DLG Stop Shift Task Audit

• Conducted on

  Date

• Prepared by

• Site location
  Address

Details

• Document number

• Job number (if applicable)

• Site and location

• Operation/activity

• Operative name

• Company

Select an operation/Activity on site and complete the following checklist

• Have you received a site induction?

  Yes

  No

  N/A

• Have you inspected the asbestos register?

  Yes

  No

  N/A

• Do you understand the risks/hazards associated with this operation?

  Yes

  No

  N/A

• Have you got a copy of method statement and risk assessments with you?

  Yes

  No

  N/A

• Do you understand the method statement and associated risks in relation to these works?

  Yes

  No

  N/A

• Have you received any formal training in relation to these works. If yes - what?

  Yes

  No

  N/A

• Do the RAMS you have with you confirm what PPE you should be using?

  Yes

  No

  N/A

• Is the operative wearing the correct PPE?

  Yes

  No

  N/A

• Is the work being carried out in line with the method statement and risk assessment that the operative has with them?

  Yes

  No

  N/A

• Is the workmanship/service delivery being carried out in line with the DLG standards required for the work?

  Yes

  No

  N/A

• Is the work being carried out in line with applicable processes and procedures?

  Yes

  No

  N/A

• Confirm if you have attended a recent tool box talk and the topic it focused on.

  Yes

  No

  N/A

General comments

• General comments:

• Name of person completing the stop shift audit

  Sign

• Date and time

  Date

• DLG-Stop-Shift-Task-Audit_v2.-DLGPT-SSA-002