KILWEX SPA AUDIT

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Site Information

• 1. All Blue sections completed? (Site name, Company, Date etc.)

  Yes

  No

  N/A

• 2. Live Services YES or No ticked?

  Yes

  No

  N/A

• 3. All Grey Sections completed? (Task, Location, Permits, etc.)

  Yes

  No

  N/A

• 4. Duration Section completed?

  Yes

  No

  N/A

PPE

• 1. Mandatory PPE section completed?

  Yes

  No

  N/A

• 2. Task Specific PPE section completed?

  Yes

  No

  N/A

• 3. Fire Extinguisher section completed?

  Yes

  No

  N/A

Logical Sequence of Works

• 1. Steps Completed? Is the sequence of works logical?

  Yes

  No

  N/A

• 2. Have all hazards been Identified?

  Yes

  No

  N/A

• 3. Controls measures completed, do they mitigate the identified hazards?

  Yes

  No

  N/A

• 4. Has the risk level been mitigated to an acceptable level?

  Yes

  No

  N/A

Emergency

• 1. Emergency numbers inserted?

  Yes

  No

  N/A

• 2. Nearest Assembly Point identified?

  Yes

  No

  N/A

Activities

• 1. All activity boxes answered?

  Yes

  No

  N/A

• 2. Red Activities marked Yes, have permits been referenced?

  Yes

  No

  N/A

Excavation Checklist

• 1. Has the checklist on the bottom of the SPA been completed?

  Yes

  No

  N/A

• 2. Has the SPA been checked and signed of by a Site Supervisor?

  Yes

  No

  N/A

Sign Off

• 1. Have all operatives signed off on the SPA?

  Yes

  No

  N/A

• EHS Department (Name & Signature)

  Sign