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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Project Manager
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Site Supervisor
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Completed on
Are actions from previous audit closed out
1. Risk Assessment & SSOW
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Specific, Communicate to All, In date 12 months, All risks covered & Environmental risks controlled. (Total score 10)
2. LOLER & PUWER Documentation
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Cranes, MEWPs, Towers, Tools etc (score 10)
3. PPE
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Task specific, Hearing Protection & Safety Goggles, Correct Dust Masks (FFP3 etc) (score 10)
PPE registers sent back to the HSEQ department
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Are registers completed and returned to the HSEQ department
4. Housekeeping & Safe Access
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Clean Walkways, Access Steps, No Trailing Leads & Tidy Materials (score 10)
5. Working at Heights
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Safe Work on Towers, Ladders, Tied/Footed, Ladder Tags & Handrails (score 25)
6. Pre Op Inspections
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Cranes, Saws, Hand-tools & MEWPs (score 20)
7. Supervision
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SSSTS, SMSTS, Lift Supervisor (score 20)
8. Training & Competency
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Toolbox talks, MEWPs, Copies of Training (score 20)
9. Lifting Operations
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Lift Plan, Lift Zone Clear, Equipment Certified, Training Operators & Safe Lifting (score 25)
10. Temporary Works
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Prop Procedure, Tags, TWC, TWS (score 25)
11. Environmental & COSHH & Stored Correctly
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IBC Storage, Drip Trays, COSHH, Assessments & Substances labeled Correctly (score 10)
12. Health
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Signs, Dust Management, Noise, Skin, Vibration (score 10)
Returned Documentation
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Have all Toolbox talks, HAVS registers and Safety Alerts been returned to the HSEQ department?
Welfare Facilities
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Are welfare facilities cleaned
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.