Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Have the crew got ID cards, is the risk assessment carried out,<br> Are field guidelines ,MSDS and maps on site?

Vehicles

  • Are Vehicles in good working order and free of oil leaks, <br>are tyres and lights in good working order,<br>is the vehicle parked correctly?

Equipment

  • Is all equipment in good working order and is all Electrical equipment correctly tagged?

Safety Equipment

  • Are first aid kits, gas masks,fire extinguishers and hard hats tagged and in good working order<br>are there 2 first aiders on site?

P.P.E

  • Are Earmuffs, Hi vis vests,safety glasses and boots on site in good order and being used?

Site set up

  • Is signage, traffic and pedestrian control and barricades in place <br>are driveways clear<br>are silt bags in the gutter

  • Is all pipe joined correctly, is the pipe laid at the correct depth with trace wire attached,<br>is the meter bar square and in the correct location is all pipe work pressure tested<br>is the finished product looking neat and meeting the guidelines

Environment

  • Are noise pollution procedures in place, are filter rolls and silt fences in place, <br>is soil stockpiled

Appearance

  • Is crew in proper dress, signage on site and on the vehicles in good order<br>is customer contact made?

  • Is the running sheet correct,with the right amount of personnel on site ?

  • Is the customer happy with the way in which the crew carried out the installation ?<br>

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.