Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • 1. Site / Place of work

  • 1.1 Is there a safe and healthy working environment with no obvious risks to the public, visitors or other workers

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  • 1.2 is site access/egress safe & lighting adequate. If access equipmeant is required is it available (ladders, steps etc)?

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  • 1.3 Are there any obvious hazards which require immediate attention?

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  • 1.4 Are all control measures in place to reduce on site risks

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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

  • 2.1 Does the work being carried out require special training? if so has the employee been trained?

  • 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

  • 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?

  • 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?

  • 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

  • 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?

  • 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

  • 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

  • Employee 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.