)

• Were all the cradles on all axle stands inspected satisfactory?

  Select Yes. All cradles on the axle stands were inspected and found satisfactory. The observation is that axle stand cradle tops appeared to be distorted.

  • Yes. All cradles on the axle stands were inspected and found satisfactory.
  • The observation is that axle stand cradle tops appeared to be distorted.

• Axle stand reference number(s)

Battery Charging Equipment

• Battery charging equipment (Portable)?

  Select The equipment was visually checked and was satisfactory. The observation is that the battery charger had exposed wiring at the terminals. The observation is that there was no evidence of PAT on the battery charger. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The observation is that the battery charger had exposed wiring at the terminals.
  • The observation is that there was no evidence of PAT on the battery charger.
  • Not checked during audit.

Bench Grinder

• Bench Grinder

  Select Yes. The equipment was visually checked and was satisfactory. The observation is that the bench grinder does not show evidence of current PAT. The observation is that there is no PPE related signage around the bench grinding area. Not applicable. Site does not have a bench grinder. Not checked during audit.

  • Yes. The equipment was visually checked and was satisfactory.
  • The observation is that the bench grinder does not show evidence of current PAT.
  • The observation is that there is no PPE related signage around the bench grinding area.
  • Not applicable. Site does not have a bench grinder.
  • Not checked during audit.

• Bench Grinder Gap >2mm?

  Select The gap between the wheel was checked and was satisfactory The non-conformity is that the gap between the tool rest and the wheel was greater than 2mm. Not applicable. Site does not have a bench grinder. Not checked during audit.

  • The gap between the wheel was checked and was satisfactory
  • The non-conformity is that the gap between the tool rest and the wheel was greater than 2mm.
  • Not applicable. Site does not have a bench grinder.
  • Not checked during audit.

• Condition of Wheel?

  Select The condition of the wheel was visually checked and was satisfactory. The observation is that the bench grinder wheel was checked and there was evidence of some wear requiring the wheel to be redressed. The observation is that the wheel was checked and showed signs of residue of soft metal, wood or plastic.

  • The condition of the wheel was visually checked and was satisfactory.
  • The observation is that the bench grinder wheel was checked and there was evidence of some wear requiring the wheel to be redressed.
  • The observation is that the wheel was checked and showed signs of residue of soft metal, wood or plastic.

• Bench Grinder Guard/s

  Select Yes. The equipment was visually checked and was satisfactory. The observation is that the guard/s on the bench grinder were present but damaged. The nonconformity is that there were no guard/s present on the bench grinder. Not applicable. The site does not have a bench grinder.

  • Yes. The equipment was visually checked and was satisfactory.
  • The observation is that the guard/s on the bench grinder were present but damaged.
  • The nonconformity is that there were no guard/s present on the bench grinder.
  • Not applicable. The site does not have a bench grinder.

• Combustible Materials around the bench grinder?

  Select Compliant. There was no combustible materials in or around the area of the bench grinder. Observation. See notes..... Noncompliant, there was combustible materials in and around the bench grinder. Observation, housekeeping is required in and around the Bench Grinder area.

  • Compliant. There was no combustible materials in or around the area of the bench grinder.
  • Observation. See notes.....
  • Noncompliant, there was combustible materials in and around the bench grinder.
  • Observation, housekeeping is required in and around the Bench Grinder area.

Body Props

• Body Props

  Select The equipment was checked and found to be satisfactory The observation is that the body props were damaged and the equipment was not quarantined The observation is that body props were stored in different parts of workshop individually which may indicate that they are not used in pairs The nonconformity is that body props were seen to be damaged and still being used. The nonconformity is that one body prop was seen to be used. The body props were not being used in pairs. The nonconformity is that the equipment has not had a PUWR inspection conducted. Not applicable. There are no body props on site. Not checked during audit.

  • The equipment was checked and found to be satisfactory
  • The observation is that the body props were damaged and the equipment was not quarantined
  • The observation is that body props were stored in different parts of workshop individually which may indicate that they are not used in pairs
  • The nonconformity is that body props were seen to be damaged and still being used.
  • The nonconformity is that one body prop was seen to be used. The body props were not being used in pairs.
  • The nonconformity is that the equipment has not had a PUWR inspection conducted.
  • Not applicable. There are no body props on site.
  • Not checked during audit.

• Body Prop reference number(s)?

• Body Props inspected by?

• Body Props inspection date(s)?

  Date

Body Shop Spray Booth

• Body shop spray booth/room.

  Select The site does have a body shop. Not applicable. The site does not have a body shop. Not checked during audit.

  • The site does have a body shop.
  • Not applicable. The site does not have a body shop.
  • Not checked during audit.

• Note: The clearance time should be checked just before the filters in the spray booth or room are changed to give a worst-case time. It is recommended that a clearance time test should also be included in the 14-month thorough maintenance examination of the booth or room.

• Has the clearance time been measured in the spray booth/room?

  Select Compliant. The site has measured the clearance times of the spray booth/room. The observation is that the spray booth/room clearance time measurement is overdue. The nonconformity is that the spray booth/room has not had a clearance time measurement.

  • Compliant. The site has measured the clearance times of the spray booth/room.
  • The observation is that the spray booth/room clearance time measurement is overdue.
  • The nonconformity is that the spray booth/room has not had a clearance time measurement.

• Are the results of the clearance time measurement displayed on the door or entrance of the booth or room?

  Select Compliant. The spray booth/room clearance measurement results are displayed at the entry of the booth/room. The observation is that the spray booth/room clearance measurement results are not displayed at the entry of the booth/room.

  • Compliant. The spray booth/room clearance measurement results are displayed at the entry of the booth/room.
  • The observation is that the spray booth/room clearance measurement results are not displayed at the entry of the booth/room.

• Are the paints and other hazardous materials used in the spray booth/room stored adequately?

  Select Compliant. All paints and other hazardous materials are stored in the appropriate lockers when not in use. The observation is that, although paints and other hazardous items do have provision for storage, some paints and/or hazardous materials were not stored away when not in use. The nonconformity is that there is no provision for adequate storage area for the paints and other hazardous materials used in the spray booth/room.

  • Compliant. All paints and other hazardous materials are stored in the appropriate lockers when not in use.
  • The observation is that, although paints and other hazardous items do have provision for storage, some paints and/or hazardous materials were not stored away when not in use.
  • The nonconformity is that there is no provision for adequate storage area for the paints and other hazardous materials used in the spray booth/room.

• Spray room/booth Local Exhaust Ventilation (LEV).

  Select The equipment was visually checked and was satisfactory. The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager. The nonconformity is there is no formal maintenance of the LEV. The nonconformity is dangerous parts of the equipment/machinery are exposed. The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing. Not applicable. Site does not have this piece of equipment. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager.
  • The nonconformity is there is no formal maintenance of the LEV.
  • The nonconformity is dangerous parts of the equipment/machinery are exposed.
  • The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing.
  • Not applicable. Site does not have this piece of equipment.
  • Not checked during audit.

• LEV serviced by

• LEV Service date

  Date

Bottle Jacks

• Bottle jacks

  Select The equipment was visually checked and was satisfactory. The observation is equipment inspection label was damaged. The observation is equipment inspection label was missing. The non-conformity is the statutory inspection/test of the equipment has expired and the equipment was still in use. The non-conformity is the statutory/test of the equipment was not carried out and the equipment was in use. The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor. The non-conformity is there is no formal maintenance of the equipment to comply with LOLER/PUWER. The non-conformity is there is no formal inspection of the equipment to comply with LOLER/PUWER The non-conformity is dangerous parts of the equipment/machinery are exposed. The non-conformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing. Not applicable. Site does not have this piece of equipment. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The observation is equipment inspection label was damaged.
  • The observation is equipment inspection label was missing.
  • The non-conformity is the statutory inspection/test of the equipment has expired and the equipment was still in use.
  • The non-conformity is the statutory/test of the equipment was not carried out and the equipment was in use.
  • The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor.
  • The non-conformity is there is no formal maintenance of the equipment to comply with LOLER/PUWER.
  • The non-conformity is there is no formal inspection of the equipment to comply with LOLER/PUWER
  • The non-conformity is dangerous parts of the equipment/machinery are exposed.
  • The non-conformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing.
  • Not applicable. Site does not have this piece of equipment.
  • Not checked during audit.

• Reference Numbers

• Inspection date?

  Date

Brake Test/Tacho Rollers

• Brake tester/Tacho roller

  Select The equipment was visually checked and was satisfactory. The site has separate brake testing and Tacho roller testing equipment. The nonconformity is the calibration/inspection/test of the equipment has expired and the equipment was still in use. The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager. The nonconformity is dangerous parts of the equipment/machinery are exposed. The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing. Not applicable. Site does not have this piece of equipment. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The site has separate brake testing and Tacho roller testing equipment.
  • The nonconformity is the calibration/inspection/test of the equipment has expired and the equipment was still in use.
  • The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager.
  • The nonconformity is dangerous parts of the equipment/machinery are exposed.
  • The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing.
  • Not applicable. Site does not have this piece of equipment.
  • Not checked during audit.

• Is there more than one brake tester/Tacho roller?

  Yes

  No

• Calibration Company?

• Calibration date(s)?

  Date

Cab Lifter

• Cab Lifter

  Select The equipment was checked and found to be satisfactory The observation is equipment inspection label was damaged. The observation is equipment inspection label was missing. The non-conformity is the statutory inspection/test of the equipment has expired and the equipment was still in use. The non-conformity is the statutory inspection/test of the equipment was not carried out and the equipment was in use. The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor. The non-conformity is there is no formal maintenance of the equipment to comply with LOLER/PUWER. The non-conformity is there is no formal inspection of the equipment to comply with LOLER/PUWER. The non-conformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing. The non-conformity is dangerous parts of the equipment/machinery are exposed. Not applicable. Site does not have this piece of equipment. Not checked during audit.

  • The equipment was checked and found to be satisfactory
  • The observation is equipment inspection label was damaged.
  • The observation is equipment inspection label was missing.
  • The non-conformity is the statutory inspection/test of the equipment has expired and the equipment was still in use.
  • The non-conformity is the statutory inspection/test of the equipment was not carried out and the equipment was in use.
  • The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor.
  • The non-conformity is there is no formal maintenance of the equipment to comply with LOLER/PUWER.
  • The non-conformity is there is no formal inspection of the equipment to comply with LOLER/PUWER.
  • The non-conformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing.
  • The non-conformity is dangerous parts of the equipment/machinery are exposed.
  • Not applicable. Site does not have this piece of equipment.
  • Not checked during audit.

• Reference Numbers.

• Inspection Date?

  Date

Chains for Lifting

• Chains for lifting

  Select The equipment was checked and was satisfactory. The observation is that some of the lifting chains were difficult to identify. The nonconformity is that the safety latch on the lifting chain was missing/broken. The nonconformity is that there is no evidence of any maintenance or LOLER inspections carried out on the chains. Not applicable. There are no chains used on site for lifting. Not checked during audit.

  • The equipment was checked and was satisfactory.
  • The observation is that some of the lifting chains were difficult to identify.
  • The nonconformity is that the safety latch on the lifting chain was missing/broken.
  • The nonconformity is that there is no evidence of any maintenance or LOLER inspections carried out on the chains.
  • Not applicable. There are no chains used on site for lifting.
  • Not checked during audit.

• Chain reference number?

• Inspection Date?

  Date

Compressor

• Compressor

  Select The equipment was visually checked and found to be satisfactory. The observation is that the compressor service is overdue. The observation is that the compressor is new and requires a maintenance contract and/or written scheme. Not applicable. Site does not use a compressor. Not checked during audit.

  • The equipment was visually checked and found to be satisfactory.
  • The observation is that the compressor service is overdue.
  • The observation is that the compressor is new and requires a maintenance contract and/or written scheme.
  • Not applicable. Site does not use a compressor.
  • Not checked during audit.

• Serviced by? (if applicable)

• Service date? (if applicable)

  Date

• Written Scheme of Examination?

  Select Compliant. A thorough Examination has been completed and in date. The non-conformity is that the compressor Written Scheme of examination is out of date or has not been undertaken. Not applicable. Thorough examination is not required or the compressor is the responsibility of the landlord.

  • Compliant. A thorough Examination has been completed and in date.
  • The non-conformity is that the compressor Written Scheme of examination is out of date or has not been undertaken.
  • Not applicable. Thorough examination is not required or the compressor is the responsibility of the landlord.

• Written Scheme of Examination reference number? (if applicable)

Floor Cleaning Equipment

• Floor cleaning equipment

  Select The equipment was visually checked and found to be satisfactory. The observation is there is no evidence of the floor cleaning equipment being serviced/maintained. Not applicable. There is no floor cleaner on site. Not checked during audit.

  • The equipment was visually checked and found to be satisfactory.
  • The observation is there is no evidence of the floor cleaning equipment being serviced/maintained.
  • Not applicable. There is no floor cleaner on site.
  • Not checked during audit.

• Inspecting/maintenance company name?

• Date of inspection

  Date

Fork-Lift Truck

• Fork Lift Truck

  Select The equipment was visually checked and found to be satisfactory. The observation is that the fork lift truck service is overdue. The nonconformity is that the fork lift truck has not had a LOLER inspection. The nonconformity is that the fork lift truck LOLER inspection is overdue. Not applicable. There is no fork lift truck on site. Not checked during audit.

  • The equipment was visually checked and found to be satisfactory.
  • The observation is that the fork lift truck service is overdue.
  • The nonconformity is that the fork lift truck has not had a LOLER inspection.
  • The nonconformity is that the fork lift truck LOLER inspection is overdue.
  • Not applicable. There is no fork lift truck on site.
  • Not checked during audit.

• Date of last LOLER inspection

  Date

• Date of last service?

  Date

• If the fork lift truck was unattended, had the key been removed?

  Select Yes. The nonconformity is that the key was left in the ignition of an unattended lift truck.

  • Yes.
  • The nonconformity is that the key was left in the ignition of an unattended lift truck.

• Has any damage on the fork lift truck been noted on the pre-use checks or check sheets?

  Select Yes. The observation is that damage observed on the lift truck has not been reported on the pre-use checks. The nonconformity is that there are no pre-use checks being undertaken. Nonconformity. See notes... Observation. See notes... Not applicable. There is no damage to report.

  • Yes.
  • The observation is that damage observed on the lift truck has not been reported on the pre-use checks.
  • The nonconformity is that there are no pre-use checks being undertaken.
  • Nonconformity. See notes...
  • Observation. See notes...
  • Not applicable. There is no damage to report.

• Has the fork lift truck towing pin been removed?

  Select The lift truck towing pin had been removed. The nonconformity is that the lift truck towing pin was still fitted to the equipment. The nonconformity is that the lift truck towing pin had been removed but another piece of equipment was being used in its place. Not applicable. It is not a site requirement for the towing pin to be removed.

  • The lift truck towing pin had been removed.
  • The nonconformity is that the lift truck towing pin was still fitted to the equipment.
  • The nonconformity is that the lift truck towing pin had been removed but another piece of equipment was being used in its place.
  • Not applicable. It is not a site requirement for the towing pin to be removed.

• Are the fork lift truck pre-use checks recorded?

  Select The pre-use check on the fork lift truck has been recorded. The nonconformity is that the pre-use check on the lift truck has not been recorded. The observation is that the pre-use checks carried out but they are not regular.

  • The pre-use check on the fork lift truck has been recorded.
  • The nonconformity is that the pre-use check on the lift truck has not been recorded.
  • The observation is that the pre-use checks carried out but they are not regular.

FLT Fork Extensions

• Fork lift truck extension?

  Select The equipment was visually checked and found to be satisfactory. The observation is that the lift truck/extension service is overdue. The nonconformity is that the lift truck/extension has not had a LOLER inspection. The nonconformity is that the lift truck/extension LOLER inspection is overdue. Not applicable. There is no lift truck extension on site. Not checked during audit. Not seen during audit.

  • The equipment was visually checked and found to be satisfactory.
  • The observation is that the lift truck/extension service is overdue.
  • The nonconformity is that the lift truck/extension has not had a LOLER inspection.
  • The nonconformity is that the lift truck/extension LOLER inspection is overdue.
  • Not applicable. There is no lift truck extension on site.
  • Not checked during audit.
  • Not seen during audit.

FLT Working Platform (CAGE)

• Fork lift truck working platform (CAGE)

  Select The equipment was visually checked and was found to be satisfactory. The observation is that the heel pins were available but not attached to the equipment. The nonconformity is that the statutory 6 monthly LOLER inspection has not been completed or is overdue. The nonconformity is that the safe operating information is not posted on the rear of the man-up cage. The nonconformity is that the securing pins were missing. Not applicable. There is no FLT working platform on site. Not checked during audit. Not seen during audit.

  • The equipment was visually checked and was found to be satisfactory.
  • The observation is that the heel pins were available but not attached to the equipment.
  • The nonconformity is that the statutory 6 monthly LOLER inspection has not been completed or is overdue.
  • The nonconformity is that the safe operating information is not posted on the rear of the man-up cage.
  • The nonconformity is that the securing pins were missing.
  • Not applicable. There is no FLT working platform on site.
  • Not checked during audit.
  • Not seen during audit.

• 6 monthly LOLER inspection date?

  Date

Gantry Crane

• Gantry Crane

  Select The equipment was visually checked and was satisfactory. The observation is that the equipment inspection label(s) was/were damaged. The observation is equipment inspection label was missing. The nonconformity is the statutory inspection/test of the equipment has expired and the equipment was still in use. The nonconformity is the statutory inspection/test of the equipment was not carried out and the equipment was in use. The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager. The nonconformity is there is no formal maintenance of the gantry crane to comply with LOLER. The nonconformity is dangerous parts of the gantry crane are exposed. The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing. Not applicable. Site does not have this piece of equipment. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The observation is that the equipment inspection label(s) was/were damaged.
  • The observation is equipment inspection label was missing.
  • The nonconformity is the statutory inspection/test of the equipment has expired and the equipment was still in use.
  • The nonconformity is the statutory inspection/test of the equipment was not carried out and the equipment was in use.
  • The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager.
  • The nonconformity is there is no formal maintenance of the gantry crane to comply with LOLER.
  • The nonconformity is dangerous parts of the gantry crane are exposed.
  • The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing.
  • Not applicable. Site does not have this piece of equipment.
  • Not checked during audit.

• Reference Numbers.

• Inspection Date?

  Date

Hand Grinder

• Hand Grinder(s)

  Select The hand grinder(s) was visually inspected and found to be suitable. The observation is that the hand grinder PAT label is missing. The nonconformity is that hand grinder(s) was missing parts/safety guards/handles and was still being used. Not applicable. Not checked during audit.

  • The hand grinder(s) was visually inspected and found to be suitable.
  • The observation is that the hand grinder PAT label is missing.
  • The nonconformity is that hand grinder(s) was missing parts/safety guards/handles and was still being used.
  • Not applicable.
  • Not checked during audit.

Hydraulic Press

• Hydraulic Press

  Select The equipment was visually inspected and found to be satisfactory. The observation is that there were no PPE required signage on the hydraulic press. The observation is that the tools for the hydraulic press were not stored away properly. The nonconformity is that the hydraulic press has not been inspected by a competent person. Not applicable. There is no hydraulic press on site. Not checked during audit. Not seen during audit.

  • The equipment was visually inspected and found to be satisfactory.
  • The observation is that there were no PPE required signage on the hydraulic press.
  • The observation is that the tools for the hydraulic press were not stored away properly.
  • The nonconformity is that the hydraulic press has not been inspected by a competent person.
  • Not applicable. There is no hydraulic press on site.
  • Not checked during audit.
  • Not seen during audit.

• Date of PUWER inspection?

  Date

• Inspecting company name?

• Was the hydraulic press secured to the floor?

  Select Yes. The nonconformity is that the hydraulic press has not been secured to the floor. Not applicable. The site does not have a hydraulic press.

  • Yes.
  • The nonconformity is that the hydraulic press has not been secured to the floor.
  • Not applicable. The site does not have a hydraulic press.

• Is correct PPE signage present?

  Select Compliant. All PPE signage is correct and present. The observation is that there is no PPE signage present on the hydraulic press. The observation is that PPE signage is present on the hydraulic press but it is worn away, faded or obscured.

  • Compliant. All PPE signage is correct and present.
  • The observation is that there is no PPE signage present on the hydraulic press.
  • The observation is that PPE signage is present on the hydraulic press but it is worn away, faded or obscured.

Hydraulic Table

• Hydraulic table

  Select The equipment was visually inspected and found to be satisfactory. The nonconformity is that the hydraulic table has not been inspected by a competent person. Not applicable. There is no hydraulic table on site. Not checked during audit. Not seen during audit.

  • The equipment was visually inspected and found to be satisfactory.
  • The nonconformity is that the hydraulic table has not been inspected by a competent person.
  • Not applicable. There is no hydraulic table on site.
  • Not checked during audit.
  • Not seen during audit.

• Equipment reference number(s)?

• Inspection date?

  Date

Jet Wash/Steam Cleaning Equipment

• Jet Wash/Steam Cleaning Equipment

  Select The equipment was visually checked and found to be satisfactory. The observation is there is no evidence of the jet wash being serviced/maintained. Not applicable. There is no jet wash on site.

  • The equipment was visually checked and found to be satisfactory.
  • The observation is there is no evidence of the jet wash being serviced/maintained.
  • Not applicable. There is no jet wash on site.

• Name of servicing company?

• Date of last service?

  Date

• If the jet wash is electrical, is it protected by RCD?

  Select Yes. The jet wash is protected by RCD. The nonconformity is that the jet wash equipment is not protected by RCD. Not able to establish if the jet wash is protected by an RCD or MCB or other protective device. Not applicable. The jet wash is not electrical.

  • Yes. The jet wash is protected by RCD.
  • The nonconformity is that the jet wash equipment is not protected by RCD.
  • Not able to establish if the jet wash is protected by an RCD or MCB or other protective device.
  • Not applicable. The jet wash is not electrical.

• If other fuel, is there suitable ventilation? (natural or extraction).

  Select Yes, ventilation was sufficient. The nonconformity is that there is insufficient ventilation for the jet wash. Not applicable. The jet wash is electrical.

  • Yes, ventilation was sufficient.
  • The nonconformity is that there is insufficient ventilation for the jet wash.
  • Not applicable. The jet wash is electrical.

LEV

• Local Exhaust Ventilation (LEV).

  Select The equipment was visually checked and was satisfactory. The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor. The non-conformity is there is no formal maintenance of the LEV. The non-conformity is dangerous parts of the equipment/machinery are exposed. The non-conformity is safety devices/features/emergency stops/guards are damaged. By-passed or missing. Not applicable. Site does not have this piece if equipment. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The non-conformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to supervisor.
  • The non-conformity is there is no formal maintenance of the LEV.
  • The non-conformity is dangerous parts of the equipment/machinery are exposed.
  • The non-conformity is safety devices/features/emergency stops/guards are damaged. By-passed or missing.
  • Not applicable. Site does not have this piece if equipment.
  • Not checked during audit.

• LEV Serviced by?

• LEV Service date?

  Date

MIG Welder

• MIG Welder

  Select The equipment was visually checked and found to be satisfactory. The observation is that there is no evidence of PAT on the MIG Welder. The nonconformity is that no PPE was available for the MIG Welder. The nonconformity is that there is no record of inspection of MIG Welding equipment by a competent person. Not applicable. There is no MIG Welder on site. Not checked during audit. Not seen during audit.

  • The equipment was visually checked and found to be satisfactory.
  • The observation is that there is no evidence of PAT on the MIG Welder.
  • The nonconformity is that no PPE was available for the MIG Welder.
  • The nonconformity is that there is no record of inspection of MIG Welding equipment by a competent person.
  • Not applicable. There is no MIG Welder on site.
  • Not checked during audit.
  • Not seen during audit.

• MIG welder valve inspection company and date of next valve inspection?

• Date of next MIG welder valve inspection due?

  Date

Nike Hydraulic Powerpack

• Nike Hydraulic Powerpack equipment

  Select The equipment was visually checked and was satisfactory. The observation is equipment inspection label was damaged. The observation is equipment inspection label was missing. The nonconformity is the statutory inspection/test of the equipment has expired and the equipment was still in use. The nonconformity is the statutory inspection/test of the equipment was not carried out and the equipment was in use. The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager. The nonconformity is there is no formal maintenance of the equipment to comply with PUWER. The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing. Nonconformity. See notes... Observation. See notes... Not applicable. Site does not have this piece of equipment. Not checked during audit. Not seen during audit.

  • The equipment was visually checked and was satisfactory.
  • The observation is equipment inspection label was damaged.
  • The observation is equipment inspection label was missing.
  • The nonconformity is the statutory inspection/test of the equipment has expired and the equipment was still in use.
  • The nonconformity is the statutory inspection/test of the equipment was not carried out and the equipment was in use.
  • The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager.
  • The nonconformity is there is no formal maintenance of the equipment to comply with PUWER.
  • The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing.
  • Nonconformity. See notes...
  • Observation. See notes...
  • Not applicable. Site does not have this piece of equipment.
  • Not checked during audit.
  • Not seen during audit.

• Equipment reference numbers?

Oxy-Acetylene Equipment

• Oxy-Acetylene Equipment?

  Select The Oxy-Acetylene equipment was checked and found to be satisfactory. The nonconformity is that the gauge/regulator on the oxyacetylene equipment is damaged. The nonconformity is that the gauge/regulator on the oxyacetylene equipment has not been serviced. The nonconformity is that the oxyacetylene equipment was left in an unsafe condition (hoses not purged). Not applicable. There is no oxyacetylene used on site. Not checked during audit. Not seen during audit.

  • The Oxy-Acetylene equipment was checked and found to be satisfactory.
  • The nonconformity is that the gauge/regulator on the oxyacetylene equipment is damaged.
  • The nonconformity is that the gauge/regulator on the oxyacetylene equipment has not been serviced.
  • The nonconformity is that the oxyacetylene equipment was left in an unsafe condition (hoses not purged).
  • Not applicable. There is no oxyacetylene used on site.
  • Not checked during audit.
  • Not seen during audit.

• Equipment inspected by?

• Is the site required to undertake pre-use inspections of the oxy-acetylene equipment?

  Select Compliant. Oxyacetylene pre-use checks are undertaken on each occasion the equipment is used and are up to date. The nonconformity is that the site is required to undertake oxyacetylene pre-use checks however, these are not being done. The nonconformity is that the site is required to undertake oxyacetylene pre-use checks however, these are not being done and the equipment was being used at the time of this audit. Not applicable. Oxy-acetylene pre-use checks are not required on this site.

  • Compliant. Oxyacetylene pre-use checks are undertaken on each occasion the equipment is used and are up to date.
  • The nonconformity is that the site is required to undertake oxyacetylene pre-use checks however, these are not being done.
  • The nonconformity is that the site is required to undertake oxyacetylene pre-use checks however, these are not being done and the equipment was being used at the time of this audit.
  • Not applicable. Oxy-acetylene pre-use checks are not required on this site.

• Oxy-Acetylene Gauges

  Select The oxyacetylene equipment was checked and found to be satisfactory. The nonconformity is that the gauge/regulator on the oxyacetylene equipment is damaged. The nonconformity is that the gauge/regulator on the oxyacetylene has not been serviced. The nonconformity is that the oxyacetylene equipment was left in an unsafe condition (hoses not purged). Not applicable. There is no oxyacetylene used on site. Not checked during audit/ Not seen during audit.

  • The oxyacetylene equipment was checked and found to be satisfactory.
  • The nonconformity is that the gauge/regulator on the oxyacetylene equipment is damaged.
  • The nonconformity is that the gauge/regulator on the oxyacetylene has not been serviced.
  • The nonconformity is that the oxyacetylene equipment was left in an unsafe condition (hoses not purged).
  • Not applicable. There is no oxyacetylene used on site.
  • Not checked during audit/
  • Not seen during audit.

• Date of inspection

  Date

• Oxy-Acetylene hoses?

  Select The hoses were visually checked and were satisfactory. The nonconformity is that the hoses on the oxyacetylene equipment were taped together. The nonconformity is that some damage was seen to the oxyacetylene hoses and the equipment was being used/not taken out of use.

  • The hoses were visually checked and were satisfactory.
  • The nonconformity is that the hoses on the oxyacetylene equipment were taped together.
  • The nonconformity is that some damage was seen to the oxyacetylene hoses and the equipment was being used/not taken out of use.

• Spark ignitor present on Oxy-Acetylene?

  Select A spark ignitor was found with the Oxy-Acetylene equipment. The observation is that no spark ignitor was found with the oxyacetylene equipment. The nonconformity is that employees do not use a spark ignitor.

  • A spark ignitor was found with the Oxy-Acetylene equipment.
  • The observation is that no spark ignitor was found with the oxyacetylene equipment.
  • The nonconformity is that employees do not use a spark ignitor.

• Oxy-Acetylene Trolley?

  Select Trolley was in good condition and cylinders were secured. The observation is that the oxyacetylene trolley was damaged. The nonconformity is that cylinders were not secured to the trolley.

  • Trolley was in good condition and cylinders were secured.
  • The observation is that the oxyacetylene trolley was damaged.
  • The nonconformity is that cylinders were not secured to the trolley.

• Oxy-Acetylene fire extinguisher?

  Select The extinguisher was available and was of the correct type. The observation is that the extinguisher on the oxyacetylene equipment has not been serviced. The nonconformity is that the extinguisher on the oxyacetylene equipment is missing. The nonconformity is that the extinguisher on the oxyacetylene equipment is the wrong type.

  • The extinguisher was available and was of the correct type.
  • The observation is that the extinguisher on the oxyacetylene equipment has not been serviced.
  • The nonconformity is that the extinguisher on the oxyacetylene equipment is missing.
  • The nonconformity is that the extinguisher on the oxyacetylene equipment is the wrong type.

• Condition of Oxy-Acetylene nozzle?

  Select The nozzle was visually inspected and was satisfactory. The nonconformity is that the nozzle was visually inspected and found to be damaged/holes were blocked.

  • The nozzle was visually inspected and was satisfactory.
  • The nonconformity is that the nozzle was visually inspected and found to be damaged/holes were blocked.

Pallet Truck

• Pallet Truck

  Select The pallet truck had been visually inspected and was satisfactory. The observation is that the pallet truck was visually inspected and found to have sustained some damage. The observation is that the pallet truck was visually inspected and there was damage to the handle. The nonconformity is that the pallet truck(s) had not been inspected by a competent person. Nonconformity. See notes... Observation. See notes... Not applicable. There are no pallet trucks on site. Not checked during audit. Not seen during audit.

  • The pallet truck had been visually inspected and was satisfactory.
  • The observation is that the pallet truck was visually inspected and found to have sustained some damage.
  • The observation is that the pallet truck was visually inspected and there was damage to the handle.
  • The nonconformity is that the pallet truck(s) had not been inspected by a competent person.
  • Nonconformity. See notes...
  • Observation. See notes...
  • Not applicable. There are no pallet trucks on site.
  • Not checked during audit.
  • Not seen during audit.

• Inspecting company(s)?

• Date(s) of inspection?

  Date

Parts Washer

• Parts Washer

  Select The parts cleaner was visually checked and was satisfactory The nonconformity is that the parts cleaner was checked and found to contain sharp implements or other foreign objects The parts cleaner was out of service at the time of audit Not applicable. There is no parts cleaner on site Not checked during audit Not seen during audit

  • The parts cleaner was visually checked and was satisfactory
  • The nonconformity is that the parts cleaner was checked and found to contain sharp implements or other foreign objects
  • The parts cleaner was out of service at the time of audit
  • Not applicable. There is no parts cleaner on site
  • Not checked during audit
  • Not seen during audit

Pedestal Drill

• Pedestal Drill

  Select The equipment was visually inspected and was satisfactory. The observation is that there was no PPE required signage in the proximity of the pedestal drill. The non-conformity is that one or both guards on the pedestal drill were damaged or missing. The non-conformity is that the pedestal drill was not secured. Not applicable. The site does not have a pedestal drill. Not checked during audit. Not seen during audit.

  • The equipment was visually inspected and was satisfactory.
  • The observation is that there was no PPE required signage in the proximity of the pedestal drill.
  • The non-conformity is that one or both guards on the pedestal drill were damaged or missing.
  • The non-conformity is that the pedestal drill was not secured.
  • Not applicable. The site does not have a pedestal drill.
  • Not checked during audit.
  • Not seen during audit.

• Does the site have means of securing items for drilling i.e. a serviceable clamp?

  Select Yes. The clamp used on the pedestal drill to secure items for drilling is present, serviceable and in good condition without damage. The observation is that the clamp used on the pedestal drill to secure items for drilling is not present, serviceable or in good condition without damage.

  • Yes. The clamp used on the pedestal drill to secure items for drilling is present, serviceable and in good condition without damage.
  • The observation is that the clamp used on the pedestal drill to secure items for drilling is not present, serviceable or in good condition without damage.

Pit Safety

• Pit Safety

  Select Compliant Noncompliant Site Observation Worksafe Observation Not applicable. Equipment not on site

  • Compliant
  • Noncompliant
  • Site Observation
  • Worksafe Observation
  • Not applicable. Equipment not on site

• Pit Jacks

  Select The equipment was visually checked and was satisfactory The observation is equipment inspection label was damaged The observation is equipment inspection label was missing The nonconformity is the statutory inspection/test of the equipment has expired and the equipment was still in use The nonconformity is the statutory inspection/test of the equipment was not carried out and the equipment was in use The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager The nonconformity is there is no formal maintenance of the equipment to comply with LOLER The nonconformity is dangerous parts of the equipment/machinery are exposed The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing Not applicable. Site does not have this piece of equipment Not checked during audit

  • The equipment was visually checked and was satisfactory
  • The observation is equipment inspection label was damaged
  • The observation is equipment inspection label was missing
  • The nonconformity is the statutory inspection/test of the equipment has expired and the equipment was still in use
  • The nonconformity is the statutory inspection/test of the equipment was not carried out and the equipment was in use
  • The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager
  • The nonconformity is there is no formal maintenance of the equipment to comply with LOLER
  • The nonconformity is dangerous parts of the equipment/machinery are exposed
  • The nonconformity is safety devices/features/emergency stops/guards are damaged, by-passed or missing
  • Not applicable. Site does not have this piece of equipment
  • Not checked during audit

• Pit jack reference numbers?

• Date of last LOLER inspection?

  Date

• Pit Lighting?

  Select The pit lighting was visually checked and found to be satisfactory The observation is that some pit lights were not working/damaged but the lighting was deemed satisfactory The nonconformity is that the pit lighting is inadequate due to not all lights were working or were damaged

  • The pit lighting was visually checked and found to be satisfactory
  • The observation is that some pit lights were not working/damaged but the lighting was deemed satisfactory
  • The nonconformity is that the pit lighting is inadequate due to not all lights were working or were damaged

• Edge Marking?

  Select The pit edge marking was visually checked and found to be suitable The observation is that the pit edge marking was worn away and may need retouching The observation is that there was no safety markings around the pit

  • The pit edge marking was visually checked and found to be suitable
  • The observation is that the pit edge marking was worn away and may need retouching
  • The observation is that there was no safety markings around the pit

• Pit access/egress?

  Select The pits access and egress was visually inspected and found to be sufficient The observation is that there was obstructions in the pit access and egress routes The observation is that there was damage to the pit steps The nonconformity is that chains/barriers were not used to prevent access into the pits after 30 minutes of not being used

  • The pits access and egress was visually inspected and found to be sufficient
  • The observation is that there was obstructions in the pit access and egress routes
  • The observation is that there was damage to the pit steps
  • The nonconformity is that chains/barriers were not used to prevent access into the pits after 30 minutes of not being used

Roller Shutter Doors

• Roller Shutter Doors

  Select The roller shutter doors were visual checked and found to be satisfactory. The observation is that the roller shutter doors service/inspection is due The observation is that the roller shutter doors are damaged The nonconformity is that the roller shutter doors service/inspection is overdue The nonconformity is that the roller shutter doors do not have a service/inspection contract Not applicable Not checked during audit

  • The roller shutter doors were visual checked and found to be satisfactory.
  • The observation is that the roller shutter doors service/inspection is due
  • The observation is that the roller shutter doors are damaged
  • The nonconformity is that the roller shutter doors service/inspection is overdue
  • The nonconformity is that the roller shutter doors do not have a service/inspection contract
  • Not applicable
  • Not checked during audit

• Date of last service/inspection?

  Date

• Name of inspecting company?

Service/Breakdown Vehicles

• Service/Breakdown Vehicles

  Select The service/breakdown vehicle(s) were visually inspected and found to be suitable. The observation is that there was equipment such as bottle jacks, axle stands, on the service/breakdown vehicle(s) that could not be identified. The nonconformity is that there was equipment such as bottle jacks, axle stands, on the service/breakdown vehicle(s) that had not been inspected Not checked. Vehicle not on site during audit Not applicable. Site doe snot have a service vehicle Not checked during audit

  • The service/breakdown vehicle(s) were visually inspected and found to be suitable.
  • The observation is that there was equipment such as bottle jacks, axle stands, on the service/breakdown vehicle(s) that could not be identified.
  • The nonconformity is that there was equipment such as bottle jacks, axle stands, on the service/breakdown vehicle(s) that had not been inspected
  • Not checked. Vehicle not on site during audit
  • Not applicable. Site doe snot have a service vehicle
  • Not checked during audit

• Vehicle registration number(s) inspected?

• Was housekeeping on the service/breakdown vehicle satisfactory?

  Select Yes. The observation is that the housekeeping on the service/breakdown vehicle is not satisfactory The observation is that the gross weight of the vehicle could not be ascertained

  • Yes.
  • The observation is that the housekeeping on the service/breakdown vehicle is not satisfactory
  • The observation is that the gross weight of the vehicle could not be ascertained

• Road side assistance training.

  Select Service vehicle drivers have received road side assistance training The observation is that service vehicle driver had not received road side assistance training

  • Service vehicle drivers have received road side assistance training
  • The observation is that service vehicle driver had not received road side assistance training

• First Aid Equipment?

  Select The service vehicle(s) first aid boxes were complete and in date. The observation is that the service vehicle first aid kit(s) were out of date, or some of the items in the first aid kits were out of date The nonconformity is that the service vehicle(s) did not have a first aid kit present

  • The service vehicle(s) first aid boxes were complete and in date.
  • The observation is that the service vehicle first aid kit(s) were out of date, or some of the items in the first aid kits were out of date
  • The nonconformity is that the service vehicle(s) did not have a first aid kit present

• Service vehicle Fire Extinguisher

  Select The service vehicle(s) fir extinguisher(s) were visually inspected and found to be suitable. The observation is that the service vehicle(s) fire extinguisher(s) label did not reflect the current service The nonconformity is that the service vehicle(s) fire extinguisher(s) were not present

  • The service vehicle(s) fir extinguisher(s) were visually inspected and found to be suitable.
  • The observation is that the service vehicle(s) fire extinguisher(s) label did not reflect the current service
  • The nonconformity is that the service vehicle(s) fire extinguisher(s) were not present

• Date of service?

  Date

• Vehicle jacks and stands

  Select The equipment was visually checked and was satisfactory The observation is that there was equipment such as bottle jacks, axle stands, on the service vehicle(s) that could not be identified The nonconformity is that there was equipment such as bottle jacks, axle stands, on the service vehicle(s) that had not been inspected for LOLER purposes Not applicable. Service vehicle(s) did not have any jacks/stands within

  • The equipment was visually checked and was satisfactory
  • The observation is that there was equipment such as bottle jacks, axle stands, on the service vehicle(s) that could not be identified
  • The nonconformity is that there was equipment such as bottle jacks, axle stands, on the service vehicle(s) that had not been inspected for LOLER purposes
  • Not applicable. Service vehicle(s) did not have any jacks/stands within

• Service vehicle compressor maintenance

  Select Service vehicle compressor is subject to regular inspection/maintenance The nonconformity is that the service vehicle compressor is not subject to regular inspection/maintenance Not applicable. There is no compressor on the service vehicle(s)

  • Service vehicle compressor is subject to regular inspection/maintenance
  • The nonconformity is that the service vehicle compressor is not subject to regular inspection/maintenance
  • Not applicable. There is no compressor on the service vehicle(s)

• Inspecting company name?

• Date of last inspection?

  Date

• Are Service/Breakdown vehicles subject to monthly checks?

  Select Compliant. Monthly service/breakdown vehicle checks have been undertaken and are up to date. The observation is that the site is required to undertake monthly breakdown/service vehicle checks however, they are inconsistent and not done monthly as required The nonconformity is that the site is required to undertake monthly breakdown/service vehicle checks however, they have not been done Not applicable. Site is not required to carry out monthly service/breakdown vehicle checks Not checked during audit

  • Compliant. Monthly service/breakdown vehicle checks have been undertaken and are up to date.
  • The observation is that the site is required to undertake monthly breakdown/service vehicle checks however, they are inconsistent and not done monthly as required
  • The nonconformity is that the site is required to undertake monthly breakdown/service vehicle checks however, they have not been done
  • Not applicable. Site is not required to carry out monthly service/breakdown vehicle checks
  • Not checked during audit

• Date of last check undertaken?

  Date

Slings for Lifting

• Slings for lifting

  Select The slings for lifting were visually checked and found to be satisfactory. The observation is that some damage was observed on the lifting sling(s) The nonconformity is that the slings for lifting had not had a LOLER inspection of the LOLER inspection was out of date Not applicable. There are no slings for lifting on site Not checked during audit

  • The slings for lifting were visually checked and found to be satisfactory.
  • The observation is that some damage was observed on the lifting sling(s)
  • The nonconformity is that the slings for lifting had not had a LOLER inspection of the LOLER inspection was out of date
  • Not applicable. There are no slings for lifting on site
  • Not checked during audit

• Equipment reference number?

• Inspection date?

  Date

• Equipment reference numbers?

Transmission/Gear Box Jacks

• Transmission Jacks or gear box jacks

  Select The equipment was visually inspected and found to be satisfactory The nonconformity is that there was no record of inspection of the transmission jack(s) by a competent person The nonconformity is that the transmission jack(s) were/was defective and still in use The nonconformity is that what appeared to be a personal transmission jack was found on site Not applicable. Site doe snot have any transmission jacks Not checked during audit Not seen during audit

  • The equipment was visually inspected and found to be satisfactory
  • The nonconformity is that there was no record of inspection of the transmission jack(s) by a competent person
  • The nonconformity is that the transmission jack(s) were/was defective and still in use
  • The nonconformity is that what appeared to be a personal transmission jack was found on site
  • Not applicable. Site doe snot have any transmission jacks
  • Not checked during audit
  • Not seen during audit

• Equipment reference numbers?

• Inspection date(s)

  Date

• Inspection reference numbers?

Trolley Jacks

• Trolley Jacks

  Select The equipment was visually inspected and found to be satisfactory The nonconformity is that there was no record of inspection of trolley jacks(s) by a competent person The nonconformity is that the equipment was defective and still in use The nonconformity is that what appeared to be a personal trolley jack was found on site Not applicable. Site does not have any trolley jacks on site Not checked during audit Not seen during audit

  • The equipment was visually inspected and found to be satisfactory
  • The nonconformity is that there was no record of inspection of trolley jacks(s) by a competent person
  • The nonconformity is that the equipment was defective and still in use
  • The nonconformity is that what appeared to be a personal trolley jack was found on site
  • Not applicable. Site does not have any trolley jacks on site
  • Not checked during audit
  • Not seen during audit

• Trolley jack reference numbers?

• Equipment reference numbers?

• Date of inspection?

  Date

• Inspecting company?

Vehicle Lifters

• Vehicle Lifters

  Select The equipment was visually checked and was satisfactory. The nonconformity is the statutory inspection/test of the equipment has expired and the equipment was still in use. The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager. The nonconformity is there is no formal service/inspection of the equipment. The nonconformity is safety devices/features/guards are damaged, by-passed or missing. Nonconformity. See notes.... Observation. See notes... Not applicable. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The nonconformity is the statutory inspection/test of the equipment has expired and the equipment was still in use.
  • The nonconformity is the equipment was damaged or otherwise unsuitable for use and this was not reported to manager.
  • The nonconformity is there is no formal service/inspection of the equipment.
  • The nonconformity is safety devices/features/guards are damaged, by-passed or missing.
  • Nonconformity. See notes....
  • Observation. See notes...
  • Not applicable.
  • Not checked during audit.

• Equipment Reference numbers

• LOLER Inspecting company

• LOLER Date of inspection

  Date

• Service/inspection company?

• Service/inspection date?

  Date

Wheel Trolley

• Wheel trolley

  Select The equipment was visually checked and was satisfactory. The nonconformity is the statutory inspection/test of the wheel trolley has expired and the equipment was still in use. The nonconformity is the wheel trolley was damaged or otherwise unsuitable for use and this was not reported to manager. The nonconformity is there is no formal service/inspection of the wheel trolley. The nonconformity is safety devices are damaged, by-passed or missing from the wheel trolley. The observation is equipment inspection was damaged or missing from the wheel trolley. Not applicable. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The nonconformity is the statutory inspection/test of the wheel trolley has expired and the equipment was still in use.
  • The nonconformity is the wheel trolley was damaged or otherwise unsuitable for use and this was not reported to manager.
  • The nonconformity is there is no formal service/inspection of the wheel trolley.
  • The nonconformity is safety devices are damaged, by-passed or missing from the wheel trolley.
  • The observation is equipment inspection was damaged or missing from the wheel trolley.
  • Not applicable.
  • Not checked during audit.

• Equipment reference number(s) ?

• Inspection date(s) ?

  Date

Wheel Torque Wrench

• Wheel torque wrench

  Select The equipment was visually checked and was satisfactory. The observation is equipment inspection label was damaged or missing from the wheel torque wrench. The non-conformity is the statutory inspection/test of the wheel torque wrench has expired and the equipment was still in use. The non-conformity is the wheel torque wrench was damaged or otherwise unsuitable for use and this was not reported to supervisor. The non-conformity is there is no formal service/inspection of the wheel torque wrench. The non-conformity is safety devices are damaged, by-passed or missing from the wheel torque wrench. Not applicable. Not checked during audit.

  • The equipment was visually checked and was satisfactory.
  • The observation is equipment inspection label was damaged or missing from the wheel torque wrench.
  • The non-conformity is the statutory inspection/test of the wheel torque wrench has expired and the equipment was still in use.
  • The non-conformity is the wheel torque wrench was damaged or otherwise unsuitable for use and this was not reported to supervisor.
  • The non-conformity is there is no formal service/inspection of the wheel torque wrench.
  • The non-conformity is safety devices are damaged, by-passed or missing from the wheel torque wrench.
  • Not applicable.
  • Not checked during audit.

• Equipment reference number(s)

• Inspection date(s)?

  Date

Working at Height

• Access platform inspected?

  Select The access platform(s) have been inspected by a competent person and the Scafftag(s) are/is completed. The observation is that the access platform(s) are not included in the Scafftag/Ladder register. The nonconformity is that the access platform(s) have not been inspected by a competent person. Not applicable. There are no access platforms on site. Not checked during audit. Not seen during audit.

  • The access platform(s) have been inspected by a competent person and the Scafftag(s) are/is completed.
  • The observation is that the access platform(s) are not included in the Scafftag/Ladder register.
  • The nonconformity is that the access platform(s) have not been inspected by a competent person.
  • Not applicable. There are no access platforms on site.
  • Not checked during audit.
  • Not seen during audit.

• Equipment reference numbers?

• Inspection date?

  Date

• Inspecting company?

• Is all equipment inspected for working at height suitable ? i.e. suitable for the work required and not milk crates, boxes etc....

  Select Compliant. All working at height equipment seen during this audit was suitable for the work being undertaken. The nonconformity is that unsuitable equipment being used for working at height was observed being used, or present, on site. See notes/pictures.

  • Compliant. All working at height equipment seen during this audit was suitable for the work being undertaken.
  • The nonconformity is that unsuitable equipment being used for working at height was observed being used, or present, on site. See notes/pictures.

• Harnesses inspected?

  Select All harnesses inspected have been inspected by a competent person. The nonconformity is that the harnesses have not been inspected by a competent person. The nonconformity is that a harness, or harnesses inspected, were damaged and still in use. Not applicable. There are no requirements for harnesses on site. Not checked during audit. Not seen during audit.

  • All harnesses inspected have been inspected by a competent person.
  • The nonconformity is that the harnesses have not been inspected by a competent person.
  • The nonconformity is that a harness, or harnesses inspected, were damaged and still in use.
  • Not applicable. There are no requirements for harnesses on site.
  • Not checked during audit.
  • Not seen during audit.

• Equipment reference numbers?

• Date of last inspection?

  Date

• Inspecting company?

• Ladder Register Completed?

  Select The ladder register is fully complete and includes all relative items held on site. The observation is that not all related items are included in the ladder register. The nonconformity is that the site does not have a ladder register. Not checked during audit. Not seen during audit.

  • The ladder register is fully complete and includes all relative items held on site.
  • The observation is that not all related items are included in the ladder register.
  • The nonconformity is that the site does not have a ladder register.
  • Not checked during audit.
  • Not seen during audit.

• Equipment reference numbers?

• Scafftags complete and up to date?

  Select All Scafftags are complete and up to date. The observation is that Scafftags are out of date.

  • All Scafftags are complete and up to date.
  • The observation is that Scafftags are out of date.

• What date is on the Scafftag?

  Date

Reference Document:- 1. Emergency preparedness and response plan 2. Training

• Working at Height rescue plan completed?

  Select The site has completed a working at height rescue plan. The observation is that the site requires a working at height rescue plan and this has not yet been completed Not applicable. Not checked during audit.

  • The site has completed a working at height rescue plan.
  • The observation is that the site requires a working at height rescue plan and this has not yet been completed
  • Not applicable.
  • Not checked during audit.

• Date of rescue plan?

  Date

• Are the site Emergency Plan cards available?

  Yes.

  No.

  Not applicable at this time.

• Can the Site Manger confirm that the contact details are correct?

  Yes.

  No.

  Not applicable at this time.

• Has the issue sign off sheet been completed?

  Yes.

  No.

  Not applicable at this time.

• The following person was interviewed and was asked about the Emergency Plan Card and their responsibilities in line with the emergency plan.

Monitoring, measurement, analysis and performance evaluation ISO 45001: 2018 requirement 9.1

• Reference Documents: - 1. Site H&S monthly checks 2. Accident reports 3. Incident reports 4. Internal audit-follow of previous audit NCs and Observations 5. Evaluation of compliance audits

• On site monthly checks

  Select The on-site monthly checks have been completed and are up to date. The observation is that the monthly checks have not been completed and/or are not up to date. The non-conformity is that the mandatory monthly checks have not been or are inconsistently completed. Not checked during audit.

  • The on-site monthly checks have been completed and are up to date.
  • The observation is that the monthly checks have not been completed and/or are not up to date.
  • The non-conformity is that the mandatory monthly checks have not been or are inconsistently completed.
  • Not checked during audit.

• Date of last monthly check?

  Date

• Accident reports?

  Select There have been no reported accidents in the last 12 months. All accident reports have been uploaded to central hub and have been closed after investigation. The observation is that accidents have been reported in the accident book but not uploaded to the central hub. The non-conformity is that the site has had a RIDDOR reportable incident that has not been notified to the relevant persons.

  • There have been no reported accidents in the last 12 months.
  • All accident reports have been uploaded to central hub and have been closed after investigation.
  • The observation is that accidents have been reported in the accident book but not uploaded to the central hub.
  • The non-conformity is that the site has had a RIDDOR reportable incident that has not been notified to the relevant persons.

• Number of accidents year to date?

• Number of accidents yet to be investigated and closed?

• Incident Reports?

  Select There have been no incidents reported in the last year to date. Incidents have been reported in the last year to date. Not checked during audit.

  • There have been no incidents reported in the last year to date.
  • Incidents have been reported in the last year to date.
  • Not checked during audit.

• Number of incidents reported?

• Date of previous audit conducted by Worksafe?

  Date

• Has the corrective action plan been completed?

  Select The corrective action plan has been actioned and closed from the previous audit in its entirety. Some non-conformities remain open from the corrective action plan. Not applicable. There were no non-conformities raised at the previous audit.

  • The corrective action plan has been actioned and closed from the previous audit in its entirety.
  • Some non-conformities remain open from the corrective action plan.
  • Not applicable. There were no non-conformities raised at the previous audit.

• How many non-conformities remain open from the corrective action plan?

• Previous audit observations.

  Select All observations have been actioned and closed from previous audit. Some observations remain open from previous audit. Not applicable. There were no observations raised at the previous audit.

  • All observations have been actioned and closed from previous audit.
  • Some observations remain open from previous audit.
  • Not applicable. There were no observations raised at the previous audit.

• How many observations remain open from previous audit?

• Since the last audit conducted by Worksafe, has there been any further audits conducted by an external body i.e. MSX International?

  Select Yes. An external body has undertaken a safety related audit on the site. No. There has been no further safety related audits conducted by an external body on this site.

  • Yes. An external body has undertaken a safety related audit on the site.
  • No. There has been no further safety related audits conducted by an external body on this site.

• Have these actions been completed?

  Select All actions have been completed and closed from the external bodies audit. Some actions remain open from the external bodies audit. N/A. There were no actions raised.

  • All actions have been completed and closed from the external bodies audit.
  • Some actions remain open from the external bodies audit.
  • N/A. There were no actions raised.

Culture and Behaviours

• Ask questions such as:
  Do they know who their First Aiders are? Do they know who their First Aiders are on site today? Do selected staff know the procedure for damaged racking?
  How do the selected staff members view the Health and Safety on site?
  Do the selected staff member feel they are supported appropriately by site management i.e. training, information.
  
  Make observations such as:
  Are FLT Operators wearing seat belts and using correct audible warning. Are all staff/visitors and contractors wearing the appropriate PPE. Are pedestrian routes being used correctly?

• Were staff members interviewed during the audit?

  Select Staff members were interviewed during this audit. No staff members were interviewed during this audit.

  • Staff members were interviewed during this audit.
  • No staff members were interviewed during this audit.

• Please give a brief outline of comments