Health and Safety Site Compliance Audit v.002 (Feb2016)

• Document No.

• Principle Contractor

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Sub-contractor

• Specialism

  Electrical Works

  Duct Work Installer

  Mechanical Engineer

  Commissioning Engineer

Sub-contractor Operational Site Compliance Audit

Personnel

• Colt Site Manager

  Fred Davis

  John Lord

  Mick Tougher

• Sub-contractor's supervisor

• Site operatives

Operatives Name

• undefined

RAMS

• Risk assessment and method statement available on site

  Available

  Not available

• RAMS have been signed by all operatives

  Yes

  No

Tool Box Talks

• Is there evidence on site that tool box talks are being delivered

  Available

  Not available
Tool Box Talk

• Date of toolbox talk

  Date

• Tool box talk title

Daily Activity Briefing Document (DABS)

• DABS available and signed

  Available

  Not available

• DABS regularly signed

  Yes

  No

• DABS signed on day of audit line up with tasks being carried out

  Yes

  No

Equipment Register

• Equipment register available on site

  Available

  Not available

• all equipment sampled seen on register

Permit to Work Procedure

• on-site procedures understood and explained

  In Use

  Not in use

• In Use

  Not in use

• Ladder permit

• Hot work permit

• Electrical isolation

• Confined space

• Other

• Describe other permit

Drawings

Drawing number

• Enter drawing number

CSCS/ECS Card

• CSCS/ECS Card details

Card description

• Operatives name

• Card type

  CSCS

  ECS

• Card colour/description

• Serial number

• Expiry date

  Date

• Compliant

  Non-compliant

Training

• Site induction training completed

  Available

  Not available

PASMA

• Tower scaffold being used

• Operatives name

• Proof of competence

  Available

  Not available

• Tower tagged and in date

  Available

  Not available

IPAF

• Mobile Elevating Work Platform (MEWP) being used

• Equipment description

• Serial number

• Operatives name

• Proof of competence

  Available

  Not available

• Inspection documents available and in date

  Yes

  No

Personal Protective Equipment (PPE)

• Hard Hat

  Select Being Worn No Evidence PPE being used is out of date or in poor condition

  • Being Worn
  • No Evidence
  • PPE being used is out of date or in poor condition

• Safety Footwear

  Select Being Worn No Evidence PPE being used is out of date or in poor condition

  • Being Worn
  • No Evidence
  • PPE being used is out of date or in poor condition

• Safety Glasses

  Select Available at point of use Is available but not worn Not Applicable

  • Available at point of use
  • Is available but not worn
  • Not Applicable

• Safety gloves/hand protection

  Select Available at point of use Is available but not worn Not Applicable

  • Available at point of use
  • Is available but not worn
  • Not Applicable

• High Visibility Vest

  Select Being Worn No Evidence PPE being used is out of date or in poor condition

  • Being Worn
  • No Evidence
  • PPE being used is out of date or in poor condition

• Full body harness

  Select Is a harness available at point of use Is the harness being worn correctly Has the harness been inspected within the last 6 months proof of a pre use check Not applicable

  • Is a harness available at point of use
  • Is the harness being worn correctly
  • Has the harness been inspected within the last 6 months
  • proof of a pre use check
  • Not applicable

• Work positioning lanyard

  Select is a suitable lanyard available at point of use the lanyard is being used correctly the lanyard has been inspected in the last 6 months there is proof of a pre use check Not applicable

  • is a suitable lanyard available at point of use
  • the lanyard is being used correctly
  • the lanyard has been inspected in the last 6 months
  • there is proof of a pre use check
  • Not applicable

240v equipment

• 240v electrical equipment being used on site

• Equipment description

• Serial number

• Portable equipment test (PAT) date

  Date

• Compliance

  Compliant

  Non-compliant

Audit Sign Off

• Audit completion date and time

  Date

• Auditee's acceptance signature

  Sign

• Auditor's signature

  Sign

• Notes

Good Practice

Good Practice Note

• Enter good practice description

Observation

Observation

• Enter observation note

Corrective Action

Corrective Action

• Corrective action

• Required by date

  Date

• Completion date

  Date