Title Page
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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
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1. Site / Place of work
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1.1 Is there a safe and healthy working environment with no obvious risks to the public, visitors or other workers
- Yes
- No
- N/a
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1.2 is site access/egress safe & lighting adequate. If access equipmeant is required is it available (ladders, steps etc)?
- Yes
- No
- N/a
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1.3 Are there any obvious hazards which require immediate attention?
- Yes
- No
- N/a
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1.4 Are all control measures in place to reduce on site risks
- Yes
- No
- N/a
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1.5 Is the work area tidy and well ordered?
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1.6 Are welfare facilities available? Do you know where the nearest are
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2. Employees/Representatives
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2.1 Does the work being carried out require special training? if so has the employee been trained?
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2.2 Has the employee undertaken a personal risk assessment? if so was a written copy available for inspection?
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2.3 Has the employee been given sufficient information to carry out the work (task instructions, service records, plans, ect)
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2.4 Are safety rules and operational practice manuals carried and the requirements observed?
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2.5 Is the employee's authority code level correct?
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2.6 Where a permit to work or limitations of access is issued is it correct and fully understood by all relevant employee's
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3. Equipment and Materials
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3.1 Is the vehicle clean, tidy and road worthy? Check the vehicle inspection has been completed correctly by the driver
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3.2 Record the details of the vehicle, Mileage, Registration, Fuel card details
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3.3 Is there a separation between men and materials in the vehicle?
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3.4 Is there a first aid box available and adequately stocked? is the eyewash in date
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3.5 Is the fire extinguisher in the vehicle is it in date and good working order?
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3.6 Are the MAX load carrying weights displayed in the Cab/Pilar/Trailer and fully observed by the driver
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3.7 Where an excavator, compressor or other plant are used are they in safe condition and operatives fully trained
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3.8 Are mechanical lifting and handling aids available? if so is the equipment being used correctly
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3.9 Are all electrical tools being used on a reduced voltage system (110 volts) or otherwise protected
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3.10 Is the guarding of road/walkways required and if so are they in place and correctly secured
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3.11 Are all electrical tools within their test/calibration period and labelled accordingly
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3.12 Are ALL substances in use clearly identified on the container and a CoSHH assessment present
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3.13 Are company standard containers being used and any chemical or flammable substances correctly stored in line with the manufacturers recommendations
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3.14 Check the date of the LPG hose and if it is more than 3 years from the date of manufacture the hose needs changing<br>is it in date
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3.15 Are the correct LPG & compressed air stickers displayed on the outside of the vehicle?
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3.16 Is the LPG being used/stored correctly and in good condition<br>Ventilation holes clear?
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4. Tools
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4.1 Are all tools of the approved type?
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4.3 Are any test lamps in good working order and of the correct type?
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4.4 Are all tools in good condition?
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4.5 If a rule is available is it made of a non metallic material?
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5. Training
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5.1 Are all staff on site adequately trained and authorised to drive/operate the vehicle and associated plant/equipment?
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5.2 Does the operative hold a NRSWA card - when does it expire
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5.3 Does the operative hold a first aid at work certificate if so when does it expire
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6 Personal Protective Equipment
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6.1 Does the work require PPE <br>Has the employee the correct PPE available
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6.2 is ALL PPE stored correctly
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6.3 Are insulated rubber gloves on site? if so are they in good condition? spare pair available
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7 Road Signage
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7.1 Is road signage adequate for the work being carried out?
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7.2 Does road signage comply with NRSWA
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7.3 If using ladders are they in good condition erected correctly and secured
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8 House Keeping
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8.1 Visit a previous site if possible that the jointing team has been working on, is this site free from rubbish and discarded jointing equipment
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8.2 Does the jointing employee understand his duty of care to the environment - waste segregation ect?
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Auditor Signature
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Is this audit free from any NON-CONFORMANCES.<br>If you have identified any non-conformances what have you done about it before leaving site
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Employee Signature