DTZ W.O. Audit - Internal

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ESH Section

• Did the technician perform their UTake5?

  Yes

  No

  N/A

• Have hazards been identified and mitigated?<br>

  Safe

  At Risk

  N/A

• Is PPE per SOW/JHA being worn (tyvek, gloves, respirator, fall protection, etc.) and in good working condition?

  Safe

  At Risk

  N/A

• Is work area free of slips trips and falls?

  Safe

  At Risk

  N/A

• Are barricades in place with proper signage?

  Safe

  At Risk

  N/A

• Are proper tools available for the task, being used correctly and in good working condition? (ladders, Electrical Cords, Etc.)

  Safe

  At Risk

  N/A

• Are tool carts and work benches neatly originised?

  Safe

  At Risk

  N/A

Lockout /Tagout Procedures

• Is LOTO required?

  Yes

  No

  N/A

• Has LOTO procedures been reviewed with by employees?

  Yes

  No

  N/A

• Are all LOTO isolation points identified?

  Yes

  No

  N/A

• Have the energy dissipation been verified?

  Yes

  No

  N/A

• Have LOTO measures been implemented effectively?

  Yes

  No

  N/A

Work Order Information

• Were the work order fields entered correctly?

  Yes

  No

  N/A

• Was the customer contacted during the work order process?

  Yes

  No

  N/A

• Was the scheduled and completed in the appropriate time frame?

  Yes

  No

  N/A

• Are written instructions clear and understandable?

  Yes

  No

  N/A

• Were all the items on the request completed correctly?

  Yes

  No

  N/A

• If a piece of equipment was a part of the work, is the unit free of leaks (oil, water, gas), in an operating condition and clean?

  Yes

  No

  N/A

• Are the comments clearly written including additional deficiencies and follow up work order numbers?

  Yes

  No

  N/A

• Was the appropriate time charged to the work order?

  Yes

  No

  N/A