Environment Agency - Site Audit Template

• Department

• Region

• Date and Time

  Date

• EA Auditor

• Contact Number

• Position

• Location
  Address

• INSTRUCTIONS:
  -------------------------------------
  1. Answer the applicable questions.
  2. Click Add photos and notes.
  3. To add a Corrective Measure click on "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Site Information

• Site Details

• Contact Name

• Contact Number

• Position

• Contractor Name

• Personnel on Site

• Description of Work

• Method Statement and Risk Assessments Available

• Notes

Site Hazards

• Working/Over Near Water

  Yes

  No

  N/A

• Falls from Height

  Yes

  No

  N/A

• Falling objects

  Yes

  No

  N/A

• Underground Services

  Yes

  No

  N/A

• Overhead cables

  Yes

  No

  N/A

• Dangerous/ Operational machinery

  Yes

  No

  N/A

• Confined spaces

  Yes

  No

  N/A

• Noise

  Yes

  No

  N/A

• Live Services

  Yes

  No

  N/A

• Excavations

  Yes

  No

  N/A

• Demolition

  Yes

  No

  N/A

• Heavy /awkward loads

  Yes

  No

  N/A

• Working with electricity

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Please state

Site Arrangements

• Emergency procedures

  Yes

  No

  N/A

• Logbooks and Records

  Yes

  No

  N/A

• Incident reporting

  Yes

  No

  N/A

• Welfare arrangements

  Yes

  No

  N/A

• Site boundaries

  Yes

  No

  N/A

• First aid facilities

  Yes

  No

  N/A

• Permits to work

  Yes

  No

  N/A

• Waste Disposal and Licencing

  Yes

  No

  N/A

• Vehicle restrictions

  Yes

  No

  N/A

• Security

  Yes

  No

  N/A

• Public Safety

  Yes

  No

  N/A

• CDM Regulation Requirments

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Please state

Special Hazards

• Work Equipment

  Yes

  No

  N/A

• Diving

  Yes

  No

  N/A

• Ladders / access equipment

  Yes

  No

  N/A

• Welding equipment

  Yes

  No

  N/A

• Cartridge guns

  Yes

  No

  N/A

• Machinery

  Yes

  No

  N/A

• Lifting equipment

  Yes

  No

  N/A

• Grinding /abrasive wheels

  Yes

  No

  N/A

• Lasers

  Yes

  No

  N/A

• Portable electrical equipment

  Yes

  No

  N/A

• Vehicles

  Yes

  No

  N/A

• Pneumatic Drills

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Please state

Materials / Substances

• Asbestos

  Yes

  No

  N/A

• Corrosive

  Yes

  No

  N/A

• Ionising radiation sources

  Yes

  No

  N/A

• Epoxy resins

  Yes

  No

  N/A

• Substances giving of fumes

  Yes

  No

  N/A

• Explosives

  Yes

  No

  N/A

• Harmful/irritant

  Yes

  No

  N/A

• Flammable substances/gases

  Yes

  No

  N/A

• Solvents

  Yes

  No

  N/A

• Environmental hazards

  Yes

  No

  N/A

• Toxic

  Yes

  No

  N/A

• Compressed gasses

  Yes

  No

  N/A

• Oxidising

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Please state

Training Certificates

• Work Types

  Yes

  No

  N/A

• Diving

  Yes

  No

  N/A

• Lifiting Equipment

  Yes

  No

  N/A

• Excavators

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Please state

Services

• Electricity

  Yes

  No

  N/A

• Gas

  Yes

  No

  N/A

• Water

  Yes

  No

  N/A

• Steam

  Yes

  No

  N/A

• Compressed air

  Yes

  No

  N/A

• Waste Disposal

  Yes

  No

  N/A

• Telecom

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Please state

Completion

• Notes on General House Keeping

• Please Provide Contact Details of Health & Safety advisor or where report results are to be sent

• E.A Assessment

• Card Issued

  Yellow Card 1

  Yellow Card 2

  Red Card

• E.A. Auditor Signature

  Sign