Title Page

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Location

Site Details

  • Client

  • Audit Type

  • Works Order Number

  • Site Address
  • Circuit and Voltage

  • Site No. and PMT

  • Work Type

  • Site Type

  • Brief Works Description

  • Team LeaderT

  • Team Members

  • Weather Conditions

Risk Assessment and Job Pack

  • Is the risk assessment complete?

  • If yes, is the risk assessment filled in correctly?

  • Are all other necessary forms filled in?

  • Is the job pack onsite?

  • Does the job pack contain all details relevant to carry out the works safely and efficiently?

Site Setup

  • First impressions of the site. (0=poor and 10=excellent)

  • Comments

  • Picture of site setup.

  • Is traffic management required?

  • if yes, is it set out correctly?

  • If N/A, are there the relevant warning signs in place?

  • Is there sufficient staff onsite for the task?

Safe Working Practices

  • MEWP - Are works being carried out in accordance with "A Guide to Use of MEWP's in Arboriculture" and industry standards?

  • Climbing - Are works being carried out in accordance with "A Guide to Good Climbing Practice" M and industry standards?

  • Traffic Management - Are works being carried out in accordance with "Safety at Street Works and Road Works: A Code of Practice"

  • Tree Works - Are all works being carried out in accordance with "BS3998:2010 - Tree Works Recommendation"?

  • Client - Are works being carried out in accordance with the clients procedures?

Vehicles

  • Vehicles and Registrations on site?

  • Have daily vehicle checks been carried out?

  • Have any defects been reported?

  • General appearance and condition of vehicles? (0=poo and 10=excellent)

  • Are all the vehicles clear of rubbish?

  • Do the vehicles appear to be in a road worthy condition?

  • Do the vehicles contain the following? (listed below is mandatory for the vehicle to contain.)

  • First Aid Kit

  • Is it in date?

  • Fire Extinguisher

  • Is it in date?

  • Spill Kit

  • Vehicle Pack

  • If the vehicle os fitted with a tow bar, is it secure?

Plant

  • Plant + F no.

  • Have the daily checks been filled out?

  • Does the plant appear to be in good working order?

  • Does the plant appear to be clean and maintained?

  • If applicable is there a current LOLER certificate and is it visible/accessible?

  • Are all safety functions in place and working?

  • Are staff on site trained in the use of the items of plant listed above?

  • Pictures of any damage or non conformities.C

  • Comments

Trailer

  • Is the trailer clean and free from debris?

  • Does the trailer appear to be in a good working order and road legal?

  • Are the lights in good condition and working?

  • Are the tyres in good condition and working?

MEWP

  • Registration or Serial Number of MEWP onsite.I

  • Is there a LOLER visible/accessible?

  • Is the LOLER in date?

  • Have all peruse checks been carried out and any defects reported?

  • Does the MEWP appear to be clean and maintained?

  • Are all the emergency features working?

  • Are staff on site trained in the use the MEWP.

  • Name of MEWP Operator

  • Is the groundsman trained in the emergency procedure for the MEWP.

  • Name of Groundsman

  • Has the emergency procedure been demonstrated?

Climbing/LOLER

  • Is there any climbing taken place onsite?

  • Does all the climbing kit and rigging kit (If applicable) have an in date current LOLER?

  • Condition of all climbing/rigging kit onsite. (0=poor and 10=excellent.)

  • Are the staff onsite trained to carry out climbing tasks?

  • Name of Climber(s)

  • Is there a rescue kit onsite?

  • Is the groundsman trained in aerial rescue?

  • Rescuers name(s)

PPE

  • If any of the items below are not required for the task, please select N/A.

  • Safety Glasses

  • Condition

  • Visor

  • ConditionH

  • Hard Hat

  • Condition

  • Ear Protection

  • Condition

  • Protective gloves for task being undertaken.

  • Condition

  • Protective boots for task being undertaken.

  • Condition

  • Protective trousers for task being undertaken.

  • Condition

  • Hi-viz Long sleeved top.

  • Condition

  • Hi-viz Trousers.

  • Condition

  • Company branded clothing.

  • Condition

  • Comments

Ladder

  • Is a ladder required onsite?

  • If yes, answer the questions below in this section. If no, answer the questions with N/A.

  • Is the ladder in a safe useable condition?

  • Is the ladder being used correctly and safely?

  • Pictures of any non conformities.

  • Comments

PUWER

  • Equipment being used.

  • Condition

  • Equipment being used.

  • Condition

  • Equipment being used.

  • Condition

  • Pictures of any damage and non conformities.

  • Comments

Hand Tools

  • List of hand tools.(If applicable)

  • Condition

  • Pictures of any damage and non conformities.

  • Comments

Excavations

  • Are we breaking ground?

  • If yes, answer the questions below in this section. If no, answer all questions with N/A.

  • Do we have a permit to dig?

  • Has the site been surveyed with the use of a Cat and Genny?

  • Have service drawings been made available and are they on site?

  • How are we breaking the ground?

Feedback/Corrective Action

  • Feedback

  • Corrective ActionS

Sign Off

  • Auditor

  • Team Leader

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.