Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Pre-task checklist

  • Has the engineer signed in to the store?

  • What type of permit is required to be completed for this task / work?

  • Has the correct permit been completed by the engineer?

  • Is the engineer aware of the store fire evacuation procedures?

  • Has the engineer identified the nearest fire exit and able to show you where it is?

  • Has this site got an asbestos register ?

  • If conducting intrusive works, has the asbestos register been checked?

  • Is the engineer able to show you the relevant Risk Assessment?

  • If required, has a dynamic risk assessment been carried out?

The Engineer

  • Is the engineer wearing full uniform (including their ID badge)?

  • Is the engineer wearing the appropriate PPE?

  • Is the PPE fit for purpose?

  • Does the engineer have all the correct PPE readily available and is it in good condition?

  • Is the engineer following a safe system of work?

Work Area

  • Where is the engineer working?

  • Is the engineer aware of specific hazards related to this location?

  • Are physical barriers in place to prevent harm to others?

  • Are the barriers fit for purpose?

  • Are trollies, mechanical aids or hoists being used when working with heavy items/ loads?

  • Is the work area tidy?

Tools

  • Is the engineer using the correct hand tools?

  • Are the tools fit for purpose?

  • Is the engineer using the correct power tools/ equipment?

  • Are the power tools/ equipment fit for purpose?

Chemicals

  • Is the engineer using any chemicals?

  • Are the chemical(s) being stored, managed and used safely?

  • Does the engineer have a relevant COSHH Assessment?

Tool Box Talk

  • How well did the engineer respond to a set of questions about the engineer TBT ?

Knowledge of Procedures and Processes

  • How well would you rank the engineers knowledge on the following processes?

  • Lone Working

  • Asbestos Management

  • Confined Spaces

  • Accident / Incident /Near Miss Reporting

Site issues

  • Are there any specific health and safety issues that concern you at this particular site?

Sign and date

  • Auditors Signature

  • Engineers Signature

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.