Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Grundfos Service Visit Audit Record

  • Is this an unannounced visit?

  • Name of Engineer(s)

  • Details of Engineers competence:

  • Engineers CSCS Card expiry date?

  • CSTS Card expiry date (if applicable)?

  • Vehicle Registration Number

  • Service Job Number & Customer Name

  • Description of Works

  • Are there any IT Hardware issues?

  • Is any IT training required?

  • Is the Engineer familiar with the use of Insite and SharePoint?

PPE Checks

  • Is corporate workwear being worn?

  • Is the company-supplied safety footwear being worn?

  • Is the safety footwear in a satisfactory condition?

  • Is the hi-viz clothing (BS EN 471) in a satisfactory condition?

  • Is the hard hat in a satisfactory condition?

  • Is the ICE label attached to the hard hat?

  • Is the bump cap in a satisfactory condition?

  • Is the eye protection (BS EN 166) in a satisfactory condition?

  • Are the company-issued safety gloves (BS EN 388) in a satisfactory condition?

  • List the PPE to be worn for the service activity:

Equipment Checks

  • Details of the Proving Equipment:

  • Details of the Testing Equipment:

  • Calibration Certificate available?

  • Date of last calibration test?

  • Is any PAT testing in date?

  • Are test date labels legible?

  • Next PAT test date?

  • Details of any lifting equipment carried?

  • Date of last LOLER test?

Hazardous Substances

  • Is a list of CoSHH substances available?

  • Does the list match what is actually held on the vehicle?

  • Are the relevant MSDS sheets available?

  • Is a spill kit available?

Human Factors

  • Is the general working environment satisfactory for the service activities?

  • Are there any manual handling activities to be carried out?

  • Does the service job involve working at height?

  • Are there any extremes of temperature that affect the activities?

  • Are there any potential issues with harmful gases?

Audit Details

  • Auditor Name:

  • Signature:

  • Date:

  • Actions arising:

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