Title Page
-
Date
-
Name of auditor
-
Site conducted
-
Operative( s)
-
Location
Operative (s)
-
Uniform
- Full Deltron Lifts (DL) Uniform
- Not wearing DL top
- Not wearing appropriate trousers
- Acceptable
- No Uniform
- N/A
- Damaged-not acceptable
-
Tidy & professional
-
ID badge
- Worn & visable
- Damaged & illegible
- Available on request
- Not presented
- Out of date
- Lost
-
Signed in to site
-
Health and welfare of operative
- All good
- Disclosed mental health concerns
- Disclosed physical health concerns
- Auditor concerned re health
-
CSCS card
Site
-
Site specific risk assessment
- Up to date and can show auditor where located
- Can't show auditor where located
- Checked but not available
-
Operative can demo access to google drive for RAMS, etc
- Has access and can demonstrate use
- Has access but can not demonstrate proper use
- No access
- Not required- CPP on site inc RAMS & induction recorded
- Not required -CPP on site inc RAMs but no record of induction
-
Fire precautions
- Available, ext in date, signs posted
- Avail but not indate/sufficient *pls state
- None/ inadeqate *pls state
- N/A
-
Health hazards
- None present
- Asbestos-identified
- Asbestos-suspected
- Phone masts
- Water in pit
- Needles
- Dust-inc silca
- Water towers/ air conditioning units
- Bodily fluids
- Excrement -bat/pigeon, etc. * Pls state
- Mulitple *pls state
- Other *pls state
-
General house keeping
- Clean & Tidy
- Unacceptable -Deltron Lift issues
- Unaccertable- caused by others
-
Access/Egress
-
Welfare facilities
- Available, suitable & clean
- Available but unsuitable/unclean
- Off site
- None available
-
Hoardings/ Safety barriers - Note:safety barriers should be fixed into position
- Barrier acceptable and in proper use
- Damaged/ incomplete *pls state
- Acceptable barrier but not fixed in position
- Acceptable hoarding but not locked
- Not required
PPE
-
PPE suitable stored
-
Safety footwear
-
Hi-Vis Vest (where applic)
- Acceptable
- Damaged
- Dirty
- Not available
- Not suitable
- N/A
-
Hard hat (<3 yrs)
-
Bump cap
-
Suitable gloves
-
Googles, safety glasses
- Acceptable
- Damaged
- Not available
- Available but not with tools on site
- N/A
-
Ear protection/ RPE
- Acceptable
- Damaged
- Not available
- Available but not with tools on site
- N/A
- Not suitable for task
Equipment
-
Shorting kit
- Available and complete
- Available but items missing
- Not available. (Check if issued)
-
Lock off/ tag out kit
-
Door stopper
-
Ladder – tagged & checked
-
Electrical equipment
- Not suitable- 240V mains powered
- Suitable, PAT tested and in date
- Suitable, PAT tested but out of date
- Suitable but not PAT tested
- N/A
-
Hand tools
-
First aid kit
- Available and complete
- Available but items missing
- Not available. (Check if issued)
-
Hygiene kit
- Complete
- Item requires replenising *pls state
- Kit required
- N/a
-
Lifting equipment -slings, etc
- Good condition
- Not required/ not applicable
- Good condition but no certs on site
- Damaged-quarantine. Replacement needed
-
Harnesses - only where used on sites by trained personnel
- Good condition
- Not required/ not applicable
- Good condition but no certs on site
- Damaged-quarantine. Replacement needed
Vehicle
-
Registration
-
Mileage
-
Vehicle exterior
- Clean
- Acceptable level of dirt
- Needs cleaning
- Dirty - number plate not visible
-
Damage to vehicle
-
Number plates
-
Horn, mirrors & tyres
- All acceptable
- Damaged tyre(s) *pls state
- Worn tyre(s) *pls state
- Horn not working
- Mirror(s) damaged
- Mirror (s) not present
-
Clean interior
- Clean
- Acceptable level of dirt
- Needs cleaning
- Dirty - number plate not visible
-
Doors lockable
-
Lights inc check hazard lights
-
Seat belts secure
-
Wipers & windows
-
No smoking signs
-
Hazardous substances
- Presented in date copy when asked
- Not available. Issue/ give access during audit
- Non DLL company: Remind legal duty
-
Batteries correctly stores ( terminals shld be taped over)
- Batteries present and terminals covered over
- Batteries present but terminals exposed
- No batteries present
- N/A
-
Equipment
-
Waste Carriers Licence
- Presented in date copy when asked
- Not available. Issue/ give access during audit
- Non DLL company: Remind legal duty
Other
-
Any other items noted
Sign Off
-
Auditor (Name, Signature & Sign Date)