Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Job Number

Site Details

  • Date

  • Time on site

  • Time off site

  • Work being carried out?

  • Work being carried out?

Enclosure Details

  • Photo of Enclosure

  • Photo of Airlocks

  • CCTV cameras or viewing panels used as per POW/MS

  • Smoke test carried out?

  • Supervisors signature to confirm enclosure has passed a smoke test.

  • Signature of witness of smoke test

Morning Enclosure Checks

  • General integrity of enclosure

  • Airlock/baglock - Clean, flaps in place, buckets/sprays

  • Signs - Airlock warning signs, transit route.

  • Fibre suppression equipment in place - Red box, hand sprays.

  • Supplies of wet strip solution on site

  • All suppression equipment working and ready to use

Afternoon Enclosure Checks

  • General integrity of enclosure

  • Airlock/baglock - Clean, flaps in place, buckets/sprays

  • Signs - Airlock warning signs, transit route.

  • Fibre suppression equipment in place - Red box, hand sprays.

  • Supplies of wet strip solution on site

  • All suppression equipment working and ready to use

RPE Checks

  • RPE's have been thoroughly checked by assigned users to ensure;<br>mask is clean<br>filter and motor are fitted correctly<br>valves and 'o' rings are in good condition <br>face piece has no holes<br>head straps are correctly fitted<br>battery has sufficient charge by carrying out flow test (for powered RPE)

  • Morning mask checks

  • RPE checks carried out

  • Time of checks

  • RPE checks carried out

  • Time of checks

  • RPE checks carried out

  • Time of checks

  • RPE checks carried out

  • Time of checks

  • RPE checks carried out

  • Time of checks

  • Afternoon mask checks

  • RPE checks carried out

  • Time of checks

  • RPE checks carried out

  • Time of checks

  • RPE checks carried out

  • Time of checks

  • RPE checks carried out

  • Time of checks

  • RPE checks carried out

  • Time of checks

Plant Checks

  • Negative Pressure Unit

  • NPU checked and is working correctly?

  • Morning morning checks

  • Afternoon NPU checks

  • ID/Reference numbers of NPU and manometer reading at start of shift

  • Vacuums

  • Vacuums checked and working correctly?

  • Morning vacuum checks

  • Afternoon vacuum checks

  • ID/Reference numbers of all vacuums on site

DCU Checks

  • Photo of DCU

  • Drain and filter connected?

  • Water tank/hose connected?

  • Power connected with RCD fitted. Earth rod?

  • Showers working and temperature of water correct?

  • Towels, shower gel, shampoo and nail brushes in place?

  • CO alarm tested?

  • Unit clean and ready for use?

  • All DCU checks carried out

Site Clearance Checks

  • All tape removed from enclosure construction?

  • All plant and equipment visually clean and no visual damage?

  • DCU clean and air test displayed ready for next use?

  • Area handed back to client and copy of four stage clearance left on site (if applicable)?

Supervisor daily checks completed by;

  • All checks above have been carried out and completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.