Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Site audit report
Site/Situation
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Have operatives signed into the site register?
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Is TM set up to site requirements of Chapter 8?
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NRSWA, will any person on footpath/road from any direction understand what is happening and what is expected of them?
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Are all vehicles parked safely without causing unnecessary obstruction?
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Is the work area protected by a physical barrier ( cones, roping, boards)?
Equipment
Equipment
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Lifting keys present, correct size and in good order?
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First aid kit and eyewash - present, complete and in date
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Is safety equipment relevant for this site/in calibration/ dated correctly
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Condition of jetting hose and fittings / wash down hose / auxiliary hose
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Condition of suction hose and couplings
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Electrical equipment all PAT tested?
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Are ladders serviceable plus stable, properly secured and tagged?
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If fire extinguisher is present, is it inspected and in date?
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If trailer is being used to transport equipment, has a light board been fitted? Has a safety chain been used? Are items on the trailer securely placed?
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Expanding manhole grid/barrier
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Gas monitors
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Tripod and winch
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Harness and lanyard
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Communication equipment available ( phones or radios)
H&S - E&Q
H&S E&Q
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Does crew have positive attitude to safety and compliant with company procedures?
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Is the working area clean and tidy?
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Is there suitable PPE for all staff on the site (hard hat, visor, goggles, overalls, hi viz, safety boots, gloves)?
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Is PPE in good condition and being worn at time of audit?
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Have crew received IWJS induction and if required induction by client?
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Do crew have correct training for work being carried out?
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Has dynamic risk assessment been completed and is it relevant and adequate for the work being carried out?
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Have operatives been briefed on the works being undertaken and is there a relevant method statement available?
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Is the site safety file/gang pack available and up to date and are contents understood?
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Are operatives acting responsibly by not putting themselves or others at risk?
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Welfare facilities - are they clean and good working order?
Compliance - vehicle
Vehicle
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Daily checks sheet/defect sheet completed?
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Defects recorded - new
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Defects recorded - ongoing
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Cleanliness - cab
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Cleanliness - trays and lockers
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Cleanliness - bodywork
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Condition of cables
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Competence in operation of equipment
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Authorisation documents displayed
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Awareness of vehicle weight and height
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Tax disc
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O license disc
Compliance - documents
Documents
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Transfer note
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Work pack / work instruction
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Permit to work / permit to enter CS
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Drivers hours book / tachographs
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Identity cards
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Authorisation letter
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NRSWA red book
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Leptospirosis card
Vehicle stock list ( not scored)
Stock list
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Are an appropriate number of the correct cones available?
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Stand pipe and storage bag
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Are correct jetting nozzles available, stored correctly and in good order?
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Are appropriate hand tools available ?
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Is spillage kit available?
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Carrying chapter 8 ?
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Are suitable hand cleansing materials available ?
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Spare gloves and clothing?
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Digital camera?
Remedial action
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Details of remedial action required.
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Person assigned to remedial action.
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Date required by
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Select date
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Signature.
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Comment.
Photos
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Add media
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Add media
Signatures
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Auditors signature
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Employees signature
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Employees signature