Contractor Spot Check - Basic Version

• Conducted on

  Date

• Prepared by

• Location
  Address

• This checklist is to be completed by a Cushman & Wakefield Facilities Management, or suitably authorised person, in consultation with contractors or Cushman & Wakefield technicians who have completed or are in the process of performing works onsite

• Any significant issues identified should be addressed immediately in consultation with the appropriate site/account director, or escalated to the senior account team for resolution. In these situations, works should not continue until items are adequately addressed and the IR/NCR – Corrective Action Procedure must be applied

• Completed forms are to be retained in the pre-determined location for site records

TECHNICIAN DETAILS

• Technician Name

• Employee

  Yes

  No

• Contractor

  Yes

  No

• Contractor Company

• Client

• Site Location

• Work Order No

• Description of works being undertaken:

• Electrical

• Mechanical

• Plumbing

• Building

• Refrigeration

• Fuel

• HVAC

• Carpentry

• Asbestos

• Other

• Other Details

Spot Check

• Does the technician have current photo ID?

  Yes

  No

• #Record Details:

• Does the technician hold a current trade licence?

  Yes

  No

  N/A

• #Record Licence details:

• Has the technician completed a site-specific induction?

  Yes

  No

• Has the technician completed the C&W induction?

  Yes

  No

• Has the technician completed the site attendance book or client-specific sign in?

  Yes

  No

Does the technician have the following paperwork

• Cushman & Wakefield Work Order?

  Yes

  No

• Is appropriate safety documentation available and being followed? E.g. SWMS, JSA etc?

  Yes

  No

SWMS / JSA Check – if in use, verify the following

• Details displayed, including: contractor name, task description, site/location, date applicable to works?

  Yes

  No

  N/A

• Steps within SWMS clearly outlined and applicable to scope of works?

  Yes

  No

  N/A

• Appropriate signatures available? (participants, manager)

  Yes

  No

Are the technician’s tools and equipment:

• Fit for purpose? E.g. calibrated

  Yes

  No

  N/A

• Tested and Tagged? (List date) Including RCD units in use.

  Yes

  No

  N/A

• Is the required PPE being worn for the task at hand as per the SWMS/JSA/JHA?

  Yes

  No

• Is the technician undertaking High Risk Work? (Specify)

  Yes

  No

• When required has the technician completed the appropriate permit/s?

  Yes

  No

Housekeeping & General Requirements

• Are SDS's available for all substances being used and <5 years old?

  Yes

  No

• #Record date of issue:

  Date

• Do all chemicals conform to GHS labelling requirements?

  Yes

  No

• Are spill kits available and persons trained on how to use them?

  Yes

  No

  N/A

• Is the area being worked on free of slip, trip and fall hazards?

  Yes

  No

• Are barriers used / is traffic managed / signage erected?

  Yes

  No

  N/A

• Notes

Sign Off

• We acknowledge that any issues identified have been discussed and actions taken to initiate resolution

  Yes

  No

• C&W Name:

  Sign

• C&W Name:

  Sign

• C&W Signature:

  Sign

• Technician Signature:

  Sign