Title Page

  • Audit Number & Description

  • Conducted on

  • Auditee (Surveyor)

  • Type of Audit

  • Was the audit satisfactory?

  • Auditor

  • Project manager responsible for survey

  • Template revision number and name

Audit Details & Summary

  • This Audit Covers

  • Client

  • Site address

  • Job number

  • Scope of works

  • Building type / Types witnessed on audit

  • Proportion % of areas witnessed during audit

  • Management surveys - Current level of approval (prior to audit)

  • Refurbishment surveys - Current level of approval (prior to audit)

  • Demolition surveys - Current level of approval (prior to audit)

  • Management surveys - Current level of approval (following audit)

  • Refurbishment surveys - Current level of approval (following audit)

  • Demolition surveys - Current level of approval (following audit)

  • Acceptance of audit findings

  • Auditor

  • Auditee

Pre - Start Health & Safety Assessment

  • Training file

  • Experience / Training of surveyor

  • Does the surveyor have a site specific method statement and associated risk assessment for the task on site ?

  • Is the RAMS used the latest controlled version?

  • Risk assessment completed and signed in arrival by surveyor?

  • Before start, all limitations accepted and scope of works understood by the surveyor?

  • Have the works been been thoroughly planned by the PM and fit for purpose ?

  • Has the project manager identified all forseable hazards and have suitable control measures been detailed?

  • Where required has the project manager provided all supporting documents for the survey I.e former surveys, proposed building plans for refurb surveys etc

  • Has the surveyor identified any additional hazards that were not originally highlighted and has it been amended to suit?

  • Are safe access and egress routes available and are they free from slip,trip and fall hazards? If the surveyor is reliant on other contractors for safe access please detail If safe and suffice for the task

  • Is the RAMS being used over several days / several sites; if so review relevance of RA and limitations?

  • Does the surveyor have all necessary PPE / RPE and is it suitable ,being worn and used correctly?

  • Does the surveyor have the current HSEQ Manual and guidance documents?

  • Is the survey kit in line with the master survey kit list?

  • Has the surveyor completed all necessary pre - start inspections of equipment and all labelled correctly?

  • Has the surveyor used all tools and access equipment safely?

  • Ladder No:

  • Next Ladder Inspection date:

  • Photograph of ladder/s if required

  • Mask identified unique to surveyor

  • Photograph of mask/s if required

  • Have mask inspections been completed for the day and up to date?

  • Photographs of kit if required

  • When quizzed about general knowledge on asbestos , asbestos types, health effects, control limits, RPE and mask APF were answers adequete ?

  • Was the surveyor wearing appropriate clothing and have identification?

  • Did the auditee conduct himself appropriately on site including interaction with others?

  • Was all generated waste packaged correctly and removed from site according to current guidance and regulations? If not witnessed then discuss protocol and detail findings

Bulk Sampling

  • Materials sampled on audit

  • Photos of sampled materials

  • Have details on sample bag/s been completed as per the requirements? (Inner bag and main external bag)

  • Non essential personnel excluded from sampling area?

  • Warning signs posted in occupied areas?

  • Sample size representative of parent material and sufficient in mass for product?

  • Sample point suitably repaired and if required a sample point label applied with the required information ?

  • Was sampling conducted safely with the appropriate control measures utilised to prevent the spread of asbestos?

  • All equipment cleaned and sampling area checked after sampling?

  • For materials not witnessed on the audit is the surveyor familiar with sampling strategies for other materials and what the control measures are ?

  • Samples stored and marked correctly to ensure information can be read without opening outer bag?

General Surveying Assessment Form

  • Has the surveyor explained what is required with Client/Occupier so that they understand the extent of survey? (subject to conditions as detailed in method statement)

  • Site walk through been undertaken?

  • Site plans (provided/drawn/floor plan creator ) if drawn is it an accurate reflection of the site and are details recorded as per standard procedures?

  • Project set up data fields being completed in order?

  • Are general non asbestos observations being recorded suitably?

  • Has the use of all data approaches been used in the correct manor? ie S,X,SP,P,NA/LA and IAs

  • Are areas of no access or limited access being recorded correctly and justified?

  • Are completed material assessments and if applicable priority assessment s accurate?

  • Are reccomendations suitable ?

  • Are all photographs suitably clear and highlight location?

  • Surveyor demonstrated a systematic survey approach?

  • Has the surveyor sampled / presumed all suspect material unless strong evidence that they do not contain asbestos?

  • Is there a reasonable negative sampling strategy being adopted for non asbestos products?

  • Surveyor aware of looking for associated debris from sampled products? ie from installation or historic damage

  • Has or is the surveyor aware to report any areas of high risk to the client or project manager? I.e suspect debris

  • Was any decontamination undertaken suitably where required ? Cleaning of RPE after sampling etc

Refurbishment Survey Assessment Form

  • Type of building

  • Type of Audit

  • Have intrusive inspection points made by the surveyor justified ?

  • Has the level of making good undertaken by the surveyor meet the requirements as stated in the POW?

  • Does the surveyor have all the necessary equipment and supplies to carry out the task and making good?

  • Has enough time been allocated for the task (including making good)?

  • Are all areas to be surveyed unoccupied and all soft furnishings covered during works?

  • Is any special equipment required for the works on site and being used where required?

  • Is the surveyor aware of the requirement to carry out all intrusive investigation using RPE with eye and hand protection being worn – subject to assessment?

  • Does the surveyor seem to have understanding of likely hidden ACM locations within the fabric of the building?

  • Are adequate inspection points being made to be able to identify possible ACMs?

  • Are inspection points made safely with consideration to other hazards, such as live services and for the purpose of reinstatement following completion of inspection

  • Are the following areas being fully inspected in accordance with scope of works? (list if different to areas below)

  • Name areas inspected, use comments for any additional areas not listed

  • Comment

  • Has any access restrictions / limitations been recorded correctly? So they are clear in the report

  • Are they fair and reasonable?

  • Has all work created by the surveyor been left in a safe condition for reoccupation?

Demolition Survey Assessment Form

  • Type of building

  • Type of Audit

  • Have intrusive inspection points made by the surveyor justified ?

  • Has the level of making good undertaken by the surveyor meet the requirements as stated in the POW?

  • Does the surveyor have all the necessary equipment and supplies to carry out the task and making good?

  • Has enough time been allocated for the task (including making good)?

  • Are all areas to be surveyed unoccupied and all soft furnishings covered during works?

  • Is any special equipment required for the works on site and being used where required?

  • Is the surveyor aware of the requirement to carry out all intrusive investigation using RPE with eye and hand protection being worn – subject to assessment?

  • Does the surveyor seem to have understanding of likely hidden ACM locations within the fabric of the building?

  • Are adequate inspection points being made to be able to identify possible ACMs?

  • Are inspection points made safely with consideration to other hazards, such as live services and for the purpose of reinstatement following completion of inspection

  • Are the following areas being fully inspected in accordance with scope of works? (list if different to areas below)

  • Name areas inspected, use comments for any additional areas not listed

  • Comment

  • Has any access restrictions / limitations been recorded correctly? So they are clear in the report

  • Are they fair and reasonable?

  • Has all work created by the surveyor been left in a safe condition for reoccupation?

Re-Survey assessment (HSG264/RG8)

  • When completed with the surveyor still on site , both the auditor and surveyor must not be in the room at the same time to ensure the assessment is completed 'blind'.Once re-assessment is completed a comparison of both sets of data survey data must be completed.

  • Was the resurvey being undertaken when the surveyor was still on site

  • Type or types of survey being re inspected

  • Proportion of areas re surveyed in relation to total site?

  • Was the correct type of survey undertaken? (in relation to client’s requirements / instructions).

  • Have site drawings been suitably drawn and annotated in line with standard proceedures?

  • Was data entry accurate? review the item description, extents, applicable material & priority assessments, accessibility & notes to ensure they are unambiguous & unique

  • Are the recommendations in the report appropriate for the condition and location of identified materials?

  • Were areas of any limited access / no access justified?

  • Were the sample location points clearly labelled? (subject to the client’s instructions).

  • Have sampling strategies/proceedures been undertaken inline with HSG264 / Standard proceedures / RAMS?

  • Was a reasonable negative sampling strategy adopted on site?

  • Were all reasonably accessible ACMs or suspect ACMs identified within the survey data?

  • With a comparison of the audit and survey data are findings satisfactory? specific noted issues will be recorded above

  • Are further site re surveys required on the surveyor?

  • Site drawing if required

  • Notes: General observations of surveyed areas

Vehicle Audit

  • Vehicle make , model and Reg no

  • Mileage

  • Last service if known

  • Do any warning signs appear what the engine is switched on?

  • Are there signs of smoking in the vehicle?

  • Condition of tyres satisfactory? Staff should have depth tread gauge in car

  • Does the surveyor have all the following : Handbook,company policy, accident book and fuel card

  • Cleanliness of car

  • Car Check

  • Van Check

  • General Condition of vehicle

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.