Information
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Document No.
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Audit Title
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Remit / Region
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Conducted on
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Prepared by
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Location
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Personnel
Pre-task checklist
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Has the engineer signed in to the store?
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What type of permit is required to be completed for this task / work?
- None
- Confined Spaces
- Electrical
- Hot works
- Work at Height
- Other
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Has the correct permit been completed by the engineer?
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Are safe isolation procedures required?
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If required have safe isolation procedures been carried out?
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Has the engineer recieved safe isolation training?
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Is the engineer aware of the store fire evacuation procedures?
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Has the engineer identified the nearest fire exit and able to show you where it is?
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Has this site got an asbestos register ?
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If conducting intrusive works, has the asbestos register been checked?
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Is the engineer following correct work order management procedures?
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Does the engineer have access to all documentation?
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Is the engineer able to show you the HSQE Policy?
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Is the engineer able to show you the relevant Risk Assessment?
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If required, has a dynamic risk assessment been carried out?
The Engineer
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Is the engineer wearing full uniform (including their ID badge)?
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Is the engineer wearing the appropriate PPE?
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Is the PPE fit for purpose?
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Does the engineer have all the correct PPE readily available and is it in good condition?
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Is the engineer following a safe system of work?
Work Area
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Where is the engineer working?
- Shopfloor
- Car Park
- Roof
- Cold Stores
- Warehouse
- Plant rooms
- Back Yard
- PFS
- Head Office
- Food Prep Area
- Canteen
- Staff Room
- Store Back Office
- Store Entrance / Exit
- Toilets
- Other
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Is the engineer aware of specific hazards related to this location?
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Are physical barriers in place to prevent harm to others?
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Are the barriers fit for purpose?
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Does the engineer have a set of barriers available?
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Are trollies, mechanical aids or hoists being used when working with heavy items/ loads?
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Have all slip/trip and fall hazards been controlled?
Tools
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Is the engineer using the correct tools for the task?
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Are the tools fit for purpose?
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Does the engineer have a lock off kit?
Chemicals
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Is the engineer using any chemicals?
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Are COSHH Assessments available for all substances the engineer is using/has on his van?
Engineers van
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How many cylinders of gas/refrigerant is the engineer carrying on his van
- 1
- 2
- 3
- 4
- 5
- 6+
- 0
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Are all cylinders stored correctly?
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Does the engineer have a hazcrate on his van?
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Does the engineer know the location of the regional waste storage area
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Is the engineer aware of the electronic inventory and how to complete it correctly?
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Does the engineer have adequate storage of any chemicals he/she is carrying?
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Does the engineer have a spill kit?
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Have all tools and equipment been checked and PAT tested within the last year?
Tool Box Talk
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How well did the engineer respond to a set of questions about the engineer TBT ?
Procedures and processes
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Is the engineer aware of the relevant steps within the Refrigerant Management Procedure?
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When the engineer has completed the task, has the store manager signed the work order to acknowledge that he/she is satisfied with the work that has been carried out?
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How well would you rank the engineers knowledge of procedures and processes
Sign and date
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Auditors Signature
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Engineers Signature