HSI Engineering Department

• Health & Safety Audits

• Document No.

• Conducted on

  Date

• Prepared by

• Specific Works Under Audit (Enter ATW / Works Order No. If Applicable)
  Address

• Company / Team being Audited

Is the work being carried out safely?

• Is there any immediate danger to people?

  Safe

  At Risk

  N/A

• If 'At Risk' this work must be stopped immediately and the appropriate action taken to rectify this. Record specific details in Inspection Summary section along with all supporting information, e.g. Photographs.

• Score

• Is there any immediate danger to critical business assets?

  Safe

  At Risk

  N/A

• If 'At Risk' this work must be stopped immediately and the appropriate action taken to rectify this. Record specific details in Inspection Summary section along with all supporting information, e.g. Photographs.

• Score

Documentation

• Are those carrying out the works in possession of all relevant valid passes and permits?

  Yes

  No

  N/A

• If documentation is invalid works must be stopped and the relevant discrepancies rectified before recommending.

• Score

Work site safety

• Is the site set up adequate? Barriers, signage, traffic management etc.

  Unacceptable

  Poor

  Acceptable

  Excellent

• Is the site organised safely? (Trailing leads, equipment and tools, general house keeping etc.)

  Unacceptable

  Poor

  Acceptable

  Excellent

Personal Protective Equipment

• Is the correct PPE being worn for the works?

  Unacceptable

  Poor

  Acceptable

  Excellent

• Is the PPE in good condition and being worn correctly?

  Unacceptable

  Poor

  Acceptable

  Excellent

Safe Method of Work

• Is the work being carried out correctly? Refer to RAMS if required.

  Unacceptable

  Poor

  Acceptable

  Excellent

• If the works involved Working at Height is this being carried out safely? (Correct access equipment and use).

  Unacceptable

  Poor

  Acceptable

  Excellent

• If there are any specific high risk works being undertaken check relevant documentation and procedures are suitable.

  Safe

  At Risk

  N/A

Inspection Summary

• Note any comments or observations as required. (Oshens reports, advisories, faults etc. or general observations)

• Any relevant photographs of what was observed?

  Media

• Audit pass mark required is 80%

• Signature of Persons carrying out inspection

  Sign