Title Page
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Conducted on
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Prepared by
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Location
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Eng & Mngr Names
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Contract Number
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Please review and comment on the following issues.
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1. Is the engineers vehicle loaded safely and are all battery terminals protected?
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2. Is the engineer wearing the correct gloves for the task?
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3. Are all Tools and equipment in good order and fit for the job and is their multimeter calibrated?
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4. Can the engineer access a EHS document from the QEHS box folder via their mobile device?
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5. Is a random piece of plant checked, within its PAT tested date?
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6. Are the engineers steps and ladders within their inspection period and recorded?
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7. Does the engineer know how to report a near miss? They should be able to explain how to do this.
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8. When speaking to employees are they aware of what ‘Zero Harm’ means? Ask them to explain.
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9. Can the engineer explain how they report an accident?
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10. Did the engineer demonstrate any positive EHS practices/traits during the visit?
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List any corrective/preventive actions needed and required closure dates.
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Auditor signature
