Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Electrical - Self-assessment
PORTABLE APPLIANCE TESTING (PAT)
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Do you have a verified asset list of all portable appliances for your department?<br>
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Are the PAT testing records for all the appliances as above in date?<br>
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Do you have a formal means of managing items with expired testing dates or those which are deemed unsafe for use?<br>
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Are all the appliances labelled and identified (unique identifier, re-test date and pass/fail status)?<br>
DISTRIBUTION BOARDS & PERIODIC FIXED WIRE TESTING
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Do you have a verified asset list of all Distribution Boards within your buildings?<br>
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Do all your buildings hold a current NICEIC Periodic Testing Certificate?<br>
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Have all remedial actions from the most recent periodic test been completed, verified and signed off?<br>
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Have Electrical Thermal Imaging, Visual Surveys or Supplementary inspections been undertaken for your buildings within the past 12 months?<br>
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Have all remedial actions from the Thermal Imaging, Visual Surveys or supplementary surveys been completed, verified and signed off?<br>
LIGHTNING PROTECTION
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Do you have a verified asset list of all lightning protection systems for your buildings?<br>
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Do all buildings with Lightning Protection Systems have an up-to-date testing certificate?<br>
Quality Audit -Electrical
PORTABLE APPLIANCE TESTING (PAT)
Do you have a verified asset list of all portable appliances for your department?
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Evidence of list ?<br>
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Does the asset list have unique identifiers for each piece of equipment (e.g. barcode)?<br>
Are the PAT testing records for all the appliances as above in date?
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Evidence of records?<br>
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Does the record identify pass/fail status?<br><br>
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Does the record show next test date?<br>
Do you have a formal means of managing items with expired testing dates or those which are deemed unsafe for use?
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Evidence of management system?<br>
Are all the appliances labelled and identified (unique identifier, re-test date and pass/fail status)?
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Evidence of list?<br>
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Does the equipment have unique identifiers (e.g. barcode)?<br>
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Does the equipment have a re-test date?<br>
DISTRIBUTION BOARDS & PERIODIC FIXED WIRE TESTING
Do you have a verified asset list of all Distribution Boards within your buildings?
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Evidence of list ?<br>
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Does the asset list have unique identifiers for each board?<br>
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Does the asset list have unique identifiers for the associated equipment?<br>
Do all your buildings hold a current NICEIC Periodic Testing Certificate?
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Evidence of certificates?<br>
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Are the details of location correct?<br>
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Are the extent and limitations of testing identified?<br>
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Are the declaration signatures and names present?<br>
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Are the certificates dated?<br>
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Are there any identified anomalies or obvious gaps?<br>
Have all remedial actions from the most recent periodic test been completed, verified and signed off?
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Evidence of records?<br>
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Evidence of completed action?<br>
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Evidence of sign-off (signature and date)?<br>
Have Electrical Thermal Imaging, Visual Surveys or Supplementary inspections been undertaken for your buildings within the past 12 months?
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Evidence of approach methods and checks undertaken?<br>
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Evidence of records?<br>
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Evidence of sign-off (signature and date)?<br>
Have all remedial actions from the Thermal Imaging, Visual Surveys or supplementary surveys been completed, verified and signed off?
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Evidence of records?<br><br>
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Evidence of completed action?<br>
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Evidence of sign-off (signature and date)?<br>
LIGHTNING PROTECTION
Do you have a verified asset list of all lightning protection systems for your buildings?
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Evidence of list ?<br>
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Does the asset list have unique identifiers?<br>
Do all buildings with Lightning Protection Systems have an up-to-date testing certificate?
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Evidence of certificates?<br>
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Are the details of location correct?<br><br>
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Is the asset uniquely identified on the certificate?<br>
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Is the tester identified?<br>
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Is the pass/fail status indicated on the certificate?<br>
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Are earthing test points identified and status given?<br>
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Are test dates identified on certificate?<br>
Gas Safety - Self - assessment
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Do you have a verified asset list of all Gas Plant?<br><br>
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Has any of your Gas plant been modified since the last audit?<br>
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Have all gas plant (Boilers) been issued with a satisfactory test certificate within the past 14 months?<br>
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Have all remedial actions from the test been completed, verified and signed off?<br>
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Do you have a formal means of managing all plant/appliances with expired inspection and testing certificates or those which are deemed unsafe for use?<br>
Quality Audit - Gas Safety
Do you have a verified asset list of all Gas Plant?
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Evidence of list ?<br>
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Does the asset list have unique identifiers for each piece of equipment (e.g. barcode)?<br>
Has any of your Gas plant been modified since the last audit?
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Has it been commissioned?<br>
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Has it been inspected/tested?<br>
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Evidence of certificates?<br>
Have all gas plant (Boilers) been issued with a satisfactory test certificate within the past 14 months?
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Evidence of certificates?<br>
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Are the certificates either CP1, 4 or 12 format?<br>
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Are the details of location correct?<br>
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Gas Operative licence or registration number?<br>
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Does the certificate identify the assets at that location according to the asset list?<br>
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Are there any identified anomalies or obvious gaps on the test certificate?<br>
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Are the appliances safe to use?<br>
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Are the certificates signed and dated by the gas operative and KCL representative?<br>
Have all remedial actions from the test been completed, verified and signed off?
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Evidence of records?<br>
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Evidence of completed action?<br>
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Evidence of sign-off (signature and date)?<br>
Do you have a formal means of managing all plant/appliances with expired inspection and testing certificates or those which are deemed unsafe for use?
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Evidence of management system?<br><br>
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A procedure for action in case of unsafe appliance or imminent danger? <br><br>
LOLER - Self-assessment
PASSENGER/GOODS LIFTS
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Do you have a verified asset list of all lifts within your buildings?<br><br>
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Have all the lifts currently in operation undergone a Statutory Inspection within the past 6 months?<br><br>
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Are all recorded immediate defects for lifts being reviewed and actioned in accordance to the KCL LOLER Procedures?<br>
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Have all the lifts been subject to maintenance inspections/works since the last review?<br>
PLATFORM LIFTS (INC. STAIR, BEDS etc.)
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Do you have a verified asset list of all platform lifts within your buildings?<br><br>
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Have all platform lifts currently in operation undergone a Statutory Inspections in accordance with legislative requirement?<br><br>
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Are all recorded immediate defects (statutory inspections) being reviewed and actioned in accordance to the KCL LOLER Procedures?<br><br>
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Have all the platform lifts been subject to maintenance inspections/works since the last audit?<br>
MOBILE ELEVATED WORK PLATFORMS (MEWPS)
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Do you have a verified asset list of all MEWPS?<br>
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Have all MEWPS currently in operation undergone a Statutory Inspections in accordance with legislative requirement (6-monthly thorough examination)?<br>
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Are all recorded immediate defects (statutory inspections) being reviewed and actioned in accordance to the KCL LOLER Procedures?<br>
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Do all the MEWPS undergo basic pre-use inspection and function checks?<br>
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Have all the MEWPS been subject to maintenance inspections/works since the last audit?<br>
FORK LIFTS/HYDRAULIC TROLLEYS
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Do you have a verified asset list of all fork lifts within your buildings?<br>
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Have all Fork lifts/hydraulic trolleys currently in operation undergone a Statutory Inspections in accordance with legislative requirement?<br>
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Are all recorded immediate defects (statutory inspections) being reviewed and actioned in accordance to the KCL LOLER Procedures?<br>
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Have all the Fork lifts/hydraulic trolleys been subject to maintenance inspections/works since the last audit?<br>
RUNWAY TRACKS
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Do you have a verified asset list of all runway tracks under LOLER ?<br>
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Have all Runway tracks currently in operation undergone a Statutory Inspections in accordance with legislative requirement?<br>
EYE BOLTS
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Do you have an asset list of all eyebolts by building?<br>
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Are all eyebolts labelled with a unique identifier and their status e.g. date of last test or do not use?<br>
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Do you have a formal means of managing eyebolts such as defect reports, those with expired inspection and testing certificates or those which are deemed unsafe for use?<br>
MANAGEMENT SYSTEM FOR LIFTING EQUIPMENT
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Do you have a formal means of managing items of lifting equipment defect reports, those with expired inspection and testing certificates or those which are deemed unsafe for use?<br>
Quality Audit - LOLER
PASSENGER/GOODS LIFTS
Do you have a verified asset list of all lifts within your buildings?
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Evidence of list?
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Does the asset list have unique identifiers for each piece of equipment (e.g. barcode)?<br>
Have all the lifts currently in operation undergone a Statutory Inspection within the past 6 months?
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Evidence of records?<br>
Are all recorded immediate defects (statutory inspections) being reviewed and actioned in accordance to the KCL LOLER Procedures?
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Evidence of records?<br>
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Do the records indicate that the defect category time frames have been followed?<br>
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Does the evidence for remedial actions support the above statements?<br>
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Has the electronic database been updated with sign off or comment?<br>
Have all the passenger/goods lifts been subject to maintenance inspections/works since the last audit?
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Evidence of service records?<br>
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Hard copy service report?<br>
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Are the details of location correct?<br>
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Are all the relevant service dates recorded on the report?<br><br>
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Is the asset uniquely identified on the report?<br>
PLATFORM LIFTS (INC. STAIRS, BED etc.)
Do you have a verified asset list of all platform lifts within your buildings?
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Evidence of list ?<br>
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Does the asset list have unique identifiers for each piece of equipment (e.g. barcode)?<br>
Have all platform lifts currently in operation undergone a Statutory Inspections in accordance with legislative requirement?
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Evidence of records?<br>
Are all recorded immediate defects (statutory inspections) being reviewed and actioned in accordance to the KCL LOLER Procedures?
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Evidence of records?<br>
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Do the records indicate that the defect category time frames have been followed?<br>
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Does the evidence for remedial actions support the above statements?<br>
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Has the electronic database been updated with sign off or comment?<br>
Have all the platform lifts been subject to maintenance inspections/works since the last review?
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Evidence of service records?<br>
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Hard copy service report?<br>
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Are the details of location correct?<br>
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Is the asset uniquely identified on the report?<br>
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Are all the relevant service dates recorded on the report?<br>
MOBILE ELEVATED WORK PLATFORMS (MEWPS)
Do you have a verified asset list of all MEWPS?
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Evidence of list ?<br>
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Does the asset list have unique identifiers for each piece of equipment (e.g. barcode)?<br>
Have all MEWPS currently in operation undergone a Statutory Inspections in accordance with legislative requirement (6-monthly thorough examination)?
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Evidence of records?<br>
Are all recorded immediate defects (statutory inspections) being reviewed and actioned in accordance to the KCL LOLER Procedures?
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Evidence of records?<br>
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Do the records indicate that the defect category time frames have been followed?<br>
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Does the evidence for remedial actions support the above statements?<br>
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Has the electronic database been updated with sign off or comment?<br>
Do all the MEWPS undergo basic pre-use inspection and function checks?
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Evidence of records?<br>
Have all the MEWPS been subject to maintenance inspections/works since the last review?
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Evidence of service records?<br>
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Hard copy service report?<br>
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Are the details of location correct?<br>
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Is the asset uniquely identified on the report?<br>
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Are all the relevant service dates recorded on the report?<br>
FORK LIFTS/HYDRAULIC TROLLEYS
Do you have a verified asset list of all fork lifts within your buildings?
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Evidence of list ?<br>
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Does the asset list have unique identifiers for each piece of equipment (e.g. barcode)?<br>
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Evidence of records?<br>
Are all recorded immediate defects (statutory inspections) being reviewed and actioned in accordance to the KCL LOLER Procedures?
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Evidence of records?<br>
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Hard copy service report?<br>
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Are the details of location correct?<br>
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Are all the relevant service dates recorded on the report?<br><br>
Have all the Fork lifts/hydraulic trolleys been subject to maintenance inspections/works since the last audit?
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Evidence of service records?<br>
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Hard copy service report?<br>
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Are the details of location correct?<br>
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Is the asset uniquely identified on the report?<br>
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Are all the relevant service dates recorded on the report?<br>
RUNWAY TRACKS
Do you have a verified asset list of all runway tracks under LOLER ?
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Evidence of list ?<br>
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Does the asset list have unique identifiers for each piece of equipment (e.g. barcode)?<br>
Have all Runway tracks currently in operation undergone a Statutory Inspections in accordance with legislative requirement?
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Evidence of records?<br>
EYE BOLTS
Do you have an asset list of all eyebolts by building?
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Evidence of list ?<br>
Are all eyebolts labelled with a unique identifier and their status e.g. date of last test or do not use?
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Evidence of labelling?<br>
Do you have a formal means of managing eyebolts such as defect reports, those with expired inspection and testing certificates or those which are deemed unsafe for use?
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Evidence of management system?<br>
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Evidence of records ?<br>
MANAGEMENT SYSTEM FOR LIFTING EQUIPMENT
Do you have a formal means of managing items of lifting equipment defect reports, those with expired inspection and testing certificates or those which are deemed unsafe for use?
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Evidence of management system?<br>
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Does the system cross-reference to the requirements of the Provision and Use of Work Equipment?<br>
PUWER - Self-assessment
PUWER (GENERAL)
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Do you have an asset list of all equipment (excluding access equipment) provided to your staff which are subject to testing and inspections under PUWER?<br>
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Do you have a formal means of managing all items of work equipment as above with expired inspection and testing logs or those which are deemed unsafe for use?<br><br>
ACCESS EQUIPMENT (NON-POWERED) LADDERS, PODIUMS etc.
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Do you have a list of all non-powered access equipment?<br>
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Have all ladders, step ladders, podium steps, work platforms and mobile towers been subject to regular testing, inspections and tagging?<br>
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Do all ladders, step ladders, podium steps, work platforms and mobile towers undergo basic pre-use checks?<br>
WORKSHOP EQUIPMENT AND TOOLS
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Does your work equipment have measures to control dangerous parts of the equipment?<br>
MANAGEMENT SYSTEM FOR WORK EQUIPMENT
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Do you have a process of training and providing information and instruction for work equipment?<br>
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Do you have a formal means of managing items of work equipment defect reports, those with expired inspection and testing certificates or those which are deemed unsafe for use?<br>
Quality Audit - PUWER
PUWER (GENERAL)
Do you have an asset list of all equipment (excluding access equipment) provided to your staff which are subject to testing and inspections under PUWER?
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Evidence of list ?<br>
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Does the asset list have unique identifiers for each piece of equipment (e.g. barcode)?<br>
Do you have a formal means of managing all items of work equipment as above with expired inspection and testing logs or those which are deemed unsafe for use?
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Evidence of management system?<br>
ACCESS EQUIPMENT ( NON-POWERED) - LADDERS, PODIUMS etc.
Do you have a list of all non-powered access equipment?
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Evidence of list ?<br>
Have all ladders, step ladders, podium steps, work platforms and mobile towers been subject to regular testing, inspections and tagging?
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Evidence of records ?<br>
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Evidence of up-to-date tags on equipment?<br>
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Evidence of available checklists for access equipment?<br>
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Are there any identified anomalies or obvious gaps?<br>
Do all ladders, step ladders, podium steps, work platforms and mobile towers undergo basic pre-use checks?
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Evidence of availability and use of pre-use checklists for access equipment?<br>
WORKSHOP EQUIPMENT AND TOOLS
Does your work equipment have measures to control dangerous parts of the equipment?
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Evidence of adequate fixed guarding ?<br>
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Evidence of access prevention to dangerous parts by the provision of protection devices?<br>
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Evidence of emergency stops?<br>
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Evidence of maintenance of equipment in an efficient working order and in good repair?<br>
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Are there any identified anomalies or obvious gaps?<br>
MANAGEMENT OF WORK EQUIPMENT
Do you have a process of training and providing information and instruction for work equipment?
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Evidence of provision of training?<br>
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Evidence of records?<br>
Do you have a formal means of managing items of work equipment defect reports, those with expired inspection and testing certificates or those which are deemed unsafe for use?
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Evidence of management system?<br>
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Evidence of records ?<br>
PSSR - Self - assessment
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Do you have a verified asset list of all plant under PSSR?<br>
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Do all pressure systems have an up-to-date written scheme of examination?<br>
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Have all pressure systems been subject to a statutory inspection within the past 12 months or as identified with the written scheme?<br>
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Do you have a formal means of managing all items of pressure plant with expired inspection and testing certificates or those which are deemed unsafe for use?<br>
Quality Audit - PSSR
Do you have a verified asset list of all plant under PSSR?
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Evidence of list ?<br>
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Does the asset list have unique identifiers for each piece of equipment (e.g. barcode)?<br>
Do all pressure systems have an up-to-date written scheme of examination?
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Evidence of written schemes?<br>
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Have the schemes been prepared by a competent person?<br>
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Has the competent person been named in writing?<br>
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Does the scheme include information on protective devices?<br>
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Do the schemes include information on every vessel or pipeline where a defect may give rise to danger?<br>
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Do the schemes include information on parts of the pipework where a defect may give rise to danger?<br>
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Do the schemes include information on the nature of the examination?<br>
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Do the schemes include information on the frequency of examination?<br>
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Are the written schemes reviewed at regular intervals?<br>
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Have the schemes been modified after review (where necessary)?<br>
Have all pressure systems been subject to a statutory inspection within the past 12 months or as identified with the written scheme?
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Evidence of certificates on RSA system?<br>
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Are appropriate safety sytems used to prepare pressure systems for statutory examination (e.g. permit to work)?<br>
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Have the systems been examined in accordance with the written schemes of examination?<br>
Do you have a formal means of managing all items of pressure plant with expired inspection and testing certificates or those which are deemed unsafe for use?
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Evidence of management system?<br>
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Have emergency procedures been established and implemented?<br>
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A procedure for action in case of imminent danger? (Reporting to the enforcing authority within 14 days under the regs by a competent person)<br>
Further Information and Comments
Further information
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Conclusions and Recommendations
Conclusions
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Recommendations
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Reviewers Signatures
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1st Reviewer
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2nd Reviewer
