Health & Safety Audit - Live Site Visit

• Block Name/Postcode

• Engineer Name

• Date of Inspection

  Date

• Job type?

  Shared Dish

  I.R.S

  SCR/SCS

• Internal or External?

  Internal

  External

• Inspected by

• Document No.

First Impressions - Engineer & Appearance

• Is vehicle parked correctly and at a suitable location?

  Yes

  No

  N/A

• Is vehicle clean outside?

  Yes

  No

  N/A

• Is vehicle tidy inside?

  Yes

  No

  N/A

• Is engineer wearing LDTV uniform?

  Yes

  No

  N/A

• Is it clean and well presented?

  Yes

  No

  N/A

• Is engineer wearing a Hi-Vis vest?

  Yes

  No

  N/A

• Is engineer wearing safety boots?

  Yes

  No

  N/A

• Is the site in a tidy condition?

  Yes

  No

  N/A

Health & Safety

• Copy of Survey & Risk Assessment present?

  Yes

  No

  N/A

• Site Specific Risk Assessment present and filled in correctly?

  Yes

  No

  N/A

Working at Heights - Ladders

• Were Ladders being used at time of visit?

  Yes

  No

• Ladders tied in with ratchet straps and eyebolts?

  Yes

  No

  N/A

• Rope on Ladder?

  Yes

  No

  N/A

• Engineer wearing Harness with cows tail & rope grab?

  Yes

  No

  N/A

• Ladder stand off (micro-lite) used?

  Yes

  No

  N/A

• Ladder stabiliser used?

  Yes

  No

  N/A

• Ladder leveller used?

  Yes

  No

  N/A

• Ladder at correct angle? (1 in 4)

  Yes

  No

  N/A

• Could 3 points of contact be maintained whilst ascending & descending?

  Yes

  No

  N/A

• Hard hat worn whilst on ladder?

  Yes

  No

  N/A

• Any comments or corrective actions taken place

• Photos of Ladder setup (if required)

  Media

• Is there evidence of WAH kit used, I.E-eyebolts or drill holes, kit left out etc?

  Yes

  No

  N/A

• Photos of WAH evidence

  Media

Working at Heights - Roof work

• Was Roof Access required?

  Yes

  No

• Pitched roof or Flat roof?

  Pitched roof

  Flat roof

• Does the flat roof have edge protection?

  Yes

  No

• Was the engineer safe and risk of falls minimised?

  Yes

  No

  N/A

• Was a 2m exclusion zone set up around the roof edge?

  Yes

  No

  Not Seen

• Were suitable Anchor points available?

  Yes

  No

• Was a man anchor required? (Dead mans anchor)

  Yes

  No

• Details

• Was the man anchor set up correctly with full fall restraint system in place?

  Yes

  No

  Not Seen

• Eyebolts drilled/Anchor points used and fall restraint system set up correctly?

  Yes

  No

  N/A

• Was Roof ladder set up correctly? (Strapped to triples etc)

  Yes

  No

  Not Seen

• Any comments or corrective actions taken place

• Photos of roof areas, set up if required

  Media

Personal Protective Equipment (PPE)

• Eye protection used when drilling?

  Yes

  No

  Not Seen

• Ear protection used? (Defenders or plugs)

  Yes

  No

  Not Seen

• Hand protection worn when required?

  Yes

  No

  Not Seen

• Dust masks worn when required?

  Yes

  No

  Not Seen

• Overshoes worn? (If applicable)

  Yes

  No

  Not seen

  N/A

Signage & Barriers

• Were road or pathway cordons set up?

  Yes

  No

  Not seen

  N/A

• Should road or pathway cordons have been implemented to protect the public etc?

  Yes

  No

• Details and corrective actions taken place

• Photos of areas that should have been cordoned off

  Media

• Correct use of Cones?

  Yes

  No

  N/A

• Correct use of Barrier tape?

  Yes

  No

  N/A

• Correct use of signage? (Cable in progress etc)

  Yes

  No

  N/A

• Photos of cordons put in place

  Media

Completion

• Has a full H&S kit inspection been carried out within the last month?

  Yes

  No

• A full Health & Safety kit inspection is to be carried out

• Date of last Kit Inspection

  Date

• Document number

• Any comments

• Engineer Training required?

  Yes

  No

• Details of training to be given

• Engineer disciplinary required?

  Yes

  No

• Details

• Engineer 1

  Sign

• Engineer 2

  Sign

• Senior Supervisor or H&S manager

  Sign