MD036 Assurance Audit Rev A

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Description of works?

• Company being audited?

• Contractor COSS/PiC?

• Operatives

Documents

• Is a Safe System of Work in place?

  Yes

  No

  N/A

• Is a Task Brief in place and suitable for the works?

  Yes

  No

  N/A

• Has a Dynamic Risk Assessment been undertaken?

  Yes

  No

  N/A

• Have all operatives been inducted and have a good understanding of the documents?

  Yes

  No

  N/A

• Do operatives have appropriate qualifications for tasks?

  Yes

  No

  N/A

• Have all operatives understood the Tool Box Talks

  Yes

  No

  N/A

• Is a hot work permit in place for cutting activities?

  Yes

  No

  N/A

• Actions required?

Site Observations

• Description of the site conditions

• What hazards are present at the site?

• How have the hazards been addressed?

• Are the mitigation measures appropriate?

  Yes

  No

  N/A

• Actions required?

Personal Protective Equipment

• Is the PPE suitable for the works being undertaken?

  Yes

  No

  N/A

• Is the PPE clean and in good condition?

  Yes

  No

  N/A

• Actions required?

Equipment checks & use

• List (or photo) tools being utilised to undertake the works. This is to include fall arrest equipment.

• Are tools in good condition?

  Yes

  No

  N/A

• Have weekly checks been undertaken and recorded?

  Yes

  No

  N/A

• Is storage of tools in works vans appropriate?

  Yes

  No

  N/A

• Is a risk assessment available for tools being used?

  Yes

  No

  N/A

• Actions required?

• Have all Hand Arm Vibrations related tasks been risk assessed correctly?

  Yes

  No

  N/A

• Have all operatives been informed of the trigger time allowed for the equipment being used?

  Yes

  No

  N/A

• Have all trigger times been documented for each operative?

  Yes

  No

  N/A

• Is fall arrest and/or rope equipment in good condition?

  Yes

  No

  N/A

• Has fall arrest equipment/rope equipment been documented appropriately including regular checks?

  Yes

  No

  N/A

Chemical/fuels checks

• List chemicals/fuels being used at the site.

• Are COSHH assessments available for each chemical/fuel being used?

  Yes

  No

  N/A

• Are chemicals/fuels stored appropriately?

  Yes

  No

  N/A

• Are fuel/chemical mats available?

  Yes

  No

  N/A

• Are accidental release mitigation/recovery measures available?

  Yes

  No

  N/A

• Actions required?

Welfare facilities

• What welfare facilities are provided at the site?

• Are the welfare facilities adequate for the number of operatives present?

  Yes

  No

  N/A

• Is adequate drinking water available for the operatives?

  Yes

  No

  N/A

• Are hand washing facilities available?

  Yes

  No

  N/A

• Actions required?

First Aid

• Is a first aider present at the site

  Yes

  No

  N/A

• Is the first aid box adequately supplied? - Leaflet on basic first aid; 20 plasters; 4 triangle badges; six safety pins; 2 large wound dressings; six medium wound dressings; 1 pair of disposable gloves; two eye pads.

  Yes

  No

  N/A

• Actions required?

Lighting & Noise

• Is there adequate lighting to undertake the works?

  Yes

  No

  N/A

• Is the lighting directed appropriately to minimise impact on third party land?

  Yes

  No

  N/A

• Have neighbours been notified of works and likelihood of noise, specifically during possession works?

  Yes

  No

  N/A

• Have tools been scheduled appropriately to reduce the impact of noise for example electrical hand tools?

  Yes

  No

  N/A

Fire

• Is a fire extinguisher available at the site and is it appropriate for the work activities?

  Yes

  No

  N/A

• Is the fire extinguisher in date?

  Yes

  No

  N/A

• Actions required?

Electrical

• Is all electrical equipment PAT tested and in date?

  Yes

  No

  N/A

• Actions required?

Public Safety

• Have appropriate measures been put in place to protect the public/third party land?

  Yes

  No

  N/A

• Will de-vegetation allow trespass onto the railway from 3rd party or their animals/livestock?

  Yes

  No

  N/A