Gentoo site checklist (2)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicles on site

• Reg number;

• Reg number;

• Reg number;

Are the vehicles clean & tidy

• Inside

  Yes

  No

• Outside

  Yes

  No

• Comments

• Relevant photographs

  Media

Working area

• Is the site notified

  Yes

  No

  N/A

• Operatives working to the POW

  Yes

  No

• Is the work Notified non-licensed work (NNLW)

  Yes

  No

  N/A

• Is the work non licensed

  Yes

  No

  N/A

• Comments

• Relevant photographs

  Media

Site documentation

• Site pack checked

  Yes

  No

  N/A

• All relevant check lists / paper work completed

  Yes

  No

• List all documents checked

• Comments

Access equipment & plant

• Work @ height equipment on site

  Yes

  No

  N/A

• Is the equipment

  Select safe fit for purpose erected as per relevant guidance unsafe

  • safe
  • fit for purpose
  • erected as per relevant guidance
  • unsafe

• Description and I.d number of each item

• Is there mechanical plant on site

  Yes

  No

  N/A

• Select good working order certification present (DOP, PAT) no certification damaged

  • good working order
  • certification present (DOP, PAT)
  • no certification
  • damaged

• Comments

• Relevant photographs

  Media

Additional information

• Analytical company on site

  Yes

  No

  N/A

• Company & analysts name

• Work been carried out by analyst

• PPE & RPE appropriate and available for work

  Yes

  No

• 1st aid kit available and sufficient

  Yes

  No

• Comments

Additional observations / photographs

• Observations

• Photographs

  Media

I certify that I have checked the above information

• Signature of person completing audit

  Sign

• Signature of supervisor / operative

  Sign

• Select date

  Date