Title Page
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Auditor
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Conducted on
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Location
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Picture on arrival
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Contract/Job name/number
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Job/Reff/Asset
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Company
- ERH
- Collin Richardson
- JRC
- Other
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Name
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Role
- Engineer
- Trainee
- Operative
- Manager
- Supervisor
- Other
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Department
- Civils
- Maintenance
- ITS
- Slots
- Fibre/Comms
- TM
- Survey
- Other
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Site observations on arrival
Overall PPE standard on site
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Observations on PPE
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Log and assess the level of the defect, and report as appropriate. Advise on replacement if necessary
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picture of defect/s PPE
PPE Defect - Gang member(s)
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Name
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PPE? (Personal Protective Equipment)
- Head protection (e.g. safety helmets)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Body protection (e.g. high-visibility clothing)
- Fall protection (e.g. safety harnesses).
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Log Defect information
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Pictures of defective PPE
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Tools and Equipment
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Auditors Observations, Points or Notes
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Everything captured will be discussed in the ITS health and safety compliance meetings
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Auditor's comments
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Site observations on arrival
Overall PPE standard on site
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Observations on PPE
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Log and assess the level of the defect, and report as appropriate. Advise on replacement if necessary
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picture of defect/s PPE
PPE Defect - Gang member(s)
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Name
-
PPE? (Personal Protective Equipment)
- Head protection (e.g. safety helmets)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Body protection (e.g. high-visibility clothing)
- Fall protection (e.g. safety harnesses).
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Log Defect information
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Pictures of defective PPE
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Tools and Equipment
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Auditors Observations, Points or Notes
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Everything captured will be discussed in the ITS health and safety compliance meetings
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Auditor's comments
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Site observations on arrival
Overall PPE standard on site
-
Observations on PPE
-
Log and assess the level of the defect, and report as appropriate. Advise on replacement if necessary
-
picture of defect/s PPE
PPE Defect - Gang member(s)
-
Name
-
PPE? (Personal Protective Equipment)
- Head protection (e.g. safety helmets)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Body protection (e.g. high-visibility clothing)
- Fall protection (e.g. safety harnesses).
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Log Defect information
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Pictures of defective PPE
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Tools and Equipment
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Auditors Observations, Points or Notes
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Everything captured will be discussed in the ITS health and safety compliance meetings
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Auditor's comments
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Site observations on arrival
Overall PPE standard on site
-
Observations on PPE
-
Log and assess the level of the defect, and report as appropriate. Advise on replacement if necessary
-
picture of defect/s PPE
PPE Defect - Gang member(s)
-
Name
-
PPE? (Personal Protective Equipment)
- Head protection (e.g. safety helmets)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Body protection (e.g. high-visibility clothing)
- Fall protection (e.g. safety harnesses).
-
Log Defect information
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Pictures of defective PPE
-
Tools and Equipment
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Auditors Observations, Points or Notes
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Everything captured will be discussed in the ITS health and safety compliance meetings
-
Auditor's comments
-
Site observations on arrival
Overall PPE standard on site
-
Observations on PPE
-
Log and assess the level of the defect, and report as appropriate. Advise on replacement if necessary
-
picture of defect/s PPE
PPE Defect - Gang member(s)
-
Name
-
PPE? (Personal Protective Equipment)
- Head protection (e.g. safety helmets)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Body protection (e.g. high-visibility clothing)
- Fall protection (e.g. safety harnesses).
-
Log Defect information
-
Pictures of defective PPE
-
Tools and Equipment
-
Auditors Observations, Points or Notes
-
Everything captured will be discussed in the ITS health and safety compliance meetings
-
Auditor's comments
-
Site observations on arrival
Overall PPE standard on site
-
Observations on PPE
-
Log and assess the level of the defect, and report as appropriate. Advise on replacement if necessary
-
picture of defect/s PPE
PPE Defect - Gang member(s)
-
Name
-
PPE? (Personal Protective Equipment)
- Head protection (e.g. safety helmets)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Body protection (e.g. high-visibility clothing)
- Fall protection (e.g. safety harnesses).
-
Log Defect information
-
Pictures of defective PPE
-
Tools and Equipment
-
Auditors Observations, Points or Notes
-
Everything captured will be discussed in the ITS health and safety compliance meetings
-
Auditor's comments
-
Site observations on arrival
Overall PPE standard on site
-
Observations on PPE
-
Log and assess the level of the defect, and report as appropriate. Advise on replacement if necessary
-
picture of defect/s PPE
PPE Defect - Gang member(s)
-
Name
-
PPE? (Personal Protective Equipment)
- Head protection (e.g. safety helmets)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Body protection (e.g. high-visibility clothing)
- Fall protection (e.g. safety harnesses).
-
Log Defect information
-
Pictures of defective PPE
-
Tools and Equipment
-
Auditors Observations, Points or Notes
-
Everything captured will be discussed in the ITS health and safety compliance meetings
-
Auditor's comments
-
Site observations on arrival
Overall PPE standard on site
-
Observations on PPE
-
Log and assess the level of the defect, and report as appropriate. Advise on replacement if necessary
-
picture of defect/s PPE
PPE Defect - Gang member(s)
-
Name
-
PPE? (Personal Protective Equipment)
- Head protection (e.g. safety helmets)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Body protection (e.g. high-visibility clothing)
- Fall protection (e.g. safety harnesses).
-
Log Defect information
-
Pictures of defective PPE
-
Tools and Equipment
-
Auditors Observations, Points or Notes
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Everything captured will be discussed in the ITS health and safety compliance meetings
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Auditor's comments
Compliance
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Site compliant?
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What needs improving
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Auditors Notes if any
Photos/Video
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Please take as many photos as possible. Photos can be used to log observations, or to demonstrate good/bad practice and for evidence.
Photos/Video
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Add media
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Signed
