Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Location
  • Personnel

  • Contracts Manager

  • Copied to

Hoarding

  • Stable & secure

  • Comments

  • Hoarding licence displayed

  • Comments

  • Signage

  • Comments

Loading Bay / Zone

  • Banksman

  • Comments

  • Vehicles separated from pedestrians / public

  • Comments

  • Fire point

  • Comments

  • Temp storage area

  • Comments

  • Clean and tidy

  • Comments

  • Adequate signage

  • Comments

Site Access & Egress

  • Clearly identified

  • Comments

  • Safe and secure

  • Comments

  • Sign in sheets / Access control report

  • Comments

  • Clear of materials and hazards

  • Comments

Welfare & Accommodation

  • As per Logistics plan

  • Comments

  • Segregated from work area

  • Comments

Site Offices

  • Clean and tidy

  • Comments

  • Facilities monitoring form

  • Comments

Drying Room

  • Clean and tidy

  • Comments

  • Seating / hooks / lockers / heating

  • Comments

  • Privacy

  • Comments

  • Facilities monitoring form

  • Comments

Canteen

  • Clean and tidy

  • Comments

  • Fridge, microwave, kettle, seating, drinking water

  • Comments

  • Separated from work area

  • Comments

  • Facilities monitoring form

  • Comments

Site toilets

  • Clean and tidy

  • Comments

  • Ladies toilet available

  • Comments

  • Supplies (hand soap/paper / warm water)

  • Comments

  • Suitable for number of operatives

  • Comments

  • Facilities monitoring form

  • Comments

Waste Management - General Waste

  • Bins and/or skips provided

  • Comments

  • Disposed of on a regular basis

  • Comments

Waste Management - Hazardous Waste

  • Drums provided

  • Comments

  • Dry area allocated for hazardous materials

  • Comments

COSHH Storage

  • LPG stored in the lockable cage

  • Comments

  • Flammable liquids stored safely

  • Comments

  • COSH Signs

  • Comments

  • Spill kit / Fire Point

  • Comments

Environmental

  • Dust Control

  • Comments

  • Water management

  • Comments

  • Noise control

  • Comments

Housekeeping and Storage

  • Clean and tidy

  • Comments

  • Good access to work areas

  • Comments

  • Managed storage areas

  • Comments

Signage

  • Signs required by law

  • Comments

  • Directional / Information/ Prohibitive/ Hazard signage

  • Comments

  • Displayed level and clean

  • Comments

Protection

  • Disclaimer form signed

  • Comments

  • Quality of protection

  • Comments

  • Maintenance

  • Comments

Temporary Electrics

  • Cable management

  • Comments

  • Visual checks for damage

  • Comments

  • Electricity boards locked at all times

  • Comments

Lighting

  • Emergency lighting

  • Comments

  • Temporary lighting

  • Comments

Working Platforms - Mobile Towers and Podiums

  • Safe to use

  • Comments

  • Scaff tags available

  • Comments

Working Platforms - Scaffold

  • Safe to use

  • Comments

  • Scaff tags available

  • Comments

Edge protection

  • Safe to use

  • Comments

Trip Hazards

  • Removed if possible

  • Comments

  • Highlight unrecoverable hazards

  • Comments

Plant and Machinery

  • Safe use of plant and machinery

  • Comments

  • Operated by trained operatives only

  • Comments

PPE

  • Required PPE worn by all operatives

  • Comments

  • Visitors PPE available and managed

  • Comments

Fire Warden duties - Fire Points

  • Location as per fire plan

  • Comments

  • Inspection date within 12 months

  • Comments

  • Horn or alarm in place

  • Comments

  • Signage Displayed

  • Comments

  • Muster point (clearly identified)

  • Comments

Fire Warden duties - Fire Exits

  • Clear fire exit routes and sufficient signage

  • Comments

First Aid

  • First aid kit displayed for easy access

  • Comments

  • Eye wash available

  • Comments

Paperwork - Site Inductions

  • Register

  • Comments

  • Induction form made site specific

  • Comments

  • Forms completed by all employees

  • Comments

Paperwork - MSRA

  • Issued and approved MSRA to client

  • Comments

  • Register completed

  • Comments

  • Site specific

  • Comments

  • Lifting Plan

  • Comments

  • Confirmation signed by relevant operatives

  • Comments

Paperwork - Accident procedure

  • Forms and procedure available

  • Comments

  • Accidents recorded and e-mailed

  • Comments

Paperwork - Training Certificates

  • Matrix for training kept onsite

  • Comments

  • Training certs

  • Comments

Paperwork - H&S Auditing and inspections

  • Supervisor's H&S Inspection (weekly)

  • Comments

  • Contract Manager's monthly

  • Comments

  • LL Actions for previous audits actioned

  • Comments

  • YellowJacket used

  • Comments

  • 3rd party audit

  • Comments

Paperwork - Toolbox Talks

  • Register

  • Comments

  • Signed by all employees

  • Comments

  • Carried out weekly

  • Comments

Registers

  • Electrical equipment & PAT Testing

  • Comments

  • Mobile towers and podiums (weekly)

  • Comments

  • Fire point checklist (weekly)

  • Comments

  • Weekly hoist inspection

  • Comments

  • Lifting equipment and accessories

  • Comments

Waste Paperwork

  • LL Waste and Delivery Notes

  • Comments

  • Waste Notes and Certs

  • Comments

Plant and Equipment Paperwork

  • Toolbox Register

  • Comments

  • Plant requisition forms

  • Comments

Paperwork - Allocation Sheets

  • Up to date

  • Comments

  • In detail

  • Comments

Logistics Manager's actions

  • Feedback forms

  • Comments

ADDITIONAL COMMENTS

  • Comments:

OBSERVATIONS TO BE REPORTED ON YELLOWJACKET

  • List the observation exactly as it should be reported on Yellow Jacket. Good Practice is now known as 'satisfactory observations', issues are now known as 'unsatisfactory observations'. An unsatisfactory observation requires an action to be allocated to the relevant subcontractor and a responsible person within that organisation to be selected.
    Please list a location for the issue (eg: loading bay, level 4 lift lobby, etc) within the summary.

  • Add an observation

  • Observation
  • Summary

  • Good Practice

  • Action

  • Subcontractor Responsible

  • Employee the action should be allocated too (employed by above subcontractor)

Signatures

  • Contract Manager's Signature

  • Supervisor's Signature

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.