Title Page

  • Job No.

  • Site Location

  • Client

  • Conducted on

  • Prepared by

  • Location
  • List Irwin M&E Personnel on Site

Coronavirus - Covid-19

  • IME operative is not displaying symptoms of Covid-19 (New continuous cough and/or a high temperature, shortness of breath or a change or loss in sense of smell or taste).

  • As per government guidance ensure the operative leaves site immediately, returns home and self-isolates as required.

  • The operative has been issued with Covid-19 Guidance and Procedures?

  • IME operative is cleaning down work areas/tools/equipment regularly and on completion of every shift

  • IME operative can carry out all tasks whilst adhering to social distancing?

  • Tasks where social distancing cannot be achieved are only permitted to be carried out where a specific risk assessment has been carried out and the task is essential.

Paper Work & Work Area

  • Has operative/s and/or personnel signed into site?

  • Does operative/s have site specific works order?

  • Has operative completed a POWRA prior to the works commencing?

  • Has the POWRA been created within the last 5 days?

  • Has all risks identified been controlled adequately?

  • Take a picture of POWRA

  • Have operatives been briefed on Emergency Procedures? (Including Evacuation Plan & Location of Muster Point)

  • Are COSHH Assessments available for ALL hazardous substances on site?

  • Are there Sub-Contractors on site?

  • Have all Sub-Contractors been approved by Irwin M&E?

  • Have they provided Risk Assessments/Method Statements for the works?

  • Does the sub contractor/s present have the relevant security clearances?

  • Does all employees on site carry CSR/CSCS cards and have relevant training?

  • Does this job operate a Permit to Work System?

  • Attach a photo of a recent Permit

  • Is there adequate access and egress throughout site?

  • Does Irwin M&E personnel display good housekeeping on site?

  • Has all Materials been stored appropriately on site?

Working at Height

  • Are Ladders/Steps being used on site?

  • Are they in good condition?

  • Are they being used appropriately?

  • Are Podium Steps being used on site?

  • Are they in good condition?

  • Are they being used appropriately?

  • Are Hop Up Steps being used on site?

  • Are they in good condition?

  • Are they being used appropriately?

  • Is Irwin M&E personnel using Mobile Tower Scaffolding on site?

  • Was the Mobile Tower Scaffold erected by a PASMA trained/competent person?

  • Has Mobile Tower Scaffold been erected correctly with Scaff Tags in place?

  • Attach a photo of Scaff Tags

  • Is Irwin M&E personnel using MEWPS (Scissor lift/Cherry picker/Boom lift) on site?

  • Is the operative IPAF trained to the correct level? (1B/3A/3B)

  • If hired - Is there a maintenance record within the MEWP?

  • Has a Working at Height Rescue Plan been completed prior to works commencing?

  • Attach a photo of Working at Height Rescue Plan

  • Are adequate safety precautions being taken? (E.g. Harness/Lanyard, Outriggers, Guard Rails)

Equipment, Tools & Company Vehicles

  • Are Operatives wearing the required PPE?

  • Are Power Tools in good condition?

  • Has Portable Appliance Testing (PAT) been carried out in the last 6 months?

  • Attach photo of PAT sticker

  • Do engineers require a Lock Out Tag Out (LOTO) Kit?

  • Is LOTO Kit present on site?

  • Do engineers require Mechanical/Electrical Test Equipment on site?

  • List associated equipment

  • Has the equipment been tested In-house within this last 6 months? Or calibrated within this past year?

  • Attach a photo of most recent In-house test/Calibration sticker

  • Is there a company vehicle on site?

  • Take a picture of the registration

  • Is there any visual damage around the vehicle ? (Check all panels, sides and take pictures)

  • Are tyres in good condition (please use tyre thread checker, tyres should be (2mm and above any less than 2mm should be replaced)

  • Is the internal contents of the vehicle in a reasonable condition?

  • Is there an in-date/stocked First Aid Kit on site?

  • Is there a Fire Extinguisher on site? (All Irwin M&E vans should have 2kg Powder Extinguisher)

  • Has the Fire Extinguisher been serviced within the last year?

  • Is there any issues needing/have been discussed with Main Contractor/Client?

  • Are there any other issues/queries/requests presented by the operative?

Closing Out

  • Has findings of the audit been discussed with manager/site supervisor/operative?

  • Signature of person conducting audit.

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.