Crew Visit Report

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Work Zone

• 1.1 Road Signs

  Yes

  No

  N/A

• 1.2- Flaggers

  Yes

  No

  N/A

2.0 - Job Site Inspection

• 2.1 Pre-Job Briefing

  Yes

  No

  N/A

• 2.2 Personal Protective Equipment

  Yes

  No

  N/A

• 2.3 Excavation Safety

  Yes

  No

  N/A

• 2.4 - Lifting Techniques

  Yes

  No

  N/A

• 2.5 - Barricades

  Yes

  No

  N/A

• 2.6 - Hooks/Slings

  Yes

  No

  N/A

• 2.7 - Live Front Equipment

  Yes

  No

  N/A

• 2.8 - Dead Break Equipment

  Yes

  No

  N/A

• 2.9 - Load Break Equipment

  Yes

  No

  N/A

• 2.10 - Single Phase Transformer Installation/ Change Out

  Yes

  No

  N/A

• 2.11 - Three Phase Transformer Installation/Change Out

  Yes

  No

  N/A

• 2.12 -Grounded/Flagging/Tagging<br><br><br><br>

  Yes

  No

  N/A

• 2. 13 - Voltage Worked 7200/14400/Secondary

  Yes

  No

  N/A

3.0 Personal Protective Equipment

• 3.1 Eye/Face Protection

  Yes

  No

  N/A

• 3.1 Hard Hat

  Yes

  No

  N/A

• Work Gloves/Footwear

  Yes

  No

  N/A

• 5.1.5 - Emergency exit light operable

  Yes

  No

  N/A

• 5.1.6 - floor surface even & uncluttered

  Yes

  No

  N/A

• 5.1.6 - floor surface even & uncluttered

  Yes

  No

  N/A

• 5.1.7 - Work height correct for the type of work & the employee

  Yes

  No

  N/A

• 5.1.8 - No broken plugs, sockets or switches, frayed or damaged leads

  Yes

  No

  N/A

• 5.1.9 - Portable equipment tested & tagged - within compliance dates

  Yes

  No

  N/A

• 5.1.10 - All containers labelled correctly? Decanted chemicals also labelled

  Yes

  No

  N/A

• 5.1.11 - Are liquid spills removed quickly

  Yes

  No

  N/A

• 5.1.12 - Tools not in use kept in place

  Yes

  No

  N/A

• 5.1.13 - No damaged tools in use (hand or powered)

  Yes

  No

  N/A

• 5.1.14 - Oily rags & combustible refuse disposed of correctly (refuse in metal containers) & (sent off as prescribed waste)

  Yes

  No

  N/A

• 5.1.15 - Gas bottles are secured? And labelled?

  Yes

  No

  N/A

• 5.1.17 - FA cabinet & contents are orderly & within date

  Yes

  No

  N/A

• 5.1.18 - Have contents been checked/ restocked within a 3month period

  Yes

  No

  N/A

• 5.1.19 - Is there easy access to the FA cabinet

  Yes

  No

  N/A

5.2.1 - Quality

• 5.2.1 - Light fittings clean & in good condition

  Yes

  No

  N/A

• 5.2.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 5.2.3 - Good natural lighting?

  Yes

  No

  N/A

• 5.2.4 - Enough bins/emptied regularly

  Yes

  No

  N/A

• 5.2.5 - Work benches/desks clear of rubbish/clutter

  Yes

  No

  N/A

• 5.2.6 - Good condition of filing caninets

  Yes

  No

  N/A

• 5.2.7 - Desks in good condition (no damage)

  Yes

  No

  N/A

5.3.1 - Environment

• 5.3.1 - Empty chemical bottles/containers disposed of according to environmental requirements (eg prescribed waste)

  Yes

  No

  N/A

• 5.3.2 - All waste being separated

  Yes

  No

  N/A

6.1 - Machine Worksop

• 6.1.3 - Fire extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 6.1.4 - Extinguishers recently serviced (6 monthly punch mark on tab)

  Yes

  No

  N/A

• 6.1.5 - Extinguishers clear of obstruction

  Yes

  No

  N/A

• 6.1.6 - Emergency exit light operable

  Yes

  No

  N/A

• 6.1.7 - floor surface even & uncluttered

  Yes

  No

  N/A

• 6.1.8 - No broken plugs, sockets or switches, frayed or damaged leads

  Yes

  No

  N/A

• 6.1.9 - Portable equipment tested & tagged - within compliance dates

  Yes

  No

  N/A

• 6.1.10 - All containers labelled correctly? Decanted chemicals also labelled

  Yes

  No

  N/A

• 6.1.11 - Are machines maintained & kept clean

  Yes

  No

  N/A

• 6.1.12 - Are guards in place & we'll maintained

  Yes

  No

  N/A

• 6.1.13 - Starting & stopping devices within easy reach of operator

  Yes

  No

  N/A

• 6.1.14 - Waste cut offs removed and stored safely

  Yes

  No

  N/A

• 6.1.15 - Drip pans on floor to prevent spillage

  Yes

  No

  N/A

• 6.1.15 - Spill kits available & regularly maintained? Is tamper proof seal in place?

  Yes

  No

  N/A

• 6.1.16 - Plan in place to control noise levels

  Yes

  No

  N/A

• 6.1.17 - Operators trained/inducted into the operation of machines (select 1 random person & check records

  Yes

  No

  N/A

• 6.1.18 - Are lock out procedures implemented & followed

  Yes

  No

  N/A

• 6.1.19 - Does all machinery have appropriate labelling (pinch points, hot surface etc)

  Yes

  No

  N/A

• 6.1.20 - Are safety switches installed

  Yes

  No

  N/A

• 6.1.21 - Are safety switched tested every 6months & recorded

  Yes

  No

  N/A

• 6.1.22 - No double adapters in use? If required, powered boards only

  Yes

  No

  N/A

• 6.1.23 - RCD's available & used for all hand held equipment

  Yes

  No

  N/A

• 6.1.24 - Electrical equipment protected from moisture & dust

  Yes

  No

  N/A

6.2.1 - Quality

• 6.2.1 - Light fittings clean & in good condition

  Yes

  No

  N/A

• 6.2.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 6.2.3 - Good natural lighting?

  Yes

  No

  N/A

• 6.2.4 - Enough bins/emptied regularly

  Yes

  No

  N/A

• 6.2.5 - Work benches/desks clear of rubbish/clutter

  Yes

  No

  N/A

• 6.2.6 - Good condition of filing caninets

  Yes

  No

  N/A

• 6.2.7 - Desks in good condition (no damage)

  Yes

  No

  N/A

6 3.1 - Environment

• 6.3.1 - Empty chemical bottles/containers disposed of according to environmental requirements (eg prescribed waste)

  Yes

  No

  N/A

• 6.3.2 - All waste being separated

  Yes

  No

  N/A

7.1 - Storage Warehouse - Upstairs/Downstairs

• 7.1.2 - Fire extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 7.1.3 - Extinguishers recently serviced (6 monthly punch mark on tab)

  Yes

  No

  N/A

• 7.1.4 - Extinguishers clear of obstruction

  Yes

  No

  N/A

• 7.1.5 - Emergency exit light operable

  Yes

  No

  N/A

• 7.1.6 - floor surface even & uncluttered

  Yes

  No

  N/A

• 7.1.7 - Work height correct for the type of work & the employee

  Yes

  No

  N/A

• 7.1.8 - No broken plugs, sockets or switches, frayed or damaged leads

  Yes

  No

  N/A

• 7.1.9 - Portable equipment tested & tagged - within compliance dates

  Yes

  No

  N/A

• 7.1.10 - All containers labelled correctly? Decanted chemicals also labelled

  Yes

  No

  N/A

• 7.1.11 - Materials stored in racks/bins wherever possible

  Yes

  No

  N/A

• 7.1.12 - Storage designed to minimise lifting problems (height of racking & how items retrieved)

  Yes

  No

  N/A

• 7.1.13 - General condition of racks & pallets good (weight signage applied)

  Yes

  No

  N/A

• 7.1.14 - Spill kits available & regularly maintained? Is tamper proof seal in place?

  Yes

  No

  N/A

• 7.1.15 - Are special storage conditions applied? (cabinets/bounding etc - no leaks, items stored on top of cabinets)

  Yes

  No

  N/A

• 7.1.16 - Gas bottles are secured & labelled

  Yes

  No

  N/A

• 7.1.17 - Gas bottles are at least 3m away from ignition source?

  Yes

  No

  N/A

• 7.1.18 - All ladders are industrial strength (check label)

  Yes

  No

  N/A

• 7.1.19 - Are ladders maintained/audited & logged in register (check rope/pulleys/rungs etc)

  Yes

  No

  N/A

7.2.1 - Quality

• 7.2.2 - Light fittings clean & in good condition

  Yes

  No

  N/A

• 7.2.3 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 7.2.4 - Good natural lighting?

  Yes

  No

  N/A

• 7.2.5 - Enough bins/emptied regularly

  Yes

  No

  N/A

• 7.2.6 - Work benches/desks clear of rubbish/clutter

  Yes

  No

  N/A

• 7.2.7 - Good condition of filing cabinets

  Yes

  No

  N/A

• 7.2.8 - Desks in good condition (no damage)

  Yes

  No

  N/A

• 7.2.9 - Lubricants are food grade

  Yes

  No

  N/A

• 7.2.10 - External doors (& rollers) are free of gaps (less than the width of a pen)

  Yes

  No

  N/A

7.3.1 - Environment

• 7.3.1 - Empty chemical bottles/containers disposed of according to environmental requirements (eg prescribed waste)

  Yes

  No

  N/A

• 7.3.2 - All waste being separated

  Yes

  No

  N/A

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• On site representative

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• Auditor's signature

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