Title Page

  • Conducted on

  • Contractor Company Name

  • Prepared by

  • Location
  • Personnel to be Audited

  • Name of Contractor company

  • What verified status on Constructionline is the contractor company

  • Tick box if a permit to work is required for this works/site

  • Is the permit correct and been signed by the appropriate people

  • Stop work until permit is correct and signed by the appropriate people. Tick box to confirm this is complete

  • Safe working environment with safe access and egress for engineers

  • Document actions and controls completed to ensure safe access and egress is now possible

  • Tick box to confirm there is now safe access and egress

  • Signed Risk Assessment and Method statement in place and available for review

  • Stop all works until RAMS are available

  • Are the RAMS task appropriate

  • Update RAMS to specific task

  • Are the RAMS being worked to as detailed

  • Stop works and review RAMS for the task with all engineers and ensure the information is understood and will be complied with at all times.

  • Is the Correct PPE being worn as per site policy and RAMS?

  • Stop works and obtain correct PPE prior to resuming works

  • Working area being kept clean and tidy (clean as you go policy) to reduce risk of slips, trips and falls

  • Stop works and arrange for area to cleaned up to reduce risk before works continue. Tick box to confirm area is now adequately clean and tidy to continue work.

  • Has correct lifting equipment been supplied for any Manual Handling Task

  • Stop works and discuss what equipment is required. Can correct equipment for task be supplied

  • If correct lifting equipment cannot be supplied a suitable method must be discussed and agreed with management team and EHS

  • Are adequate signage and exclusion zones in place for identifiable Hazards

  • Stop works and identify what signage or exclusion zones are required and arrange for this to be put in place prior to works commencing

  • Is LOTO required for these works

  • Have all energy sources been identified and LOTO system applied (personal locks or another robust system)

  • Stop work until robust LOTO system has been implemented

  • If battery work is taking place are only insulated tools being used

  • Stop works and have engineer replace tools with suitably insulated replacements

  • Where required have the safety links been removed from any battery string where works are being carried out

  • Stop works and have suitably trained engineers remove safety links where required

  • Tick box if there is any working at height involved with these works

  • Has the work at height been assessed and adequate controls been put in place to ensure safe working.

  • Stop work until work at height is assessed and controls are put in place to ensure safe working. Consider Eaton Life Saving Rule when working at or above 1.82M of fall protection. Tick box to confirm controls are now in place

  • Where applicable list test equipment being used and request serial number and calibration certification

Signature section

  • Eaton Representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.