Health & Safety Site Audit Form

• Site conducted

  Select

• Conducted on

  Date

• Site Address

• Arrival Time

  Date

• Departure Time

  Date

• Personnel Seen

• Prepared by

• Signed:

  Sign
• Location
  Address

Site Offices and Welfare

• Near Miss Forms available

  Yes

  No

  N/A

• Notices up-to-date - insurance,EL

  Yes

  No

  N/A

• Risk Assessments / Method Statements

  Yes

  No

  N/A

• Toilets

  Yes

  No

  N/A

Site Signs

• Yes

  No

  N/A

Fire Emergency / Evacuation Arrangements.

• Fire exits clearly identifiable

  Yes

  No

  N/A

• Fire exits can be opened easily

  Yes

  No

  N/A

• Fire doors clear of obstructions / Escape routes clear

  Yes

  No

  N/A

• Air horn/ Bells in place where provided

  Yes

  No

  N/A

Emergency Lighting

• Lights and exit signs in good condition

  Yes

  No

  N/A

• Lights and exit signs function correctly

  Yes

  No

  N/A

Fire Fighting Equipment

• Fire management – refer to FPP where applicable

  Yes

  No

  N/A

• Firefighting equipment in place/Date

  Yes

  No

  N/A

Traffic Routes

• Traffic routes clearly defined

  Yes

  No

  N/A

• Pedestrian routes clearly defined

  Yes

  No

  N/A

Personal Protective Equipment

• PPE is worn by all

  Yes

  No

  N/A

• PPE requirement signage in place – safe system sheets attached to machinery

  Yes

  No

  N/A

First Aid

• First aider list displayed and known by employees

  Yes

  No

  N/A

• All first aiders training up to date

  Yes

  No

  N/A

• First Aid kits in place and in date

  Yes

  No

  N/A

• Eye Wash Station stocked and in date

  Yes

  No

  N/A

Gas Cutting Equipment

• Gas cylinders stored safely and correctly – safety chain in place, condition of gauges.

  Yes

  No

  N/A

• Pipelines, torches, connections, flashback arrestors in good condition, no hose damage & jubilee clips should be crimped

  Yes

  No

  N/A

Electrical equipment

• Portable equipment inspected and labelled

  Yes

  No

  N/A

• Hardwiring electrical equipment inspected – ie electrical inspection certificate (5 years)

  Yes

  No

  N/A

• Equipment stored safely when not in use

  Yes

  No

  N/A

Working practices

• Safe movement of plant and vehicles observed

  Yes

  No

  N/A

• Vehicles loaded and unloaded correctly

  Yes

  No

  N/A

• No smoking in forbidden areas

  Yes

  No

  N/A

• Use of: steps, podiums, ladders, towers - ie condition and fit for purpose

  Yes

  No

  N/A

Mobile & fixed plant

• Pre-start checks completed and recorded

  Yes

  No

  N/A

• Plant inspected and maintained

  Yes

  No

  N/A

• LOLER lifting inspections up to date – i.e. Fork Trucks, Lorries, 360.

  Yes

  No

  N/A

• Compressor Test – when last tested – ie pressure testing

  Yes

  No

  N/A

• Plant and machinery guards in place – ie. sheers ,grabs , alligator cutters, etc.

  Yes

  No

  N/A

Hand / powered tools

• Electric Power tools – i.e. with attached cable – e.g. angle grinders

  Yes

  No

  N/A

• ELV Tools used correctly

  Yes

  No

  N/A

Others

• Any near miss reports?

  Yes

  No

  N/A

• Any accident book entry’s

  Yes

  No

  N/A

• Training/ any new staff? /matrix up to date

  Yes

  No

  N/A

• Anything else?

  Yes

  No

  N/A