Title Page

  • Site conducted

  • Conducted On:

  • Conducted By:

  • Location (i.e. Rusholme)
  • Specific Area Inspected (i.e. Wind Turbine Number / Workshop etc..)

  • Scoring Criteria
    Compliant – No shortfalls identified, criteria met or standards required achieved
    Partially Compliant – Minor shortfalls identified in the standard or requirement, minor opportunities for improvement identified and the standard is still to an acceptable level. (For Example -PAT Testing – Most items tested and in date however a few units have been missed)
    Non-Compliant – The standard or requirement has not been achieved and deemed to be unacceptable. Immediate action is required to address the shortfall/s (Example – PAT Testing – Most items out of date and not tested)

  • When a task is being carried out are there exclusions zones with signage implemented (visual of task being conducted)

  • is the escalation process clear and understood? (Evidence of ERP reference and knowledge of who to contact for escalation)

  • Is there an Hierarchy of Control on site? (Elimination of Energy from the System (Plant & Apparatus) using HV Permits, Cross Boundary AWP, Locked /<br>Caution Noticed Isolation's. Following control hierarchy.)

  • Is the Safety Documentation readily available to carry out<br>Maintenance, Testing or Commissioning of Plant and<br>Apparatus for persons carrying out these tasks? ( HV Permit, AWP, Switching Schedule, and POWRA.)

  • Are there permit to work(s) currently in place that are<br>readily available? (Hard copies in control room / Electronic copies on ipad/ laptop wifi access to sharepoint.)

  • Is there Safety Rule documentation readily available? (Onsite or digital accessible )

  • Does the site operate the LOTO procedure? (LOTO procedure available, evidence of LOTO being used, knowledge of systems and how to isolate)

  • Is the site working to approved procedures? (AWP number, cross boundry details etc. )

  • Are there any Point of Work Risk Assessments on site for<br>work being undertaken or has been undertaken? (has the POWRA been used for the task being undertaken and has it been filled in correctly)

  • Are the authorised personnel competent to undertake the<br>work? (SAP details - Name, employer and last panel sat )

  • Are there records on site to show that persons carrying out<br>the tasks are competent? (Demonstrated by competence records of the individual)

  • Are there safe places of working? (Access, Egress, Lighting and general safety - has this been captured within the POWRA)

  • Pre - Task brief used (Capture detials of the work party etc )

  • If isolation devices are used are they clearly labelled and<br>controlled?(Safety locks and safety notices - if LOTO is this traceable to lock box etc )

  • Prior to any safety from the system task on site, what safety<br>checks are made? (Process for proving dead, test equipment used should be calibrated and fit for purpose, this may include Voltage tester, proving unit, and any relevant test equipment used for electrical works.)

  • Post task documentation - (Permits and AWP cleared and returned, end of task section completed on POWRA)

  • Plant identification clearly labelled (Check this against known P&ID drawing if and when available )

  • Is the plant and equipment clearly identified on safety<br>documentation. (Confirm on Permit, AWP and/or switching schedule)

  • Any temporary labelling used, is there an order to replace with permanent labels?

  • Is documentation kept in a clear legible condition? (check documentation for eligibility)

  • Notes

  • Findings Discussed with the working party

  • Findings discussed with the Area Manager

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