Gray's Limited Management Site Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Location Information

• Add location
  Address

• Select date

  Date

• Add media

  Media

Employees On Site

Scope of Job

Inspection

• Has Daily Site Inspection been completed?

  Yes

  No

  N/A

• Is daily work permit/paperwork accurate and complete for scope of job?

  Yes

  No

  N/A

• Which permits on site:

  Ground Disturbance Permit

  Locates

• Are all employees on site correctly utilizing required PPE and Safe Work Procedures?

  Yes

  No

  N/A

• Is housekeeping on site acceptable?

  Yes

  No

  N/A

• Is Lighting, Ventilation and Ergonomics up to Gray's standards?

  Yes

  No

  N/A

• Is emergency equipment available and ready for use?

  Yes

  No

  N/A

• Is the current ERP posted?

  Yes

  No

  N/A

• Is the company HSE program available onsite? Does it include company rules and current work practises and procedures?

  Yes

  No

  N/A

Competency

• Employee assessed:

• Employee is conducting the following task:

• Employee is using approved work procedures

• Employee is competent for task being conducted

• Employee can explain the current ERP sufficiently

• Employee is wearing appropriate PPE

Actions Required:

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