GRISTWOOD AND TOMS SITE INPECTION VERSION 2.O - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Reg?

• Chipper

• Rescue climber?

• Name?

Site type

• Highway

• Park

• Housing

• Other

CAB

• First aid kit?

  Yes

  No

  N/A

• Fire extinguisher?

  Yes

  No

  N/A

• Fire extinguisher in date?

  Yes

  No

  N/A

• Team pack?

  Yes

  No

  N/A

• Vehicle check sheet?

  Yes

  No

  N/A

• Spill kit?

  Yes

  No

  N/A

• Clean and tidy?

  Yes

  No

  N/A

• Cab tidiness

• Tax disc valid?

  Yes

  No

  N/A

• Operators licence valid?

  Yes

  No

  N/A

VEHICLE

• Vehicle free from defects?

  Yes

  No

  N/A

• Tow hitch secure

  Safe

  At Risk

  N/A

Chipper

• Free from Defects?

  Yes

  No

  N/A

• Free from Leaks?

  Yes

  No

  N/A

• Safety features?

  Yes

  No

  N/A

• Tow hitch secure?

  Yes

  No

  N/A

• Tow hitch wear indicator

  Safe

  At Risk

  N/A

Documentation

• Risk assessment done?

  Yes

  No

  N/A

• Risk assessment correct?

  Yes

  No

  N/A

Climbing equipment safe and good condition?

• Strops

  Safe

  At Risk

  N/A

• Karrabiners

  Safe

  At Risk

  N/A

• Prussics

  Safe

  At Risk

  N/A

• Climbing line

  Safe

  At Risk

  N/A

• Rescue kit?

  Yes

  No

  N/A

Ladder

• Bent rungs

  Safe

  At Risk

  N/A

• Bent stiles

  Safe

  At Risk

  N/A

• Condition of feet

  Safe

  At Risk

  N/A

• Hooks

  Safe

  At Risk

  N/A

• Runners

  Safe

  At Risk

  N/A

• General condition

  Select good damaged - monitor remove from service

  • good
  • damaged - monitor
  • remove from service

• Opinion of general condition

Site set up

• General site set up- safe?

  Yes

  No

  N/A

• Picture of site set up

  Media

• Opinion of site set up

• Warning signs

  Yes

  No

  N/A

• Warning signs positioned correctly?

  Yes

  No

  N/A

• Warning signs in good condition?

  Yes

  No

  N/A

• Cones

  Yes

  No

  N/A

• Cones positioned correctly

  Yes

  No

  N/A

• Cones in good condition?

  Yes

  No

  N/A

• Barriers?

  Yes

  No

  N/A

• Barriers in good condition?

  Yes

  No

  N/A

• Barriers positioned correctly?

  Yes

  No

  N/A

PPE

• Hi-vis worn?

  Yes

  No

  N/A

• Hi - vis in good condition?

  Yes

  No

  N/A

• Boots

  Yes

  No

  N/A

• Trousers

  Yes

  No

  N/A

• Helmet worn?

  Yes

  No

  N/A

• Helmet in date and good condition

  Yes

  No

  N/A

• Visor

  Yes

  No

  N/A

• Ear protection

  Yes

  No

  N/A

Safe working practice

• Secondary anchor point if using a chainsaw

  Yes

  No

  N/A

• 2 handed use of climbing saw

  Yes

  No

  N/A

MEWP

• Trained operator?

  Yes

  No

  N/A

• Free from leaks

  Yes

  No

  N/A

• Secure footings

  Yes

  No

  N/A

• General condition

  Safe

  At Risk

  N/A

• Overall condition

• Are there any faults?

Faults

• Add media

  Media

Sign off

• Auditor

  Sign

• Team leader

  Sign