General Site Quality Survey

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• RTC Job No.

Description

• 1/ Is site boundary clearly defined (e.g. Barrier tape, Temporary fencing, Witches hats, Safety Signage)?

  Yes

  No - MAJOR

  No - MINOR

• 2/ Were you inducted on site?

  Yes

  No - MINOR

• 3/ Do field staff have correct PPE?

  Yes

  No - MAJOR

• 4/ Are field staff presentable (do they look like they belong to a professional organisation in the eyes of the customer and public)?

  Yes

  No - OBSERVATION

• 5/ Are power tools and test equipment tested and tagged (Is date on tag current?)

  Yes

  No - MAJOR

• 6/ Is a Design on site?

  Yes

  No - MAJOR

• 7/ Is it clearly known to field staff who is the OIC on site?

  Yes

  No - MINOR

• 8/ Do field staff understand their scope of works?

  Yes

  No - MAJOR

• 9/ Do field staff understand what constitutes a Variation and how this is conveyed to their PM?

  Yes

  No - MAJOR

• 10/ Is the WHS paperwork being filled out daily?

  Yes

  No - MAJOR

• 11/ Do field staff have MOPs / Work Instruction / ITP etc on site?

  Yes

  No - MAJOR

• 12/ Is the quality paperwork being filled out as well? (ITP hold points and milestones etc)?

  Yes

  No - MAJOR

• 13/ Housekeeping - Is site clean and tidy?

  Yes

  No - MAJOR

  No - MINOR

• Use pictures to collaborate the answer for the above question.

  Media

• 14/ Is the RTC vehicle clean both outside and in?

  Yes

  No - MAJOR

  No - MINOR

• 15/ Is the appropriate first aid kit available on site?

  Yes

  No - MAJOR

  No - MINOR

• 16/ Are there any issues on site?

  No

  Yes - CRITICAL

  Yes - MAJOR

  Yes - MINOR

  Yes - OBSERVATION

• If the answer to the above question is 'Yes', please collaborate with pictures if applicable.

  Media

Comments

NCR's

• How many Questions resulted in a response of 'CRITICAL'?

  0

  1

• How many Questions resulted in a response of 'MAJOR'?

  Select 0 1 2 3 4 5 6 7 8 9 10 11

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11

• How many Questions resulted in a response of 'MINOR'?

  Select 0 1 2 3 4 5 6 7 8

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• How many Questions resulted in a response of 'OBSERVATION'?

  0

  1

  2

• Any adverse findings from the above equate to NCR's, either CRITICAL, MAJOR or MINOR. Please list details below of corrective actions taken to address each NCR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

• Once all the above NCR's have been rectified, please sign and date this form. (OBSERVATION = Nil response required, CRITICAL = Site Fail - 4hrs to respond, MAJOR = 2 working day to respond, MINOR = 7 working days to respond).

  Sign

• Select date

  Date

Please return signed actioned copy to the Quality Specialist by the above due date.