Title Page

  • Site conducted

  • Conducted on

  • Time of audit

  • Prepared by

  • Installers Names

  • Location
  • Work activity

Cavity Extraction & Refill

Site Setup

  • Is appropriate signage in place?

  • Image of signage

  • Has signage been positioned correctly?

  • Image of signage

  • Are hose/cable mats being used and positioned correctly?

  • Image of hose mats

  • Is the self-adhesive floor covering being used?

  • Image of floor covering

  • Is the vehicle parked safely allowing other road users and pedestrians safe passage?

  • Image of parked vehicle

  • Are materials, tools and equipment loaded safely on the vehicle?

  • Image of inside of vehicle

  • Are there any substances stored on the vehicle in unlabelled containers?

  • Image of containers

Emergency Arrangements

  • Do the operatives know how to report accidents / incidents / near misses?

  • Does the vehicle have a fully stocked and in-date first aid box?

  • Image of first aid box

  • Are the operatives aware of the procedure if asbestos containing materials are discovered?

  • Have the appropriate spillage tests been carried out?

Fire Safety

  • Are suitable fire extinguishers available on site with in date inspection labels?

  • Image of fire extinguisher

  • Have the operatives received instructions on their use?

Manual Handling

  • Have operatives received manual handling instructions/training?

Customer Communication

  • Has the operative shown the customer their ID badge?

  • Image of ID badges

  • Has the operative explained the works being carried out and made the customer aware of any hazards and control measures?

  • Has the customer raised any concerns over their safety?

Ladders / Steps

  • Are ladders at a safe angle i.e 1:4?

  • Image of ladder postioning

  • Are the ladders displaying an identification number?

  • Image of ID number

  • Are the ladders showing any signs of wear/tear or damage?

  • Image of ladder

  • Are ladders being used as an A frame to access the loft area?

  • Are ladders correctly secured with the Tetra system?

  • Image of Tetra system in place

  • Are operatives using the ladders safely and maintaining 3 points of contact utilising the rope and grab?

  • Image of safe ladder use

Work Equipment

  • Does all work equipment look to be in good condition?

  • Image of work equipment being used

  • Has all electrical equipment been PAT tested and is it still in date?

  • Image of PAT testing label

  • Are appropriate guards in place on equipment?

  • Image of guards on equipment

  • Have the operatives inspected the equipment prior to use to ensure it is in good condition and fit for use?

  • Are the operatives using the equipment correctly?

  • Image of equipment being used

Site Housekeeping

  • Is the site being kept clean and tidy with minimal slip and trip hazards?

  • Images of work areas

  • Have the operatives considered slip and trip hazards that may affect others?

  • Are the operatives maintaining safe access and egress to the work area?

  • Image of safe access and egress

  • Is all waste, unwanted materials and equipment being stored correctly?

  • Image of waste management

Site Safety Documentation

  • Are risk assessments and method statements available on the vehicle?

  • Are the risk assessments and method statements up to date?

  • Image of the risk assessments / method statements

  • Do the operatives have a copy of the completed pre-installation assessment?

  • Image of pre-installation assessment

  • Have the operatives completed an onsite (Dynamic) risk assessment before commencing work?

  • Image of dynamic risk assessment

  • Is there a copy of the waste licence in the vehicle?

  • Image of waste license

PPE

  • Do the operatives have the full range of PPE appropriate to the work activity?

  • Image of PPE

  • Is the appropriate PPE being worn?

  • Image of PPE being worn

  • Is the PPE clean and in good condition?

  • Are there suitable facilities on the vehicle for storing the PPE?

  • Image of PPE storage system

Signatures

  • Signature of auditor

  • Signature of operatives

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.