Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

A - Actions from previous Inspections

The following questions apply to DNV GL inspections

  • A1- Have all actions from over 2 months ago been actioned?

  • A2- Have all actions from 2 months ago been actioned?

  • A3 - Have all actions from 1 month ago been actioned?

1 - Safe Steps

  • 1a - Are access ways free from slip, trip, fall hazards?

  • Select from range

  • 1b - Are access ways clearly marked?

  • Select from range

  • 1c - Are floor openings suitably covered, secured and with clear signage or fenced off?

  • Select from range

  • 1d - Are sufficient rubbish bins provided and being used?

  • Select from range

  • 1e - Is site tidiness condition acceptable?

  • Select from range

  • 1f - Is material stacking and storage acceptable?

  • Select from range

2 - Fire Prevention

  • 2a - Are sufficient fire extinguishers / hoses provided and in working order?

  • Select from range

  • 2b - Are muster points clearly marked and sufficient in size?

  • Select from range

  • 2c - Are evacuation routes clearly marked?

  • Select from range

  • 2d - Are the means of raising fire alarm clearly posted and working effectively?

  • Select from range

  • 2e - Is emergency lighting sufficient and working effectively?

  • Select from range

3 - Confined Space

  • 3a - Is a permit to enter in place?

  • Select from range

  • 3b - Have possible sources of hazardous material or gas been isolated to prevent their entry into the confined space?

  • Select from range

  • 3c - Has a suitable atmospheric check been conducted?

  • Select from range

  • 3d - Is ventilation adequate?

  • Select from range

  • 3e - Is there an adequate communication procedure between those inside and outside the confined space?

  • Select from range

  • 3f - Is an adequate evacuation procedure in place?

  • Select from range

  • 3g - Is rescue equipment available and ready to use?

  • Select from range

4 - Work at Height

  • 4a - Are openings through which a person could fall adequately guarded?

  • Select from range

  • 4b - Is the open side of stair case provided with substantial hand rail?

  • Select from range

  • 4c - Are fall prevention measures as detailed in safety plan/method statement and (if applicable) permit to work at height?

  • Select from range

  • 4d - Is a fall arrest system used to prevent falls fit for purpose?

  • Select from range

  • 4e - Are anchor points for clipping lanyard clearly marked and tested?

  • Select from range

  • 4f - Is it clear that ladders may only be used for access and not for working on?

  • Select from range

  • 4g - Are ladders of suitable material, adequate strength and secured to prevent undue movement?

  • Select from range

  • 4h - Is scaffold constructed in accordance to the design?

  • Select from range

  • 4i - Is scaffold form 5 indicating condition in order and signed by CP & in date?

  • Select from range

  • 4j - Are arrangements in place to prevent material falling from height?

  • Select from range

  • 4k - Does the Scaffold conform to CSSR – schedule III?

  • Select from range

5 - Lifting Operations

  • 5a - Is there a lifting plan?

  • Select from range

  • 5b - Is lifting gear suitably colour coded?

  • Select from range

  • 5c - Are staff involved in lifting operations competent and authorised?

  • Select from range

  • 5d - Can it be demonstrated that the rigger checks for visible defects (such as deformation, cracks and broken strands) in lifting gear before each use?

  • Select from range

  • 5e - Are tag lines used?

  • Select from range

  • 5f - Are persons not involved in the lift kept at a safe distance?

  • Select from range

  • 5g - Has the path and final resting place of load been checked to ensure safety?

  • Select from range

6 - Electricity

  • 6a - Are electrical boxes locked to prevent access?

  • Select from range

  • 6b - Are electrical cables secured in such a way as to prevent damage?

  • Select from range

  • 6c - Is the general condition of electrical equipment good?

  • Select from range

  • 6d - Is the electrical distribution system safe and conforming to MTR standards?

  • Select from range

  • 6e - Is the person responsible for electrical distribution clearly identified and contact number?

  • Select from range

  • 6f - Are there sufficient 110V socket outlets available?

  • Select from range

7 - Plant & Machinery

  • 7a - Is plant adequately fenced off to prevent unauthorized access?

  • Select from range

  • 7b - Are emergency stop switches provided to electrical motors?

  • Select from range

  • 7c - Do signs adequately warn pedestrians not to enter plant operating areas?

  • Select from range

  • 7d - Is the plant operator competent?

  • Select from range

  • 7e - Is plant registered with a distinct number?

  • Select from range

8 - Excavation

  • 8a - Is a “permit to dig” system in place?

  • Select from range

  • 8b - Are under-ground utilities adequately identified?

  • Select from range

  • 8c - Do drawings indicate the location of underground utility services?

  • Select from range

  • 8d - Is the CP in attendance at ALL times during hand excavation – until discovery?

  • Select from range

  • 8e - Is adequate support provided to excavations deeper than 1.2m?

  • Select from range

  • 8f - Is adequate access / egress provided to excavations?

  • Select from range

  • 8g - Are barriers in place to prevent falls of people and plant?

  • Select from range

  • 8h - Are suitable and sufficient warning signs displayed?

  • Select from range

  • 8i - Has a form 4 been signed by a CP and is it in date?

  • Select from range

9 - Falsework

  • 9a - Is an approved method statement available at site?

  • Select from range

  • 9b - Is falsework compliant with method statement requirements?

  • Select from range

  • 9c - Has timber used in falsework been stress graded?

  • Select from range

  • 9d - Do adjustable struts or props comply with BS4074?

  • Select from range

  • 9e - Is the foundation protected against flooding or wash out by heavy rain?

  • Select from range

  • 9f - Is an effective permit-to-load & permit-to-unload system operating?

  • Select from range

10 - Behaviour / Supervision

  • 10a - Is adequate supervision available at site?

  • Select from range

  • 10b - Have workers been provided with a relevant pre-start safety briefing?

  • Select from range

  • 10c - Are workers wearing the PPE provided for their work and working environment?

  • Select from range

  • 10d - Are supervisors aware of the requirements of the relevant method statement?

  • Select from range

11 - Lock Out / Tag Out Systems - LOTO

  • 11a - If a LOTO system is required, are affected workers aware of the LOTO system?

  • Select from range

  • 11b - Can workers identify all hazardous energy sources on the equipment concerned?

  • Select from range

  • 11c - Is the lock suitable and sufficient and is the controller’s name identified?

  • Select from range

12 - Working with Electrical Tools

  • 12a - Are electrical hand tools limited to 110V?

  • Select from range

  • 12b - Are portable lights limited to 110V?

  • Select from range

  • 12c - Are electrical tools identifiable by a number?

  • Select from range

  • 12d - Are electrical tools registered?

  • Select from range

  • 12e - Do records show issue & inspection dates?

  • Select from range

  • 12f - Are guards on fans in good condition and adequate to prevent finger injury?

  • Select from range

13 - Work over Water

  • 13a - Is a boat and boatman nearby if there is a risk of falling into the sea?

  • Select from range

  • 13b - Are sufficient life buoys and recovery lines in place?

  • Select from range

  • 13c - Has a rescue plan been developed and tested?

  • Select from range

  • 13d - Do workers at risk of falling into water wear life vests?

  • Select from range

  • 13e - Are other water hazards covered by netting to protect against drowning?

  • Select from range

14 - Tunnels

  • 14a - Are fire extinguishers, hose reals and first aid boxes spaced at every 100m?

  • Select from range

  • 14b - Are emergency phones spaced at every 60m?

  • Select from range

  • 14c - Is there suitable segregation of pedestrians from vehicles and plant?

  • Select from range

  • 14d - Is sufficient drinking water provided with cups?

  • Select from range

  • 14e - Are sufficient rescue respirators provided and readily accessible?

  • Select from range

  • 14f - Are walkways provided for pedestrians to within 100m of work face?

  • Select from range

  • 14g - Is there strict control of smoking and fire hazards to prevent fire in tunnel?

  • Select from range

  • 14h - Are vehicles and plant in the tunnel maintained to MTR standard?

  • Select from range

15 - Operational Railways

  • 15a - Have MTR requirements for working near railways been implemented?

  • Select from range

  • 15b - Is the person in charge suitably trained and qualified to MTR requirements?

  • Select from range

  • 15c - Are barriers and signs in place to warn of the danger of works near railways?

  • Select from range

  • 15d - Is the “Contractor’s CP (Track)”on site at all times?

  • Select from range

  • 15e - Is the “Contractor’s CP (non-track)” on site at all times?

  • Select from range

16 - Public areas - Foot Paths

  • 16a - Are members of the public suitably warned of dangers at site entrances?

  • Select from range

  • 16b - Are members of the public protected from falling material? Netting – fans etc.

  • Select from range

  • 16c - Are members of the public protected from vehicles entering and leaving site?

  • Select from range

  • 16d - Are members of the public adequately protected by hoarding, lights, paths etc.?

  • Select from range

17 - Highways

  • 17a - Are workers adequately protected from being struck by vehicles?

  • Select from range

  • 17b - Are sufficient banksmen used to ensure safe crossing of roads?

  • Select from range

  • 17c - Is entry / exit of vehicles adequately controlled?

  • Select from range

18 - Work in Compressed Air

  • 18a - Are CPs for Supervision and PIC of air supply on site during Compressed Air work?

  • Select from range

  • Note : Refer to Cap 59M Regulation 5 and 6 (3) (b)

  • 18b - Are there sufficient “Man lock attendants” on site?

  • Select from range

  • Note : according to Regulation 10, minimum 3 lock attendants are required

  • 18c - Do workers receive medical examinations as required?

  • Select from range

  • 18d - Do workers who have been working in compressed air wear their “Labels”?

  • Select from range

19 - High Risk Operations – with Fire Risk

  • 19a - Are hot-work permit conditions complied with?

  • Select from range

  • 19b - If required, is a “stand-by” person in attendance as specified?

  • Select from range

  • 19c - Are adequate precautions in place, such as welding screens, fire extinguishers?

  • Select from range

  • 19d - Are barriers and/or warning signs erected to prevent persons coming in contact with hot surfaces?

  • Select from range

20 - High Risk Operations – Plant Erection / Dismantling, Mobilisation and Removal

  • 20a - Are arrangements (e.g. warning signs, barriers, look-out man) in place to ensure high risk erection / dismantling is controlled?

  • Select from range

  • 20b - Are erection / dismantling procedures displayed at point of use?

  • Select from range

  • 20c - Is it clear that erection / dismantling must be under control of authorised person?

  • Select from range

  • 20d - Is transportation, loading and unloading suitably controlled and supervised?

  • Select from range

  • 20e - Is there a suitable method statement and risk assessment for this work and is it complied with?

  • Select from range

21 - High Risk Operations – Demolition, Asbestos Removal, Diving etc.

  • 21a - Are hazards, risks and precautions identified and documentation available at site?

  • Select from range

  • 21b - Have those persons at risk been adequately briefed as to risks and precautions?

  • Select from range

  • 21c - Is specialist PPE and equipment available and used as required?

  • Select from range

  • 21d - Are other required precautions in place and complied with?

  • Select from range

22 - Special Hazards

  • 22a - Guarding of machinery – Are hazards identified and is guarding checked?

  • Select from range

  • 22b - Permit-to-move / Permit-to-operate – are hazards known and controlled?

  • Select from range

  • 22c - Speed limits – established and enforced?

  • Select from range

  • 22d - Does the ASLI work correctly? Is it checked weekly?

  • Select from range

  • 22e - Are lifting hooks fitted with a safety latch?

  • Select from range

  • 22f - Are safety “anti-collision” devices fitted when 2 or more tower cranes are close together?

  • Select from range

23 - Hot Weather

  • 23a - Has a “Hot weather” assessment been conducted?

  • Select from range

  • 23b - Have the recommended controls been implemented?

  • Select from range

  • 23c - Are workers informed of MTR hot weather requirements?

  • Select from range

24 - Manual Handling

  • 24a - Have Manual Handling hazards been identified?

  • Select from range

  • 24b - Are the weights of all items over 15kg displayed?

  • Select from range

  • 24c - Are Manual Handling “aids” provided and used effectively?

  • Select from range

  • 24d - Are items requiring “team lift” or “Do NOT lift by hand” clearly identified?

  • Select from range

25 - Method statements

  • a - Is a suitable method statement available for each task with significant risk?

  • Select from range

  • b - Is a copy of an approved method statement, readily available for supervisors and engineers responsible for the works?

  • Select from range

  • c - Is there evidence that the method statement has been briefed to supervisors, engineers and workers assigned to the works?

  • Select from range

  • d - Are the works being conducted in accordance with the method statement stipulated controls?

  • Select from range

Closing - End of Inspection

Closure

  • All actions on this report have been completed on:

Sign off

  • I confirm I have had the contents of this audit report explained to me.

  • Project Manager

  • Person conducting this Audit.

  • Audit concluded at:

Corrective Actions

  • undefined

Audit Risk Level

  • Risk rating for this Audit.

Summary

  • undefined

Other

  • undefined

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.