Legionella RA site Audit Revision 1 October 2016

• Reason for audit

• Audit No.

• Client Name

• Location
  Address

• Conducted on

  Date

• Name of PM

• Name of operative

• Prepared by

Work Instructions Documents -RAMS

• Has RAMS Document Been satisfactorily completed?

  Yes

  No

  N/A

  Observation

• Has site signing in/out register been completed ?

  Yes

  No

  N/A

  Observation

• Has Pre Work Risk Assessment been completed prior to the work commencing?

  Yes

  No

  N/A

  Observation

• Are the Operatives Training Records available and in date? Check Tablet.

  Yes

  No

  N/A

  Observation

• Can the Operative demonstrate individual competence as per HSEQM guidance LG?

  Yes

  No

  N/A

  Observation

• Are all aspects of the generic RAMS Document being adhered to?

  Yes

  No

  N/A

  Observation

• Has the Site Log book been completed and available for reference?

  Yes

  No

  N/A

  Observation

• Has the Site Asbestos Register been consulted prior to the work commencing?

  Yes

  No

  N/A

  Observation

• Does the Operative have their LES ID Card available for inspection?

  Yes

  No

  N/A

  Observation

Health, Safety and Welfare

• General Access to Work Area - access to all individual work areas clean and hazard free?

  Yes

  No

  N/A

  Observation

• Work at Height - Correct use of standard and non standard access equipment? Ladders/Towers/Harness etc.

  Yes

  No

  N/A

  Observation

• Hazardous substances - Have all COSHH Assessments been followed? Storage, handling and containment.

  Yes

  No

  N/A

  Observation

• Manual Handling - Have all hazardous lifting operations been addressed?

  Yes

  No

  N/A

  Observation

• PPE & RPE- Are all aspects of equipment available and being used correctly?

  Yes

  No

  N/A

  Observation

• Safety Signage - Is all safety signage displayed correctly?

  Yes

  No

  N/A

  Observation

• Lighting - Is lighting adequate for the task?- Natural, In house or torch/task units.

  Yes

  No

  N/A

  Observation

• Welfare and Hygiene - Are facilities available and adequate?

  Yes

  No

  N/A

  Observation

Work Practices

• Legislation - Is all working compliant with BS8580 and L8

  Yes

  No

  N/A

  Observation

• Site Information - Can the Operative demonstrate an ability to produce an accurate description of the building and water systems?

  Yes

  No

  N/A

  Observation

• Assets - Can the Operative demonstrate the ability to identify items of plant and outlets, descriptions and location?

  Yes

  No

  N/A

  Observation

• Inspections - Ability to correctly identify items of plant, hot water heaters, correct measurements and calculations, item description and location.

  Yes

  No

  N/A

  Observation

• Out of spec findings - Has the Operative the ability to raise out of spec findings and issue recommendations?

  Yes

  No

  N/A

  Observation

• Schematic Drawings - Ability to understand the existing system schematic

  Yes

  No

  N/A

  Observation

• Schematic Drawings - Ability to correctly produce a full system drawing?

  Yes

  No

  N/A

  Observation

• Safe Working/Quality Policies and procedures - Is the work carried out in compliance with company procedures?

  Yes

  No

  N/A

  Observation

• Microbiological Sampling - Satisfactory demonstration of water sample collection?

  Yes

  No

  N/A

  Observation

• Records of schemes control - Ability to carry out an appraisal of existing test records and scheme of control?

  Yes

  No

  N/A

  Observation

Legionella Awareness - Ability to correctly identify the items below

• Contamination - Ability to correctly identify the risk at Source . Including the condition, temperature and integrity of the water system

  Yes

  No

  N/A

  Observation

• Amplification - Determination of the cultivation conditions and assessment of the likelihood of Legionella proliferation . Including water temperature, areas of static or slow water, water change rate and conductivity of microbiological growth.

  Yes

  No

  N/A

  Observation

• Susceptibility - Evaluation of the demographic information upon the vulnerability of the population likely to be exposed to Legionella.

  Yes

  No

  N/A

  Observation

• Exposure and Inhalation - Determination of the cultivation and likelihood of droplets or aerosols being inhaled.

  Yes

  No

  N/A

  Observation

• Transmission - Assessment of droplets or aerosols being produced and spread.

  Yes

  No

  N/A

  Observation

Company Branded Work Wear

• Are all company issued items available and being worn correctly?

  Yes

  No

  N/A

  Observation

Tools and equipment

• Calibration of equipment - All thermometers, CLO2 meters etc. Comply with calibration requirements

  Yes

  No

  N/A

  Observation

• Tools and equipment comply with company standard issue and are clean and fit for purpose?

  Yes

  No

  N/A

  Observation

Vehicle Audit

• Current vehicle mileage reading?

• External Condition in good order? Record all damage.

  Yes

  No

  N/A

  Observation

• Internal Condition in good order? Record all damage.

  Yes

  No

  N/A

  Observation

• Tyre condition

  Yes

  No

  N/A

  Observation

Customer Service ? Client to fill if possible if not stay N/A

• Was the work carried out in a satisfactory manner?

  Yes

  No

  N/A

  Observation

• Was the Operative courteous and professional?

  Yes

  No

  N/A

  Observation

• Housekeeping - Was the work area/s left in a tidy and satisfactory condition?

  Yes

  No

  N/A

  Observation

• Health, Safety and Site Practices - was the Operatives work carried out safely?

  Yes

  No

  N/A

  Observation

Performance

• Project Managers Name

• Was the project managers work satisfactory?

• Score

• Was the operatives work satisfactory?

• Score

• Audit Summary

• Operative Name & Signature

  Sign

• Auditor Name & Signature

  Sign