Title Page
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Location
Site Details
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Client
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Audit Type
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Works Order Number
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Site Address
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Circuit and Voltage
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Site No. and PMT
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Work Type
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Site Type
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Brief Works Description
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Team LeaderT
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Team Members
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Weather Conditions
Risk Assessment and Job Pack
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Is the risk assessment complete?
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If yes, is the risk assessment filled in correctly?
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Are all other necessary forms filled in?
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Is the job pack onsite?
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Does the job pack contain all details relevant to carry out the works safely and efficiently?
Site Setup
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Comments
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Picture of site setup.
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Is traffic management required?
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if yes, is it set out correctly?
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If N/A, are there the relevant warning signs in place?
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Is there sufficient staff onsite for the task?
Safe Working Practices
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MEWP - Are works being carried out in accordance with "A Guide to Use of MEWP's in Arboriculture" and industry standards?
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Climbing - Are works being carried out in accordance with "A Guide to Good Climbing Practice" M and industry standards?
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Traffic Management - Are works being carried out in accordance with "Safety at Street Works and Road Works: A Code of Practice"
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Tree Works - Are all works being carried out in accordance with "BS3998:2010 - Tree Works Recommendation"?
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Client - Are works being carried out in accordance with the clients procedures?
Vehicles
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Vehicles and Registrations on site?
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Have daily vehicle checks been carried out?
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Have any defects been reported?
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Are all the vehicles clear of rubbish?
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Do the vehicles appear to be in a road worthy condition?
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Do the vehicles contain the following? (listed below is mandatory for the vehicle to contain.)
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First Aid Kit
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Is it in date?
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Fire Extinguisher
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Is it in date?
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Spill Kit
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Vehicle Pack
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If the vehicle os fitted with a tow bar, is it secure?
Plant
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Plant + F no.
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Have the daily checks been filled out?
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Does the plant appear to be in good working order?
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Does the plant appear to be clean and maintained?
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If applicable is there a current LOLER certificate and is it visible/accessible?
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Are all safety functions in place and working?
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Are staff on site trained in the use of the items of plant listed above?
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Pictures of any damage or non conformities.C
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Comments
Trailer
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Is the trailer clean and free from debris?
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Does the trailer appear to be in a good working order and road legal?
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Are the lights in good condition and working?
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Are the tyres in good condition and working?
MEWP
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Registration or Serial Number of MEWP onsite.I
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Is there a LOLER visible/accessible?
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Is the LOLER in date?
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Have all peruse checks been carried out and any defects reported?
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Does the MEWP appear to be clean and maintained?
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Are all the emergency features working?
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Are staff on site trained in the use the MEWP.
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Name of MEWP Operator
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Is the groundsman trained in the emergency procedure for the MEWP.
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Name of Groundsman
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Has the emergency procedure been demonstrated?
Climbing/LOLER
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Is there any climbing taken place onsite?
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Does all the climbing kit and rigging kit (If applicable) have an in date current LOLER?
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Are the staff onsite trained to carry out climbing tasks?
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Name of Climber(s)
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Is there a rescue kit onsite?
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Is the groundsman trained in aerial rescue?
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Rescuers name(s)
PPE
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If any of the items below are not required for the task, please select N/A.
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Safety Glasses
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Condition
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Visor
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ConditionH
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Hard Hat
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Condition
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Ear Protection
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Condition
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Protective gloves for task being undertaken.
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Condition
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Protective boots for task being undertaken.
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Condition
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Protective trousers for task being undertaken.
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Condition
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Hi-viz Long sleeved top.
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Condition
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Hi-viz Trousers.
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Condition
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Company branded clothing.
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Condition
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Comments
Ladder
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Is a ladder required onsite?
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If yes, answer the questions below in this section. If no, answer the questions with N/A.
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Is the ladder in a safe useable condition?
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Is the ladder being used correctly and safely?
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Pictures of any non conformities.
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Comments
PUWER
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Equipment being used.
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Condition
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Equipment being used.
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Condition
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Equipment being used.
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Condition
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Pictures of any damage and non conformities.
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Comments
Hand Tools
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List of hand tools.(If applicable)
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Condition
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Pictures of any damage and non conformities.
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Comments
Excavations
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Are we breaking ground?
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If yes, answer the questions below in this section. If no, answer all questions with N/A.
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Do we have a permit to dig?
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Has the site been surveyed with the use of a Cat and Genny?
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Have service drawings been made available and are they on site?
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How are we breaking the ground?
Feedback/Corrective Action
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Feedback
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Corrective ActionS
Sign Off
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Auditor
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Team Leader