Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Number of instances of failure of periodic statutory inspections attributable to the Service Provider

  • Number of major health and safety non-compliances attributable to the Service Provider

  • Number of reportable accidents attributable to the Service Provider

  • Number of instances of reportable contamination of the environment attributable to the Service Provider

  • Number of instances where Service Provider has failed to adhere to agreed risk assessments and method statements

  • Number of instances where Service Provider personnel or Sub-Contractor personnel have been found to not be wearing mandated PPE

  • Number of days beyond 15 for rectification of regulatory non-compliances

  • Number of failures to react to a Priority 1 or 2 call within the agreed response times.

  • Number of instances where response time in the event people are trapped inside a lift greater than 1 hour (Level 1 and Level 2)

  • Number of unscheduled production shutdowns attributable to Service Provider

  • Comments

  • Add signature

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