Title Page

  • Engineer resposible for site

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

Task Evaluation

  • Has the POWRA been completed?

  • Are the services being worked on isolated correctly?

  • Electrical equipment fit for purpose?

  • Signage appropriate for site (A frame etc)?

  • Ladders / Steps checked and fit for purpose?

  • Site clean and tidy, good working practices evident?

  • Are dust sheets being used to best effect?

  • ID badges available, ECS, CSCS, CRB or Gas Safe?

PPE Checks

  • PPE bag present and accessible?

  • Hi Vis vest / jacket present and being worn if required?

  • Hard hats available and worn if required?

  • Safety footwear being worn and in good condition?

  • Safety glasses / goggles available and worn if required?

  • Ear protection available and worn if required?

  • Gloves available and worn if required?

  • First aid kit available and stocked?

  • Fire extinguisher available and checked?

Procedure Checks

  • Accident reporting procedure known?

  • Near miss reporting procedure known?

Vehicle & Workwear Checks

  • Is the vehicle parked safely?

  • Is the vehicle in a clean and tidy condition?

  • Is the vehicle secure, i.e. locked?

  • Is the vehicle in a roadworthy condition (tyres / brakes / windscreen)?

  • Is IT equipment (laptop etc) onsite with the engineer?

  • Is all van stock being carried in vehicle and kept in a tidy condition?

  • Is the engineer wearing corporate uniform?

  • Is the engineer wearing overshoes where required?

Additional photos

    Add photo
  • Additional photo

  • Photo description

Conclusion

  • Has the engineer passed the audit?

  • Remedial action required?

  • Line managers 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.