Title Page
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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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Divisional Director
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Factory Manager
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Site Supervisor
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Completed on
1. Risk Assessment & SSOW
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Specific, Communicate to All, In date 12 months, All risks covered & Environmental risks controlled (Marks out of 10)
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Add media
2. LOLER & PUWER Documentation
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Cranes, Forklifts, Air Receivers, MEWPs, shutters, Trestles, Mixer House, Guarding (Marks out of 20)
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3. PPE
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Task specific, Hearing Protection & Safety Goggles, Correct Dust Masks (FFP3 etc) (Marks out of 20)
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4. Housekeeping & Safe Access
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Clean Walkways, Laneways cleaned, rubble cleared, bottom of factory cleaned, safe access to platform (Marks out of 30)
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5. Working at Heights
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Safe Work on Trailers, safe access to cleaning platform (Marks out of 30)
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6. Pre Op Inspections
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Cranes, Saws, Forklift Trucks, Handtools, & MEWP, batching plant, Castel key system (Marks out of 10)
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7. Fire
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Fire Drills, Emergency Procedures, Fire Warning Systems & Fire Marshals (Marks out of 10)
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8. Training & Competency
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Toolbox talks, Overhead Crane, Forklift Trucks, Ab Wheel (Marks out of 20)
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9. Lifting Operations
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Lift Plan, Lift Zone Clear, Equipment Certified, Trained Operators & Safe Lifting (Marks out of 20)
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10. Quality
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QC checks, IRs raised? (Marks out of 20)
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11. Environmental & COSHH & Stored Correctly
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IBC Storage, Drip Trays, COSHH, Assessments & Substances labeled Correctly (Marks out of 10)
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12. Mgt of Visitors and Subcontractors
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Sign in, RAMS for subcontractors, PWT system in use, Contractors PPE (Marks out of 10)
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13. Fix wire testing and PAT
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Fixed wire testing and PAT (Marks out of 10)
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14. Permit to Work
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Permit to Work records (Marks out of 10)
Waste Management
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Waste storage & licensing (Marks out of 20)
Sign Off
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Auditee
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Auditor
Audit Summary
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Number of people working, key activities, key issues, close out actions.
