Engineer Audit V4

• Document No.

• Engineers name

• Conducted on

  Date

• Prepared by

• Location
  Address

Engineer

• Engineers head/ full body shot

  Media

• Driving license (photo card)

  Yes

  No

  N/A

• Number of points

• The engineer's licence is at risk (note the offence and date from paper licence)

• Note details here

  Safe

  At Risk

  N/A

• Do you have a Westway ID card?

  Yes

  No

  N/A

• Gas safe card in date?<br>For engineers who work with natural gas. E.g. Boilers

  Yes

  No

  N/A

• CSCS card in date (Construction Skills Certification Scheme)

  Yes

  No

  N/A

• Human Focus card in date <br>Used specifically for Cushman & Wakefield sites. The card is chip and pin and will hold H&S training.

  Yes

  No

  N/A

• IPAF card in date (international powered access federation)<br>Only if engineer is using a mobile platform.

  Yes

  No

  N/A

• ACRIB card in date (air conditioning and refrigeration industry board)<br>Only for engineers that work with F gas. E.g. AC or refrigeration

  Yes

  No

  N/A

• PASMA card in date (Prefabricated Access Suppliers and Manufacturers Association)<br>Only for engineers who use mobile scaffold towers.

  Yes

  No

  N/A

• Other card

Card

• Card details

  Safe

  At Risk

  N/A

Uniform

• Is the engineer presentable?

  Yes

  No

  N/A

• Is uniform clean and tidy

  Yes

  No

  N/A

• How many polo shirts?

• How many sweat shirts?

• How many shirts?

• How many overalls?

• Any other uniform items?

  Yes

  No

  N/A

PPE

• PPE bag present

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Goggles

  Yes

  No

  N/A

• Ear defender

  Yes

  No

  N/A

• Harness

  Yes

  No

  N/A

• Safety boots/shoes

  Yes

  No

  N/A

• Hi-Viz

  Yes

  No

  N/A

• Safety helmet

  Yes

  No

  N/A

• Bump cap

  Yes

  No

  N/A

• Engineer has NO other PPE items

  Yes

  No

  N/A

Vehicle

• Vehicle type

  Select Car Small van Large van Truck

  • Car
  • Small van
  • Large van
  • Truck

• Registration number

  Yes

  No

  N/A

• Odometer reading (mileage reading)

  Yes

  No

  N/A

• Vehicle service booklet (take picture of stamped pages)

  Yes

  No

  N/A

• Vehicle clean (external)

  Yes

  No

  N/A

• Glass condition 1=front 2=off side 3=rear 4=near side (note damage)

  Yes

  No

  N/A

• Body work condition 1=Front, 2=Off side, 3=Rear, 4=Near side (note damage)

  Yes

  No

  N/A

• Wheels condition 1=Off side front, 2=Off side, 3=Rear, 4=Near side 5=Spare tyre (note damage)

  Yes

  No

  N/A

• Light cluster 1=Off side front, 2=Off side rear, 3=Near side rear 4=Near side front, 5=Number plate

  Yes

  No

  N/A

• Vehicle clean (internal)

  Yes

  No

  N/A

• Storage (organised and accessible safely)

  Yes

  No

  N/A

• First aid kit (check dates, condition, supplies)

  Yes

  No

  N/A

• Fire extinguisher (check dates, condition)

  Yes

  No

  N/A

Paper work

• Do you have a copy of the H&S policy

  Yes

  No

  N/A

• Acknowledge receipt off H&S policy

  Sign

• NO COSHH (Chemicals Or Substances Hazardous to Health) found

  Yes

  No

  N/A

• COSHH data sheets

  Yes

  No

  N/A

Hand tools

• Tool box/bag clean

  Yes

  No

  N/A

• Tool box/bag safe and secure

  Yes

  No

  N/A

• Hand tools clean

  Yes

  No

  N/A

• Hand tools safe and fit for purpose

  Yes

  No

  N/A

• Steps

  Yes

  No

  N/A

• Ladders

  Yes

  No

  N/A

Power tools

• Tool box/bag clean

  Yes

  No

  N/A

• Tool box/bag safe and secure

  Yes

  No

  N/A

• Power tools clean

  Yes

  No

  N/A

• Power tools safe and fit for purpose

  Yes

  No

  N/A

• Extension lead

  Yes

  No

  N/A

• Have all of your power tools been PAT tested? (If NO, list which tools have not)

  Yes

  No

  N/A

• 110V transformer (does the engineer have one and has it been PAT tested)

  Yes

  No

  N/A

• 110V Power tool

  Yes

  No

  N/A

• Mobile phone charger (mains)

  Yes

  No

  N/A

• Mobile phone

  Yes

  No

  N/A

• Battery charger

  Yes

  No

  N/A

• Battery powered tool

  Yes

  No

  N/A

• Refrigerant recovery machine

  Yes

  No

  N/A

• Vacuum pump

  Yes

  No

  N/A

Site work

• How were you instructed to come to this site?

  Yes

  No

  N/A

• How were you advised?

  Select Email Text Phone call Continuation Just turned up

  • Email
  • Text
  • Phone call
  • Continuation
  • Just turned up

• Does the engineer have any feedback or requests. for making their work more safe?

  Yes

  No

  N/A

Sign off

• Auditor signature

  Sign

• Engineer signature

  Sign

Follow Up

• Outstanding observations in need of a follow up