Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Grundfos Service Visit Audit Record
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Is this an unannounced visit?
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Name of Engineer(s)
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Details of Engineers competence:
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Engineers CSCS Card expiry date?
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CSTS Card expiry date (if applicable)?
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Vehicle Registration Number
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Service Job Number & Customer Name
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Description of Works
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Are there any IT Hardware issues?
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Is any IT training required?
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Is the Engineer familiar with the use of Insite and SharePoint?
PPE Checks
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Is corporate workwear being worn?
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Is the company-supplied safety footwear being worn?
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Is the safety footwear in a satisfactory condition?
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Is the hi-viz clothing (BS EN 471) in a satisfactory condition?
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Is the hard hat in a satisfactory condition?
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Is the ICE label attached to the hard hat?
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Is the bump cap in a satisfactory condition?
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Is the eye protection (BS EN 166) in a satisfactory condition?
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Are the company-issued safety gloves (BS EN 388) in a satisfactory condition?
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List the PPE to be worn for the service activity:
Equipment Checks
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Details of the Proving Equipment:
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Details of the Testing Equipment:
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Calibration Certificate available?
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Date of last calibration test?
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Is any PAT testing in date?
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Are test date labels legible?
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Next PAT test date?
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Details of any lifting equipment carried?
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Date of last LOLER test?
Hazardous Substances
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Is a list of CoSHH substances available?
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Does the list match what is actually held on the vehicle?
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Are the relevant MSDS sheets available?
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Is a spill kit available?
Human Factors
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Is the general working environment satisfactory for the service activities?
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Are there any manual handling activities to be carried out?
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Does the service job involve working at height?
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Are there any extremes of temperature that affect the activities?
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Are there any potential issues with harmful gases?
Audit Details
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Auditor Name:
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Signature:
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Date:
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Actions arising: